NICM Health Research Institute, Western Sydney University, Penrith, NSW, Australia.
Discipline of Paediatrics, The University of Adelaide and Robinson Research Institute, Adelaide, SA, Australia.
Front Endocrinol (Lausanne). 2024 May 16;15:1295705. doi: 10.3389/fendo.2024.1295705. eCollection 2024.
Polycystic Ovary Syndrome (PCOS) presents multifaceted challenges affecting women's reproductive, metabolic, and psychological systems, consequently impacting their psychological and emotional well-being. The utilization of meditation and mindfulness interventions (MMIs) is found to be increasing for the management of PCOS. This scoping review systematically explored the current literature to identify the type and application of MMIs for PCOS management. A systematic search of literature was conducted using CINAHL, PsycINFO, Scopus, MEDLINE, and PubMed databases for identifying studies conducted on the usage of MMIs in women diagnosed with PCOS, irrespective of age. The comprehensive search identified 14 trials (comprising 17 citations) meeting inclusion criteria, involving 723 participants across various age groups. Among these, nine were randomized controlled trials (RCTs), while the remaining comprised non-RCTs. Several types of MMIs, including of , , OM cyclic meditation, unspecified forms of meditation, mindfulness-based stress reduction programs, mindful yoga, and mindfulness-based activities, were used. Outcomes were predominantly assessed in psychological domains (n=11), followed by anthropometric (n=9), quality of life (n=7), and metabolic metrics (n=7). The review findings suggest the integration of meditation with conventional treatment modalities. Preliminary data indicate that MMIs have the potential to improve psychosocial well-being and quality of life among PCOS-affected women. However, adequately powered studies with extended follow-up periods are required to investigate the mechanisms and therapeutic efficacy of MMIs, particularly concerning reproductive outcomes and weight management. Furthermore, diligent monitoring and reporting of adverse events and adherence are essential for a comprehensive understanding of MMI utilization in PCOS management.
多囊卵巢综合征（PCOS）表现出多方面的挑战，影响女性的生殖、代谢和心理系统，进而影响她们的心理和情绪健康。研究发现，冥想和正念干预（MMIs）可用于 PCOS 的管理。本综述性研究系统地探讨了当前文献，以确定用于 PCOS 管理的 MMIs 的类型和应用。通过 CINAHL、PsycINFO、Scopus、MEDLINE 和 PubMed 数据库系统地搜索文献，以确定针对诊断为 PCOS 的女性使用 MMIs 的研究，无论年龄大小。全面搜索确定了 14 项符合纳入标准的试验（包括 17 条引文），涉及 723 名不同年龄组的参与者。其中，9 项为随机对照试验（RCTs），其余的为非 RCTs。使用了几种类型的 MMIs，包括开悟冥想、正念减压方案、正念瑜伽和正念活动等。结果主要在心理领域评估（n=11），其次是人体测量学（n=9）、生活质量（n=7）和代谢指标（n=7）。综述结果表明，冥想与常规治疗模式相结合。初步数据表明，MMIs 有可能改善 PCOS 女性的社会心理幸福感和生活质量。然而，需要进行更多的、有足够效力的、具有扩展随访期的研究，以调查 MMIs 的机制和治疗效果，特别是关于生殖结果和体重管理。此外，对于全面了解 PCOS 管理中 MMIs 的使用，需要仔细监测和报告不良事件和依从性。
