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针对家庭痴呆症照料者的内在资源冥想随机对照试验。

Randomized Controlled Trial of Inner Resources Meditation for Family Dementia Caregivers.

作者信息

Waelde Lynn C, Meyer Hilary, Thompson Jason M, Thompson Larry, Gallagher-Thompson Dolores

机构信息

Palo Alto University.

Stanford University School of Medicine.

出版信息

J Clin Psychol. 2017 Dec;73(12):1629-1641. doi: 10.1002/jclp.22470. Epub 2017 Mar 6.

Abstract

OBJECTIVE

This randomized controlled trial examined the comparative effectiveness of 2 interventions for improving diurnal cortisol slope and life satisfaction and reducing stress symptoms among older female dementia family caregivers.

METHOD

Thirty-one family dementia caregivers were randomized to 8 weeks of Inner Resources for Stress mindfulness meditation and mantra training (IR) or psychoeducation and telephone support (PTS).

RESULTS

Intention-to-treat analyses revealed statistically significant pre-post improvements in diurnal cortisol slope and overall life satisfaction, but not depression or self-efficacy, in the IR relative to the PTS group. Adherence to between-session meditation practice was significantly associated with decreases in depression and self-reported improvements in ability to cope with stress. In addition, IR participants rated the overall benefits of the program more highly than the PTS group.

CONCLUSION

These results indicate that mindfulness meditation and mantra has promise as a feasible and effective caregiver intervention for quality of life and physiological responding to stress.

摘要

目的

这项随机对照试验检验了两种干预措施在改善老年女性痴呆症家庭照料者的日间皮质醇斜率、生活满意度以及减轻压力症状方面的相对有效性。

方法

31名痴呆症家庭照料者被随机分为两组,一组接受为期8周的压力内在资源正念冥想和咒语训练(IR),另一组接受心理教育和电话支持(PTS)。

结果

意向性分析显示,相对于PTS组,IR组在日间皮质醇斜率和总体生活满意度方面有统计学意义的前后改善,但在抑郁或自我效能方面没有。坚持疗程间的冥想练习与抑郁减轻以及自我报告的应对压力能力改善显著相关。此外,IR组参与者对该项目总体益处的评价高于PTS组。

结论

这些结果表明,正念冥想和咒语有望成为一种可行且有效的照料者干预措施,用于改善生活质量和对应激的生理反应。

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