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正念干预对物质使用障碍的可接受性:系统评价。

Acceptability of mindfulness-based interventions for substance use disorder: A systematic review.

机构信息

Arizona State University, College of Nursing and Health Innovation, USA.

Arizona State University, College of Nursing and Health Innovation, USA.

出版信息

Complement Ther Clin Pract. 2019 May;35:201-207. doi: 10.1016/j.ctcp.2019.02.012. Epub 2019 Feb 20.

DOI:10.1016/j.ctcp.2019.02.012
PMID:31003659
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6478439/
Abstract

BACKGROUND

and Purpose: Mindfulness-based interventions (MBI) for substance use disorders (SUD) have shown promising results. However, acceptability of MBIs in the context of SUD treatment has yet to be systematically assessed across published studies. Our aims were to (a) review the literature for assessments of acceptability; (b) summarize how, when, and for whom acceptability is being measured; and (c) create suggestions for best practices in measuring acceptability of MBIs for SUD.

METHODS

Five databases were searched with key terms related to mindfulness, relapse prevention, and SUD.

RESULTS

Results highlight that studies of MBIs for SUD treatment lack acceptability assessment, a consistent definition of acceptability, and standardized measurements of acceptability.

CONCLUSION

The lack of measurement and conceptual consistency make it difficult to conclude acceptability of MBIs for SUD treatment. It is imperative that more efforts be directed toward measurement of intervention acceptability to assess whether such interventions could be taken to scale.

摘要

背景与目的

基于正念的干预(MBI)在物质使用障碍(SUD)方面已显示出良好的效果。然而,在 SUD 治疗背景下,MBI 的可接受性尚未在已发表的研究中得到系统评估。我们的目的是:(a)综述文献中对可接受性的评估;(b)总结可接受性的测量方法、时间和对象;(c)为 SUD 的 MBI 可接受性测量提出最佳实践建议。

方法

使用与正念、复发预防和 SUD 相关的关键词在五个数据库中进行检索。

结果

结果表明,SUD 治疗中 MBI 的研究缺乏可接受性评估、可接受性的一致定义以及可接受性的标准化测量。

结论

缺乏测量和概念一致性使得难以确定 SUD 治疗中 MBI 的可接受性。有必要投入更多的精力来衡量干预措施的可接受性,以评估这些干预措施是否可以推广。

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本文引用的文献

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Race/ethnicity and racial group composition moderate the effectiveness of mindfulness-based relapse prevention for substance use disorder.种族/民族和种族群体构成会影响正念为基础的物质使用障碍复发预防的效果。
Addict Behav. 2018 Jun;81:96-103. doi: 10.1016/j.addbeh.2018.02.010. Epub 2018 Feb 7.
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The acceptability and potential benefits of mindfulness-based interventions in improving psychological well-being for adults with advanced cancer: A systematic review.正念干预在提高晚期癌症成人心理幸福感方面的可接受性和潜在益处:系统评价。
Complement Ther Clin Pract. 2018 Feb;30:68-78. doi: 10.1016/j.ctcp.2017.12.014. Epub 2017 Dec 12.
3
Baseline patterns of substance use disorder severity and depression and anxiety symptoms moderate the efficacy of mindfulness-based relapse prevention.物质使用障碍严重程度和抑郁焦虑症状的基线模式会影响正念预防复发的疗效。
J Consult Clin Psychol. 2017 Nov;85(11):1041-1051. doi: 10.1037/ccp0000249.
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Mindfulness practice moderates the relationship between craving and substance use in a clinical sample.正念练习调节了临床样本中渴望与物质使用之间的关系。
Drug Alcohol Depend. 2017 Oct 1;179:1-7. doi: 10.1016/j.drugalcdep.2017.05.036. Epub 2017 Jun 29.
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Mindfulness-Based Relapse Prevention for Methadone Maintenance: A Feasibility Trial.基于正念的美沙酮维持治疗复发预防:一项可行性试验。
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Mindfulness Based Relapse Prevention for Stimulant Dependent Adults: A Pilot Randomized Clinical Trial.针对兴奋剂依赖成年人的基于正念的复发预防:一项试点随机临床试验。
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Acceptability of healthcare interventions: an overview of reviews and development of a theoretical framework.医疗保健干预措施的可接受性:综述概述及理论框架的构建
BMC Health Serv Res. 2017 Jan 26;17(1):88. doi: 10.1186/s12913-017-2031-8.
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What defines mindfulness-based programs? The warp and the weft.什么定义了基于正念的项目?其经纬交织之处。
Psychol Med. 2017 Apr;47(6):990-999. doi: 10.1017/S0033291716003317. Epub 2016 Dec 29.
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Mindfulness meditation improves emotion regulation and reduces drug abuse.正念冥想可改善情绪调节并减少药物滥用。
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