Faculty of Health Sciences, University of Macau, Macao SAR, China.
Guangdong Mental Health Center, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, China.
Behav Sleep Med. 2020 Jan-Feb;18(1):1-9. doi: 10.1080/15402002.2018.1518228. Epub 2018 Oct 31.
: Mindfulness-based interventions (MBIs) are clinically effective for insomnia, but the research findings have been mixed. This meta-analysis of randomized controlled trials (RCTs) examined the effect of MBIs on insomnia. : Both English (PubMed, PsycINFO, Embase, and Cochrane Library databases) and Chinese (WanFang and CNKI) databases were systematically and independently searched. Standardized mean differences (SMDs) and risk ratio (RR) with their 95% confidence intervals (CIs) were calculated using the random effects model. : Five RCTs ( = 520) comparing MBIs ( = 279) and control ( = 241) groups were identified and analyzed. Compared to the control group, participants in the MBIs group showed significant improvement in insomnia as measured by the Pittsburgh Sleep Quality Index ( = 247; SMD: -1.01, 95% CI: -1.28 to -0.75, I = 0%, < 0.00001) at post-MBIs assessment. : In this comprehensive meta-analysis, MBIs appear to be effective in the treatment of insomnia. Further studies to examine the long-term effects of MBIs for insomnia are needed.
正念干预（MBI）对失眠症具有临床疗效，但研究结果喜忧参半。本项随机对照试验（RCT）的荟萃分析旨在研究 MBI 对失眠症的影响。
分别用英文（PubMed、PsycINFO、Embase 和 Cochrane Library 数据库）和中文（万方和中国知网）数据库进行系统且独立的检索。采用随机效应模型计算标准化均数差（SMD）和风险比（RR）及其 95%置信区间（CI）。
共纳入 5 项 RCT（n=520），比较了 MBI 组（n=279）和对照组（n=241），并对其进行了分析。与对照组相比，MBI 组的匹兹堡睡眠质量指数（PSQI）明显改善（n=247；SMD：-1.01，95%CI：-1.28 至-0.75，I²=0%， ＜0.00001）。
本项全面的荟萃分析表明，MBI 对失眠症的治疗有效。但仍需进一步研究以评估 MBI 对失眠症的长期疗效。
