正念干预对大学生心理健康的效果：系统评价和荟萃分析。
The efficacy of mindfulness-based interventions on mental health among university students: a systematic review and meta-analysis.
机构信息
Sociology Department, School of Government, Shenzhen University, Shenzhen, China.
Institution of Policy Studies, Lingnan University, Tuen Mun, Hong Kong SAR, China.
出版信息
Front Public Health. 2023 Nov 30;11:1259250. doi: 10.3389/fpubh.2023.1259250. eCollection 2023.
INTRODUCTION
We aimed to estimate the effect of mindfulness therapy on mental health.
METHODS
Two researchers searched 12 databases to identify relevant trials that were published from 1 January 2018 to 1 May 2023. We performed a meta-analysis to determine the effect of mindfulness therapy on depression, which was measured by the Beck Depression Inventory (BDI), Patient Health Questionnaire-9 (PHQ-9), Quick Inventory of Depressive Symptomatology (QIDS), Hamilton Depression Rating Scale (HDRS), Patient-Reported Outcomes Measurement Information System (PROMIS), Hospital Anxiety and Depression Scale (HADS), and Depression Anxiety Stress Scales (DASS); anxiety, which was measured by the Beck Anxiety Inventory (BAI), PROMIS, and DASS, Generalized Anxiety Disorder-7 (GAD-7); stress, which was measured by the Perceived Stress Scale (PSS), DASS, and GAD-7; mindfulness, which was measured by the GAD-7, Five Facet Mindfulness Questionnaire (FFMQ), Mindful Attention Awareness Scale (MAAS), Short Form-12 Mental Component Score (SF-12 MCS) and Short Form-12 Physical Component Score (SF-12 PCS); and sleep quality, which was measured by the Pittsburgh Sleep Quality Index (PSQI). After screening studies based on the inclusion and exclusion criteria, 11 randomized controlled trials (RCTs) involving 1,824 participants were ultimately included.
RESULTS
All these studies demonstrated positive effects of mindfulness therapy on depression (SMD = -0.33, 95% CI: [-0.44, -0.22], < 0.00001, I2 = 29%), anxiety (SMD = -0.35, 95% CI: [-0.46, -0.25], < 0.00001, I2 = 40%), stress (SMD = -0.39, 95% CI: [-0.48, -0.29], < 0.00001, I2 = 69%) and sleep quality scores (SMD = -0.81, 95% CI: [-1.54, -0.09], = 0.03, I2 = 0%). However, there was no significant difference in mindfulness (SMD = -0.12, 95% CI: [-0.36, -0.12], = 0.34, I2 = 34%) between the mindfulness therapy group and the control group.
DISCUSSION
In future studies, it is necessary to consider the investigation on whether the strategies of improving the mindfulness therapy in adherence and fidelity can work on the improvement of the outcomes in mental health.
SYSTEMATIC REVIEW REGISTRATION
https://www.crd.york.ac.uk/PROSPERO/, https://www.crd.york.ac.uk/PROSPERO/, identifier [CRD42023469301].
简介
我们旨在评估正念疗法对心理健康的影响。
方法
两名研究人员搜索了 12 个数据库，以确定从 2018 年 1 月 1 日至 2023 年 5 月 1 日发表的相关试验。我们进行了荟萃分析，以确定正念疗法对抑郁症的影响，抑郁症的衡量标准是贝克抑郁量表（BDI）、患者健康问卷-9（PHQ-9）、快速抑郁症状量表（QIDS）、汉密尔顿抑郁评定量表（HDRS）、患者报告的结果测量信息系统（PROMIS）、医院焦虑和抑郁量表（HADS）和抑郁焦虑压力量表（DASS）；焦虑症的衡量标准是贝克焦虑量表（BAI）、PROMIS 和 DASS、广泛性焦虑症-7（GAD-7）；压力的衡量标准是感知压力量表（PSS）、DASS 和 GAD-7；正念的衡量标准是 GAD-7、五因素正念量表（FFMQ）、正念注意觉察量表（MAAS）、简短 12 项心理健康成分量表（SF-12 MCS）和简短 12 项身体成分量表（SF-12 PCS）；以及睡眠质量的衡量标准是匹兹堡睡眠质量指数（PSQI）。在根据纳入和排除标准筛选研究后，最终纳入了 11 项涉及 1824 名参与者的随机对照试验（RCT）。
结果
所有这些研究都表明正念疗法对抑郁症（SMD=-0.33，95%CI：[-0.44，-0.22]，<0.00001，I2=29%）、焦虑症（SMD=-0.35，95%CI：[-0.46，-0.25]，<0.00001，I2=40%）、压力（SMD=-0.39，95%CI：[-0.48，-0.29]，<0.00001，I2=69%）和睡眠质量评分（SMD=-0.81，95%CI：[-1.54，-0.09]，=0.03，I2=0%）有积极影响。然而，正念疗法组和对照组之间的正念（SMD=-0.12，95%CI：[-0.36，-0.12]，=0.34，I2=34%）没有显著差异。
讨论
在未来的研究中，有必要考虑调查改善正念疗法的依从性和忠实性的策略是否可以改善心理健康的结果。
系统评价注册
https://www.crd.york.ac.uk/PROSPERO/，https://www.crd.york.ac.uk/PROSPERO/，标识符[CRD42023469301]。
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