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正念冥想对 COVID-19 大流行期间抑郁症状的影响:系统评价和荟萃分析。

The effect of mindfulness meditation on depressive symptoms during the COVID-19 pandemic: a systematic review and meta-analysis.

机构信息

Department of Rehabilitation Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China.

Mental Health Research Centre, The Hong Kong Polytechnic University, Hong Kong SAR, China.

出版信息

Sci Rep. 2024 Aug 30;14(1):20189. doi: 10.1038/s41598-024-71213-9.

Abstract

Currently, 280 million people worldwide experience depression, ranking it third in the global burden of disease. The incidence of depression has risen due to the COVID-19 pandemic, making it essential to examine evidence-based practices in reducing depressive symptoms during this unprecedented time. This systematic review and meta-analysis aim to analyze randomized controlled trials during the COVID-19 pandemic that evaluated the effect of mindfulness meditation on depressive symptoms in individuals with depression. Four databases (PubMed, Embase, Web of Science, and Scopus) were searched in November 2023 using search terms including meditation, mindfulness, depression, and depressive symptoms. The meta-analysis was conducted using Review Manager 5.4 software (Cochrane Collaboration). A random model and Standard Mean Difference analysis with 95% CIs were used for continuous variables. The systematic review included 26 RCT studies. The meta-analysis showed significant effects of mindfulness meditation interventions (SMD = - 1.14; 95% CI - 1.45 to - 0.83; P < 0.001) in reducing depressive symptoms compared to comparison groups. The findings suggest a positive effect of mindfulness meditation on depressive symptoms in individuals with depression during the COVID-19 pandemic.

摘要

目前,全球有 2.8 亿人患有抑郁症,在全球疾病负担中排名第三。由于 COVID-19 大流行,抑郁症的发病率有所上升,因此在这个前所未有的时期,有必要研究基于证据的实践来减轻抑郁症状。本系统评价和荟萃分析旨在分析 COVID-19 大流行期间评估正念冥想对抑郁症患者抑郁症状影响的随机对照试验。2023 年 11 月,使用包括冥想、正念、抑郁和抑郁症状在内的检索词,在四个数据库(PubMed、Embase、Web of Science 和 Scopus)中进行了检索。使用 Review Manager 5.4 软件(Cochrane 协作)进行荟萃分析。对于连续变量,使用随机模型和标准均数差分析,置信区间为 95%。系统评价包括 26 项 RCT 研究。荟萃分析显示,与对照组相比,正念冥想干预(SMD=-1.14;95%CI-1.45 至-0.83;P<0.001)在降低抑郁症状方面具有显著效果。研究结果表明,在 COVID-19 大流行期间,正念冥想对抑郁症患者的抑郁症状有积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6c8/11364622/494fa1002842/41598_2024_71213_Fig1_HTML.jpg

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