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[一项基于正念减压计划对痴呆症患者家庭照顾者的有效性。随机临床试验的系统评价]

[Effectiveness of a mindfulness-based stress reduction program for family caregivers of people with dementia. Systematic review of randomised clinical trials].

作者信息

Grandi Fabrissio, Burgueño Lucas, Irurtia María Jesús

机构信息

Facultad de Psicología, Universidad Complutense, Madrid, España.

Consultoría Especialista en Gestión de Estrés y Mindfulness Aplicado (CEMYC), Valladolid, España.

出版信息

Rev Esp Geriatr Gerontol. 2019 Mar-Apr;54(2):109-115. doi: 10.1016/j.regg.2018.09.004. Epub 2018 Nov 24.

Abstract

Family caregivers of people with dementia usually have high levels of anxiety, depression, and overload symptoms, and are reasons for being considered a clinically vulnerable population. The objective of the present review is to examine the effectiveness of the mindfulness-based stress reduction program (MBSR) applied to this population. A search was made in the electronic databases for randomised trials with pre-post measurement in the last 15 years. The methodological quality was obtained using the Jadad scale. Finally, 5 articles were included, obtaining a sample of 309 participants. The score on the Jadad scale was 3.4 out of 5. In general, the MBSR program reduces anxiety and depression symptoms, as well as overload levels in the post-measurement. However, some studies showed a significant reduction in the psychological effects of the program during follow-up. More empirical studies are needed that can establish a more homogeneous protocol that reduces the ambiguity of some results.

摘要

痴呆症患者的家庭护理人员通常有较高水平的焦虑、抑郁和超负荷症状,这也是他们被视为临床易感人群的原因。本综述的目的是研究应用于该人群的正念减压疗法(MBSR)的有效性。我们在电子数据库中搜索了过去15年进行前后测量的随机试验。使用雅达量表评估方法学质量。最终纳入了5篇文章,获得了309名参与者的样本。雅达量表得分是5分中的3.4分。总体而言,MBSR项目在测量后降低了焦虑和抑郁症状以及超负荷水平。然而,一些研究表明,在随访期间该项目的心理效果有显著降低。需要更多的实证研究来建立一个更统一的方案,以减少一些结果的模糊性。

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