Hoge Elizabeth A, Guidos Brittany M, Mete Mihriye, Bui Eric, Pollack Mark H, Simon Naomi M, Dutton Mary Ann
Georgetown University Medical Center, Department of Psychiatry, Washington, DC, United States; Center for Anxiety and Traumatic Stress Disorders, Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States.
Georgetown University Medical Center, Department of Psychiatry, Washington, DC, United States.
J Psychosom Res. 2017 Apr;95:7-11. doi: 10.1016/j.jpsychores.2017.01.011. Epub 2017 Jan 23.
To examine the effect of mindfulness meditation on occupational functioning in individuals with Generalized anxiety disorder (GAD).
Fifty-seven individuals with GAD (mean (SD) age=39 (13); 56% women) participated in an 8-week clinical trial in which they were randomized to mindfulness-based stress reduction (MBSR) or an attention control class. In this secondary analysis, absenteeism, entire workdays missed, partial workdays missed, and healthcare utilization patterns were assessed before and after treatment.
Compared to the attention control class, participation in MBSR was associated with a significantly greater decrease in partial work days missed for adults with GAD (t=2.734, df=51, p=0.009). Interestingly, a dose effect was observed during the 24-week post-treatment follow-up period: among MBSR participants, greater home mindfulness meditation practice was associated with less work loss and with fewer mental health professional visits.
Mindfulness meditation training may improve occupational functioning and decrease healthcare utilization in adults with GAD.
研究正念冥想对广泛性焦虑症(GAD)患者职业功能的影响。
57名GAD患者(平均(标准差)年龄=39(13)岁;56%为女性)参加了一项为期8周的临床试验,他们被随机分为正念减压疗法(MBSR)组或注意力控制组。在这项二次分析中,评估了治疗前后的旷工情况、错过的整日工作日、错过的部分工作日以及医疗保健利用模式。
与注意力控制组相比,GAD成人患者参与MBSR与错过的部分工作日显著减少有关(t=2.734,自由度=51,p=0.009)。有趣的是,在治疗后24周的随访期内观察到剂量效应:在MBSR参与者中,在家中进行更多的正念冥想练习与更少的工作损失和更少的心理健康专业就诊次数相关。
正念冥想训练可能改善GAD成人患者的职业功能并减少医疗保健利用。