Gilbertson Rachel M, Klatt Maryanna D
Int J MS Care. 2017 Sep-Oct;19(5):225-231. doi: 10.7224/1537-2073.2015-095.
Mindfulness in Motion is an 8-week mindfulness-based intervention that uses yoga movement, mindfulness meditation, and relaxing music. This study examined the feasibility of using Mindfulness in Motion in people with multiple sclerosis (MS) and the effect of this program on stress, anxiety, depression, fatigue, and quality of life in people with MS.
Twenty-two people with MS completed the 8-week mindfulness program as well as assessments 1 week before and after the intervention.
Pre/post comparison of four self-reported questionnaires-the Mental Health Inventory, 36-item Short Form Health Status Survey, Modified Fatigue Impact Scale, and Five Facet Mindfulness Questionnaire-showed significant improvement in physical functioning, vitality, and mental health. Specifically, improvements were seen in anxiety, depression, and positive affect; cognitive, psychosocial, and overall functioning regarding fatigue; and mindfulness in the areas of observing, acting with awareness, nonjudgment, and nonreactivity.
Due to the uncertainty in disease progression associated with MS, and the multiplicity of mental and physical symptoms associated with it, programming that addresses anxiety, depression, and fatigue is a key area of future research in MS disease management. Mindfulness in Motion proved to be a feasible program yielding positive results, supporting the need for research to determine the extent to which the program can improve quality-of-life outcomes for people with MS.
“动态正念”是一项为期8周的基于正念的干预措施,它运用瑜伽动作、正念冥想和舒缓音乐。本研究探讨了在多发性硬化症(MS)患者中开展“动态正念”的可行性,以及该项目对MS患者的压力、焦虑、抑郁、疲劳和生活质量的影响。
22名MS患者完成了为期8周的正念项目,并在干预前后1周进行了评估。
对四份自我报告问卷(心理健康量表、36项简短健康状况调查问卷、改良疲劳影响量表和五因素正念问卷)进行干预前后比较,结果显示身体功能、活力和心理健康有显著改善。具体而言,焦虑、抑郁和积极情绪有所改善;在疲劳的认知、心理社会和整体功能方面有所改善;在观察、有意识行动、不评判和不反应等方面的正念也有所改善。
由于MS疾病进展存在不确定性,且与之相关的身心症状多样,解决焦虑、抑郁和疲劳问题的项目是MS疾病管理未来研究的关键领域。“动态正念”被证明是一个可行的项目,能产生积极效果,这支持了开展研究以确定该项目能在多大程度上改善MS患者生活质量结果的必要性。