Institute for Social Medicine, Epidemiology, and Health Economics, Charité-Universitätsmedizin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany,
Department of Psychiatry, Psychosomatics, and Psychotherapy, Diakonie Kliniken Zschadraß, Colditz, Germany,
Complement Med Res. 2021;28(3):252-262. doi: 10.1159/000512333. Epub 2020 Dec 7.
Mental disorders are a core health challenge in the 21st century. Integrative mental health care takes an individual, lifestyle-modifying, salutogenic approach, combining somatic, psychosocial, and spiritual perspectives from evidence-based conventional and complementary medicine. In particular, meditation and mindfulness have received growing research interest in the last decade. In this article, we present Meditation-Based Lifestyle Modification (MBLM), a new, complex mind-body intervention for mental health care. It is the first program to intensify meditation practice using classical yoga. The program (a) covers all areas of classical yoga, (b) considers ethical and spiritual aspects of daily life, (c) orients participants toward sustained lifestyle modification, and (d) is applicable in a clinical context. The scientific rationale of the program is outlined in this article, based on the Criteria for Reporting the Development and Evaluation of Complex Interventions in Healthcare. Further research is planned to show the clinical feasibility of MBLM and evaluate its efficacy, processes of change, and cost-effectiveness.
精神障碍是 21 世纪的核心健康挑战。综合心理健康护理采用个体、生活方式改变、促进健康的方法,结合基于证据的常规和补充医学的躯体、心理社会和精神观点。特别是,冥想和正念在过去十年中受到越来越多的研究关注。在本文中,我们介绍了基于冥想的生活方式改变(MBLM),这是一种新的、复杂的身心干预方法,用于心理健康护理。它是第一个使用经典瑜伽来强化冥想练习的项目。该项目(a)涵盖了经典瑜伽的所有领域,(b)考虑了日常生活中的伦理和精神方面,(c)使参与者倾向于持续的生活方式改变,(d)适用于临床环境。本文根据医疗保健中复杂干预措施的制定和评估标准概述了该项目的科学依据。计划进一步研究以展示 MBLM 的临床可行性,并评估其疗效、变化过程和成本效益。