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基于正念疗法治疗失眠和睡眠障碍的元分析:走向变化过程。

A Meta-Analysis of Mindfulness-Based Therapies for Insomnia and Sleep Disturbance Moving Toward Processes of Change.

机构信息

Department of Psychology, Faculty of Science, Memorial University of Newfoundland, 232 Elizabeth Avenue, St John's, Newfoundland A1B 3X9, Canada.

Department of Psychology, Faculty of Science, Memorial University of Newfoundland, 232 Elizabeth Avenue, St John's, Newfoundland A1B 3X9, Canada; Division of Oncology, Faculty of Medicine, Memorial University of Newfoundland, 300 Prince Phillip Drive, St John's, Newfoundland A1B 3V6, Canada.

出版信息

Sleep Med Clin. 2022 Sep;17(3):329-353. doi: 10.1016/j.jsmc.2022.06.002. Epub 2022 Sep 8.

Abstract

MBTs are increasingly being investigated as a viable treatment of insomnia or sleep disturbance. To date, 13 trials published since 2010 suggest that MBTs are efficacious for improving symptoms of insomnia and sleep quality relative to psychological placebos and inactive control conditions with medium to large effects. Limited evidence suggests that these effects are sustained at 3-month follow-up. Despite this, limited data were collected evaluating the empirically supported mechanisms or processes of change. The authors propose a testable model in the psychological process model of sleep that they hope will advance the next generation of research into MBTs for insomnia.

摘要

MBTs 正越来越多地被研究作为治疗失眠或睡眠障碍的可行方法。迄今为止,自 2010 年以来发表的 13 项试验表明,MBTs 在改善失眠症状和睡眠质量方面相对于心理安慰剂和无效对照条件具有中等至较大的疗效。有限的证据表明,这些效果在 3 个月的随访中是持续的。尽管如此,对于评估经验支持的机制或变化过程的数据收集仍然有限。作者提出了一个可测试的模型,即睡眠的心理过程模型,他们希望这将推动下一代针对失眠的 MBT 研究。

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