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针对轻度认知障碍患者的正念机制和心理效应:与心理教育的比较。

Mindfulness mechanisms and psychological effects for aMCI patients: A comparison with psychoeducation.

机构信息

École de psychologie, Université Laval, Canada; Centre de Recherche CERVO Brain Research Center, Canada.

École de psychologie, Université Laval, Canada; Centre de Recherche CERVO Brain Research Center, Canada.

出版信息

Complement Ther Clin Pract. 2019 Feb;34:93-104. doi: 10.1016/j.ctcp.2018.11.008. Epub 2018 Nov 12.

Abstract

Amnestic mild cognitive impairment (aMCI), an Alzheimer's disease prodrome, is characterized by cognitive and psychological symptoms, the latter aggravating prognosis. A mindfulness-based intervention (MBI) represents a promising non-pharmacological framework for Alzheimer's disease prevention. The Monitoring + Acceptance Theory (MAT) postulates that MBI improves cognition through monitoring, and psychological well-being, through acceptance. This single-blind preliminary randomized-controlled study investigated the effects of a MBI on anxio-depressive symptoms, quality of life, and memory, compared to a psychoeducation-based intervention in older adults with aMCI. The contribution of MAT components and of ruminations' reduction to intervention efficacy were examined. Participants assigned to both conditions experienced similar benefits regarding anxio-depressive symptoms and aging-related quality of life. General quality of life and memory remained unchanged. A partial support of the MAT and of ruminations reduction to the MBI's efficacy was found. The findings provide new insights on the effects and mechanisms of a MBI on aMCI symptoms.

摘要

遗忘型轻度认知障碍 (aMCI) 是阿尔茨海默病的前驱期,其特征为认知和心理症状,后者会加重预后。基于正念的干预 (MBI) 是预防阿尔茨海默病的有前途的非药物框架。监测+接受理论 (MAT) 假定 MBI 通过监测改善认知,通过接受改善心理健康。这项单盲初步随机对照研究调查了 MBI 对焦虑抑郁症状、生活质量和记忆的影响,与 aMCI 老年患者的基于心理教育的干预相比。还研究了 MAT 成分和反刍减少对干预效果的贡献。接受两种条件的参与者在焦虑抑郁症状和与年龄相关的生活质量方面都有类似的改善。一般生活质量和记忆保持不变。发现对 MAT 和反刍减少对 MBI 效果的部分支持。这些发现为 MBI 对 aMCI 症状的影响和机制提供了新的见解。

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