Misurya Ishita, Misurya Pranati, Dutta Anirban
Department of Medicine, All India Institute of Medical Sciences, Jodhpur, IND.
Psychology, University of Delhi, New Delhi, IND.
Cureus. 2020 Oct 17;12(10):e10998. doi: 10.7759/cureus.10998.
Studies about the role of self-compassion have focused primarily on psychological well-being, but there is solid evidence to suggest that self-compassion may have larger and more prominent implications in the medical world. Therefore, this systemic review aimed to investigate the effects of self-compassion on psychosocial and clinical outcomes in medically ill patients. A comprehensive search of several databases from their inception to August 10, 2020, was conducted, which included Ovid MEDLINE(R) and Epub Ahead of Print, Ovid Embase, Ovid Cochrane Central Register of Controlled Trials, and Cumulative Index to Nursing and Allied Health Literature (CINAHL). Eligible studies needed to include psychosocial or clinical outcomes of self-compassion in medically ill patients. Nineteen articles (n=2,713 patients; 73.3% females) met our eligibility criteria and were included in this systematic review. There was a negative correlation between self-compassion and psychosocial outcomes such as anxiety, depression, and stress. Moreover, based on self-compassion intervention, there was an improvement in clinical outcomes related to diabetes such as hemoglobin A1c (HbA1c) and blood glucose levels. This systematic review highlights the effect of self-compassion on psychosocial and clinical outcomes. Further studies are needed to evaluate long-term outcomes of a self-compassion-based-intervention to highlight its importance in the role of disease management.
关于自我同情的作用的研究主要集中在心理健康方面，但有确凿证据表明，自我同情在医学领域可能有更广泛、更显著的影响。因此，本系统评价旨在调查自我同情对患病患者心理社会和临床结局的影响。我们对几个数据库从创建到2020年8月10日进行了全面检索，包括Ovid MEDLINE(R)及印刷版之前的Epub、Ovid Embase、Ovid Cochrane对照试验中央注册库以及护理及相关健康文献累积索引（CINAHL）。符合条件的研究需要包括患病患者自我同情的心理社会或临床结局。19篇文章（n = 2713名患者；73.3%为女性）符合我们的纳入标准，并被纳入本系统评价。自我同情与焦虑、抑郁和压力等心理社会结局之间存在负相关。此外，基于自我同情干预，与糖尿病相关的临床结局如糖化血红蛋白（HbA1c）和血糖水平有所改善。本系统评价突出了自我同情对心理社会和临床结局的影响。需要进一步研究来评估基于自我同情的干预的长期结局，以突出其在疾病管理中的重要作用。
