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正念减压干预 3 对创伤后应激障碍(PTSD)患者 PTSD 症状的疗效:四项随机对照试验的荟萃分析。

The efficacy of mindfulness-based stress reduction intervention 3 for post-traumatic stress disorder (PTSD) symptoms in patients with PTSD: A meta-analysis of four randomized controlled trials.

机构信息

College of Education and Technology, Zhejiang University of Technology, Hangzhou, China.

Mental Health Education Center, Xidian University, Xi'an, China.

出版信息

Stress Health. 2022 Oct;38(4):626-636. doi: 10.1002/smi.3138. Epub 2022 Mar 9.

DOI:10.1002/smi.3138
PMID:35253353
Abstract

As one of the most widely used mindfulness-based psychotherapeutic intervention techniques, mindfulness-based stress reduction (MBSR) has emerged as an auxiliary or alternative technique for the treatment of post-traumatic stress disorder (PTSD). This study conducted a meta-analysis of the effect of MBSR on the changes in symptoms in PTSD patients. The final search was conducted on 10 December 2021, and 10 eligible randomized controlled trials were identified, including 768 participants. A quality assessment was conducted. Proportional sensitivity analysis and random effects meta-analysis were performed, and the 95% confidence interval was calculated. Subgroup analyses were also conducted to identify moderators (e.g., features of population and intervention). Compared with the control condition, MBSR significantly reduced the symptoms of PTSD patients and had a moderately positive effect (g = 0.46, 95% CI: 0.31-0.62, p < 0.001). This was the case in people who suffer from PTSD for different reasons, indicating that MBSR is an effective treatment for PTSD symptoms in PTSD patients. It was feasible to implement MBSR interventions for PTSD patients caused by different reasons.

摘要

作为最广泛使用的正念为基础的心理治疗干预技术之一,正念减压疗法 (MBSR) 已经成为创伤后应激障碍 (PTSD) 治疗的辅助或替代技术。本研究对 MBSR 对 PTSD 患者症状变化的影响进行了荟萃分析。最终检索时间为 2021 年 12 月 10 日,共纳入 10 项符合条件的随机对照试验,包括 768 名参与者。对纳入的研究进行了质量评估。进行了比例敏感性分析和随机效应荟萃分析,并计算了 95%置信区间。还进行了亚组分析以确定调节因素(例如,人群和干预措施的特征)。与对照组相比,MBSR 显著降低了 PTSD 患者的症状,且具有中度积极的影响 (g=0.46, 95%CI: 0.31-0.62, p<0.001)。无论 PTSD 的病因如何,MBSR 都有这样的效果,这表明 MBSR 是 PTSD 患者 PTSD 症状的有效治疗方法。对于不同病因引起的 PTSD 患者,实施 MBSR 干预是可行的。

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