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基于正念的干预措施对老年人心理健康和认知功能的影响:一项系统评价与荟萃分析

The Effect of Mindfulness-Based Interventions on Mental Health and Cognitive Function in Older Adults: A Systematic Review and Meta-Analysis.

作者信息

Talebisiavashani Fatemeh, Mohammadi-Sartang Mohsen

机构信息

Department of Psychology, Azad University of Roudehen, Roudehen, Iran.

Department of Clinical Nutrition, Shiraz University of Medicine Sciences, Shiraz, Iran.

出版信息

J Aging Health. 2024 Jul 24:8982643241263882. doi: 10.1177/08982643241263882.

Abstract

OBJECTIVES

To assess whether mindfulness-based interventions (MBIs) affect mental health and cognitive abilities in older adults.

METHODS

A systematic search was performed in PubMed, SCOPUS, Web of Science, and Google Scholar up to June 2023. Weight mean difference and 95% confidence intervals were provided as summary statistics.

RESULTS

In total, 26 articles were eligible. Overall, MBIs showed a statistically significant improvement in depression, anxiety, quality of life, and working memory compared to controls. However, no significant effects of MBIs on other cognitive parameters were found. In moderator analysis, less than eight weeks of MBIs showed greater improvement in anxiety and quality of life than longer periods. There was no evidence for publication bias.

DISCUSSION

Mindfulness-based interventions can be an encouraging alternative in place of conventional treatments in improving depression, anxiety, quality of life and working memory in cognition among older adults. However, findings strongly recommend future research to have definite conclusion.

摘要

目的

评估基于正念的干预措施(MBIs)是否会影响老年人的心理健康和认知能力。

方法

截至2023年6月,在PubMed、SCOPUS、科学网和谷歌学术上进行了系统检索。提供加权平均差和95%置信区间作为汇总统计量。

结果

共有26篇文章符合条件。总体而言,与对照组相比,MBIs在抑郁、焦虑、生活质量和工作记忆方面显示出统计学上的显著改善。然而,未发现MBIs对其他认知参数有显著影响。在调节分析中,少于八周的MBIs在焦虑和生活质量方面比更长时间的干预显示出更大的改善。没有证据表明存在发表偏倚。

讨论

基于正念的干预措施在改善老年人认知方面的抑郁、焦虑、生活质量和工作记忆方面,可以作为传统治疗的一种令人鼓舞的替代方法。然而,研究结果强烈建议未来的研究得出明确结论。

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