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基于正念的干预对创伤后应激影响的荟萃分析研究。

A meta-analytic investigation of the impact of mindfulness-based interventions on post traumatic stress.

机构信息

University of New England, Australia.

University of New England, Australia.

出版信息

Clin Psychol Rev. 2017 Nov;57:12-20. doi: 10.1016/j.cpr.2017.08.002. Epub 2017 Aug 4.

Abstract

A number of studies have investigated the impact of mindfulness-based interventions on symptoms of post-traumatic stress (PTSD) compared to control conditions. The current meta-analysis consolidated findings from 18 studies reporting results for 21 samples of participants. Across studies, mindfulness-based treatments compared to control conditions were effective in ameliorating symptoms of PTSD, with Hedges' g=-0.44. Hedges' g was -0.59 for comparison of mindfulness-based interventions to waitlist control conditions. Changes in mindfulness may underpin the effect of mindfulness-based interventions on PTSD symptoms and thus the meta-analysis examined findings regarding increases in mindfulness. The 12 studies that assessed mindfulness found that the interventions significantly increased mindfulness, Hedges' g=0.52. Moderator analyses indicated that interventions with longer mindfulness training were more efficacious in reducing symptoms of PTSD. Across studies, gender, age, veteran status, or length of time between the intervention and assessment of PTSD symptoms did not moderate the impact of mindfulness-based interventions. The results provide a foundation for future research directions and have implications for work with those impacted by trauma.

摘要

许多研究调查了正念干预对创伤后应激症状(PTSD)的影响,与对照条件相比。当前的荟萃分析综合了 18 项研究的结果,这些研究报告了 21 个参与者样本的结果。在各项研究中,与对照条件相比,正念治疗在改善 PTSD 症状方面是有效的,Hedges' g=-0.44。与候补对照条件相比,正念干预的 Hedges' g=-0.59。正念的变化可能是正念干预对 PTSD 症状产生影响的基础,因此荟萃分析检查了关于正念增加的发现。12 项评估正念的研究发现,干预措施显著提高了正念,Hedges' g=0.52。调节分析表明,正念训练时间更长的干预措施在减少 PTSD 症状方面更有效。在各项研究中,性别、年龄、退伍军人身份或干预和 PTSD 症状评估之间的时间长短均未调节正念干预的影响。结果为未来的研究方向提供了基础,并对受创伤影响的人的工作具有意义。

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