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基于正念的干预措施能否改善认知功能?:对照研究的荟萃分析。

Does mindfulness-based intervention improve cognitive function?: A meta-analysis of controlled studies.

作者信息

Im Sungjin, Stavas Julie, Lee Jungeun, Mir Zareen, Hazlett-Stevens Holly, Caplovitz Gideon

机构信息

Western Kentucky University, United States of America.

Vanderbilt University Medical Center, United States of America.

出版信息

Clin Psychol Rev. 2021 Mar;84:101972. doi: 10.1016/j.cpr.2021.101972. Epub 2021 Jan 28.

Abstract

Theoretical accounts and preliminary evidence suggest that Mindfulness-Based Interventions (MBIs) improve cognitive function, but reviews of empirical studies have provided mixed results. To clarify empirical evidence, we conducted a meta-analysis of 25 studies (n = 1439) and examined the effects of MBIs on four cognitive domains: attention, working memory, long-term memory, and executive function. The summary effect sizes indicate that MBIs produce non-significant effects on attention (SMD = 0.07), working memory (SMD = 0.16), and long-term memory (SMD = -0.12), while a small effect was observed for executive function (SMD = 0.29). Given significant heterogeneity across studies, we conducted meta-regression analyses with sample characteristics, age, number of treatment sessions, treatment duration, intervention type, control group type, and study design. We found moderating effects of intervention type on attention and executive function. Although the current study highlights preliminary evidence for improvements in executive function, overall results suggest non-significant findings for attention, working memory, and long-term memory. To draw a firm conclusion, further research is needed to address methodological challenges in meta-analysis and the limitations of existing studies.

摘要

理论阐述和初步证据表明,基于正念的干预措施(MBIs)可改善认知功能,但实证研究综述的结果却喜忧参半。为了澄清实证证据,我们对25项研究(n = 1439)进行了荟萃分析,并考察了MBIs对四个认知领域的影响:注意力、工作记忆、长期记忆和执行功能。汇总效应量表明,MBIs对注意力(标准化均数差[SMD]=0.07)、工作记忆(SMD = 0.16)和长期记忆(SMD = -0.12)的影响不显著,而对执行功能观察到较小的影响(SMD = 0.29)。鉴于各研究间存在显著异质性,我们对样本特征、年龄、治疗疗程数、治疗持续时间、干预类型、对照组类型和研究设计进行了荟萃回归分析。我们发现干预类型对注意力和执行功能有调节作用。尽管当前研究突出了执行功能改善的初步证据,但总体结果表明,注意力、工作记忆和长期记忆方面的结果不显著。为得出确凿结论,需要进一步研究以应对荟萃分析中的方法学挑战以及现有研究的局限性。

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