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基于正念的强迫症患者心理治疗:一项荟萃分析研究。

Mindfulness-based psychotherapy in patients with obsessive-compulsive disorder: A meta-analytical Study.

作者信息

Riquelme-Marín Antonio, Rosa-Alcázar Ana Isabel, Ortigosa-Quiles Juan Manuel

机构信息

Universidad de Murcia, Spain.

出版信息

Int J Clin Health Psychol. 2022 Sep-Dec;22(3):100321. doi: 10.1016/j.ijchp.2022.100321. Epub 2022 Jul 12.

DOI:10.1016/j.ijchp.2022.100321
PMID:35892041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9287640/
Abstract

BACKGROUND/OBJECTIVE: Obsessive compulsive disorder is a disorder of special relevance in mental health, however, not all patients respond adequately to traditional intervention systems. The present work aims to study the usefulness of mindfulness-based interventions in patients with obsessive compulsive disorder.

METHOD

An exhaustive search of the literature between 1996 and 2021 allowed us to locate 11 published articles. The effect size was the pretest-posttest standardized mean change calculated for obsession-compulsion, as well as depression symptoms and conscious coping.

RESULTS

he results showed mean effect sizes for mindfulness in the reduction of obsessive-compulsive symptoms ( + = 0.648) and, to a lesser extent, depression ( + = 0.417) and the improvement in Mindfull coping ( + = 0.509). There was no significant decrease in effect size when mindfulness was applied in patients with residual symptoms from previous treatments.

CONCLUSIONS

These results are promising regarding the usefulness of the application of intervention programs based on mindfulness in people with obsessive compulsive disorder, both as an alternative option and as a complementary treatment to more traditional intervention formats.

摘要

背景/目的:强迫症是一种在心理健康方面具有特殊相关性的疾病,然而,并非所有患者对传统干预系统都有充分反应。本研究旨在探讨基于正念的干预措施对强迫症患者的有效性。

方法

对1996年至2021年间的文献进行全面检索,共找到11篇已发表的文章。效应大小是针对强迫观念-强迫行为、抑郁症状和有意识应对计算的前后测标准化平均变化。

结果

结果显示,正念在减轻强迫症状(效应大小=0.648)方面具有平均效应大小,在减轻抑郁(效应大小=0.417)方面的效应较小,且在改善正念应对(效应大小=0.509)方面有效果。在先前治疗有残留症状的患者中应用正念时,效应大小没有显著下降。

结论

这些结果表明,基于正念的干预方案应用于强迫症患者是有前景的,既可以作为一种替代选择,也可以作为对更传统干预形式的补充治疗。

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