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正念干预对痴呆患者家属抑郁症状、焦虑、压力和生活质量的影响:系统评价和荟萃分析。

Effects of Mindfulness-Based Interventions on Depressive Symptoms, Anxiety, Stress, and Quality of Life in Family Caregivers of Persons Living with Dementia: A Systematic Review and Meta-analysis.

机构信息

Department of Occupational Therapy, 9968University of Alabama at Birmingham, Birmingham, AL, USA.

出版信息

Res Aging. 2022 Aug-Sep;44(7-8):494-509. doi: 10.1177/01640275211043486. Epub 2021 Nov 6.

Abstract

OBJECTIVE

This systematic review and meta-analysis examined effects of mindfulness-based interventions (MBIs) on depressive symptoms, anxiety, stress, and quality of life in family caregivers of people with dementia.

METHODS

A comprehensive search was conducted within the PubMed, CINAHL, PsycINFO, and SCOPUS databases to identify relevant randomized controlled trials (RCTs). Depending on I statistic values for heterogeneity, either a random effects model or fixed effects model was used. Subgroup analyses were conducted according to the types of control groups and MBIs.

RESULTS

15 RCTs met the eligibility criteria. Meta-analyses showed medium to large effects of MBIs on depressive symptoms, anxiety, stress, and quality of life at the immediate posttest. Small to large effects of MBIs were found at follow-up.

CONCLUSIONS

Future high-quality studies involving different types of MBIs and delivery modes are needed to better understand effects of MBIs on family caregivers of people with dementia and examine effective intervention features.

摘要

目的

本系统评价和荟萃分析考察了正念干预(MBI)对痴呆患者家属的抑郁症状、焦虑、压力和生活质量的影响。

方法

在 PubMed、CINAHL、PsycINFO 和 SCOPUS 数据库中进行了全面检索,以确定相关的随机对照试验(RCT)。根据异质性的 I 统计量值,使用随机效应模型或固定效应模型。根据对照组和 MBI 的类型进行了亚组分析。

结果

15 项 RCT 符合入选标准。荟萃分析显示,MBI 在即刻后测时对抑郁症状、焦虑、压力和生活质量有中到大的影响。在随访时发现了 MBI 的小到中的影响。

结论

需要未来涉及不同类型的 MBI 和实施模式的高质量研究,以更好地了解 MBI 对痴呆患者家属的影响,并研究有效的干预特征。

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