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心理社会干预对帕金森病患者控制感的全球认知的影响:范围综述。

Psychosocial interventions affecting global perceptions of control in people with Parkinson's disease: a scoping review.

机构信息

Department of Clinical Psychology and Psychological Therapies, Norwich Medical School, University of East Anglia, Norwich, UK.

School of Health Sciences, University of East Anglia, Norwich, UK.

出版信息

Disabil Rehabil. 2024 Feb;46(3):443-452. doi: 10.1080/09638288.2023.2169376. Epub 2023 Jan 23.

DOI:10.1080/09638288.2023.2169376
PMID:36688404
Abstract

PURPOSE

Perceived control is an important construct for the psychological well-being of people affected by chronic conditions, and higher perceived control is associated with better outcomes. Psychosocial interventions have been trialled in these populations to improve both global and specific perceptions of control. However, most interventions involving people with Parkinson's have focused on single-domain forms of control, while those addressing global perceived control are yet to be reviewed. This study aimed to identify and map the types of psychosocial interventions in individuals with Parkinson's which have included forms of global perceived control as an outcome.

MATERIALS AND METHODS

Scoping review based on a search across MEDLINE, PsycINFO, CINAHL, Academic Search Ultimate.

RESULTS

From an initial return of 4388 citations, 12 citations were eventually included. These consisted of 8 quantitative and 4 qualitative studies, and covered 4 overarching categories of psychosocial interventions. Mixed results were found for cognitive, educational, and physical interventions, while a randomised controlled trial on mindfulness-based lifestyle programme showed more preliminary positive evidence.

CONCLUSIONS

Further rigorous research is required on the topic to build on these preliminary findings. In the meantime, clinicians may need to consider programmes which proved effective with populations similar to people with Parkinson's.IMPLICATIONS FOR REHABILITATIONPerceived control is a psychological construct important for people with chronic illnesses, which can be targeted by psychosocial interventions.This article reviewed psychosocial interventions targeting global forms of perceived control in Parkinson's.Mixed results were reported for the cognitive, educational, and physical interventions identified, while a randomised controlled trial on a mindfulness-based lifestyle programme showed more promising evidence.In the meantime, clinicians may need to consider programmes found to be effective with people with similar conditions to Parkinson's.

摘要

目的

在受慢性疾病影响的人群中,感知控制是心理健康的一个重要结构,更高的感知控制与更好的结果相关。已经在这些人群中尝试了心理社会干预措施,以改善整体和特定的控制感。然而,大多数涉及帕金森病患者的干预措施都集中在单一领域的控制形式上,而那些针对整体感知控制的干预措施尚未得到审查。本研究旨在确定和绘制帕金森病患者中包含整体感知控制作为结果的各种心理社会干预措施的类型。

材料和方法

基于对 MEDLINE、PsycINFO、CINAHL、Academic Search Ultimate 的搜索进行的范围综述。

结果

最初返回的 4388 条引文中,最终纳入了 12 条引文。这些引文包括 8 项定量研究和 4 项定性研究,涵盖了 4 个总体心理社会干预类别。认知、教育和身体干预的结果喜忧参半,而一项基于正念的生活方式方案的随机对照试验则显示出了更初步的积极证据。

结论

需要对该主题进行进一步的严格研究,以建立在这些初步发现的基础上。在此期间,临床医生可能需要考虑对与帕金森病患者类似的人群有效的方案。

对康复的影响

感知控制是慢性疾病患者的一个重要心理结构,可以通过心理社会干预来针对这一结构。本文综述了针对帕金森病中整体感知控制形式的心理社会干预措施。确定的认知、教育和身体干预措施的结果喜忧参半,而一项基于正念的生活方式方案的随机对照试验则显示出了更有希望的证据。在此期间,临床医生可能需要考虑对与帕金森病患者类似的人群有效的方案。

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