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基于正念的针对性干预措施对改善有不良童年经历史的青少年和成年人心理健康及认知的效果:一项系统的混合研究综述

The Efficacy of Targeted Mindfulness-Based Interventions for Improving Mental Health and Cognition Among Youth and Adults with ACE Histories: A Systematic Mixed Studies Review.

作者信息

Moyes Ellie, Nutman George, Mirman Jessica Hafetz

机构信息

Department of Clinical and Health Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh, Scotland.

出版信息

J Child Adolesc Trauma. 2022 May 5;15(4):1165-1177. doi: 10.1007/s40653-022-00454-5. eCollection 2022 Dec.

Abstract

UNLABELLED

Mindfulness-based interventions (MBIs) are associated with increased psychological wellbeing. The literature suggests that individuals exposed to adverse childhood experiences (ACEs) may benefit greatly from MBIs. However, research has tended to focus on universal MBIs for this population with less attention on the effectiveness of targeted approaches. Moreover, there is growing concern regarding the methodological rigor of MBI research. This systematic mixed studies review (SMRS) reports the effectiveness of MBIs for improving mental health and cognition among individuals with ACE histories. Additionally, the review reports the quality and rigor of the included research. Systematic searches of PsycInfo, EMBASE, MEDLINE, ProQuest Dissertations and Theses, ProQuest Social Science database and the Child Development and Adolescent Studies database were conducted. Results were screened and data were extracted then synthesized using a data-based convergent synthesis design. Thirteen studies were included in the final review. Six prominent themes emerged. Themes indicated that MBIs were effective for improving mental health and cognition for individuals with ACEs. For example, improvements in mood and anxieties, as well as a better ability to manage emotions. Shortcomings in the quality of MBI research included lack of reporting of methodological details (e.g., randomization procedures) and not systematically reporting adverse event evaluations. Recommendations are made for future research to strengthen the evidence base for MBIs for individuals with ACEs.

SUPPLEMENTARY INFORMATION

The online version contains supplementary material available at 10.1007/s40653-022-00454-5.

摘要

未标注

基于正念的干预措施(MBIs)与心理健康状况的改善相关。文献表明,经历过童年不良经历(ACEs)的个体可能会从MBIs中受益匪浅。然而,研究往往侧重于针对这一人群的通用MBIs,而较少关注针对性方法的有效性。此外,人们对MBI研究的方法严谨性越来越关注。这项系统混合研究综述(SMRS)报告了MBIs对改善有ACE病史个体的心理健康和认知的有效性。此外,该综述还报告了所纳入研究的质量和严谨性。对PsycInfo、EMBASE、MEDLINE、ProQuest学位论文数据库、ProQuest社会科学数据库以及儿童发展与青少年研究数据库进行了系统检索。对结果进行筛选,提取数据,然后使用基于数据的收敛性综合设计进行综合。最终综述纳入了13项研究。出现了六个突出主题。这些主题表明,MBIs对改善有ACEs个体的心理健康和认知有效。例如,情绪和焦虑得到改善,以及情绪管理能力增强。MBI研究质量的不足之处包括缺乏方法细节(如随机化程序)的报告,以及未系统报告不良事件评估。针对未来研究提出了建议,以加强针对有ACEs个体的MBIs的证据基础。

补充信息

在线版本包含可在10.1007/s40653-022-00454-5获取的补充材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6076/9684378/4789826e5bf1/40653_2022_454_Fig1_HTML.jpg

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