正念减压（MBSR）方案对抑郁症、情绪调节和睡眠问题的影响：一项针对老年抑郁症患者的随机对照试验研究。
Effect of mindfulness-based stress reduction (MBSR) program on depression, emotion regulation, and sleep problems: A randomized controlled trial study on depressed elderly.
机构信息
Student Research Committee, Department of Health psychology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Student Research Committee, Department of Occupational Health and Safety Engineering, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
BMC Public Health. 2024 Jan 23;24(1):271. doi: 10.1186/s12889-024-17759-9.
BACKGROUND
Entering old age is associated with various physical and psychological disabilities. Therefore, the aim of this study is to determine the effect of mindfulness-based stress reduction program on emotion regulation and sleep problems in depressed elderly.
METHODS
This study was a clinical trial conducted on 60 elderly individuals with depression using purposive sampling. These elderly were referred by geriatricians and were included in the study based on the inclusion criteria. The participants were randomly assigned to two groups: the Mindfulness-Based Stress Reduction (MBSR) group and the control group. Both groups completed the Geriatric Depression Scale (GDS), the Gratz and Roemer Emotion Regulation Questionnaire, and the Pittsburgh Sleep Quality Index before and after the intervention. The MBSR sessions were held for the experimental group in 8 sessions of 90 min each, once a week. Finally, all the data were analyzed using SPSS software version 26 through descriptive and analytical statistics such as mean and standard deviation, t-tests and mixed analysis of covariance (ANCOVA) with repeated measures.
RESULTS
The results showed that the MBSR intervention led to a significant reduction in depression symptoms (p < 0.001) and improvement in emotion regulation and sleep quality (p < 0.001) among the elderly participants with depression in the intervention group.
DISCUSSION
The results of this study showed that MBSR can be effective in reducing depression levels, improving emotion regulation, and sleep quality among depressed elderly individuals compared to the control group. Caregivers and psychotherapists of nursing homes can use care programs such as MBSR program to improve the physical and mental condition of the elderly.
TRIAL REGISTRATION
First Registration: 13/01/2022, Registration Number: IRCT20211118053099N1, Access: https://www.irct.ir/trial/61207 .
背景
进入老年期与各种身体和心理残疾有关。因此，本研究旨在确定正念减压方案对抑郁老年人情绪调节和睡眠问题的影响。
方法
这是一项对 60 名老年抑郁症患者进行的临床试验，采用了目的性抽样方法。这些老年人是由老年病医生介绍来的，并根据纳入标准纳入了研究。参与者被随机分为两组：正念减压组（MBSR）和对照组。两组在干预前后均完成了老年抑郁量表（GDS）、Gratz 和 Roemer 情绪调节问卷和匹兹堡睡眠质量指数的测试。MBSR 课程共 8 次，每次 90 分钟，每周一次，为实验组进行。最后，所有数据均采用 SPSS 软件版本 26 通过描述性和分析性统计，如均值和标准差、t 检验和混合重复测量协方差分析（ANCOVA）进行分析。
结果
结果表明，MBSR 干预显著降低了抑郁症状（p<0.001），改善了抑郁老年人的情绪调节和睡眠质量（p<0.001）。
讨论
本研究结果表明，与对照组相比，MBSR 可有效降低抑郁水平，改善抑郁老年人的情绪调节和睡眠质量。养老院的护理人员和心理治疗师可以使用 MBSR 等护理方案来改善老年人的身心健康。
试验注册
首次注册：2022 年 1 月 13 日，注册号：IRCT20211118053099N1，访问：https://www.irct.ir/trial/61207 。
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