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神经性厌食症中的正念:文献综合综述

Mindfulness in Anorexia Nervosa: An Integrated Review of the Literature.

作者信息

Dunne Julie

机构信息

1 Julie Dunne, MSN, RN, PMHNP-BC, Boston College, Chestnut Hill, MA; The Cambridge Eating Disorder Center, Cambridge, MA, USA.

出版信息

J Am Psychiatr Nurses Assoc. 2018 Mar/Apr;24(2):109-117. doi: 10.1177/1078390317711250. Epub 2017 Jun 1.

DOI:10.1177/1078390317711250
PMID:28569093
Abstract

BACKGROUND

Anorexia nervosa is a serious psychiatric illness with limited evidenced-based treatment options. Mindfulness appears useful in many conditions, but few studies focus on its use in individuals with anorexia nervosa.

OBJECTIVE

To examine and summarize studies of mindfulness in individuals with anorexia nervosa and identify areas for future research.

DESIGN

An integrated review was conducted by searching health care computerized databases.

RESULTS

Results were mixed among the eight studies that met inclusion criteria. Multimodal mindfulness-based therapies appear effective, while brief interventions may be equally useful or result in greater anxiety compared to distraction. Qualitative data support that some participants feel mindfulness is challenging but beneficial.

CONCLUSION

Mindfulness as a concurrent part of therapy and/or when routinely practiced may be more clinically useful than single-episode mindful eating interventions. Due to the complexity of the concept of mindfulness and limited existing data, additional research is needed.

摘要

背景

神经性厌食症是一种严重的精神疾病,基于证据的治疗选择有限。正念在许多情况下似乎都有用,但很少有研究关注其在神经性厌食症患者中的应用。

目的

审查和总结关于神经性厌食症患者正念的研究,并确定未来研究的领域。

设计

通过搜索医疗保健计算机数据库进行综合综述。

结果

符合纳入标准的八项研究结果不一。基于正念的多模式疗法似乎有效,而与分心相比,简短干预可能同样有用或导致更大的焦虑。定性数据支持一些参与者认为正念具有挑战性但有益。

结论

正念作为治疗的同时组成部分和/或常规练习时,可能比单次正念饮食干预在临床上更有用。由于正念概念的复杂性和现有数据有限,需要更多的研究。

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