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基于正念减压疗法(MBSR)对退伍军人抑郁症、创伤后应激障碍(PTSD)及正念水平的疗效:一项系统评价与荟萃分析。

The effectiveness of mindfulness-based stress reduction (MBSR) on depression, PTSD, and mindfulness among military veterans: A systematic review and meta-analysis.

作者信息

Li Wendy Wen, Nannestad Jaime, Leow Timothy, Heward Carolyn

机构信息

James Cook University, Australia.

Townsville University Hospital, Australia.

出版信息

Health Psychol Open. 2024 Nov 21;11:20551029241302969. doi: 10.1177/20551029241302969. eCollection 2024 Jan-Dec.

DOI:10.1177/20551029241302969
PMID:39582518
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11583271/
Abstract

Thirteen studies were included in the current systematic review and meta-analysis with 1131 participants. Both within- and between-group comparisons demonstrated reductions in depressive and PTSD symptoms with medium effect sizes post MBSR intervention. Additionally, MBSR demonstrated small effects in improving mindfulness in veterans at post-intervention. Maintenance of treatment effects were observed at follow-up for the three outcomes during within-group comparisons. Treatment effects were maintained at follow-up between-groups for depression and mindfulness, but not for PTSD symptoms. Furthermore, there were no significant differences between MBSR and cognitive behavioural therapy/person-centred group therapy intervention groups in the three outcomes.

摘要

本系统评价和荟萃分析纳入了13项研究,共1131名参与者。组内和组间比较均显示,正念减压疗法(MBSR)干预后,抑郁和创伤后应激障碍(PTSD)症状减轻,效应量中等。此外,MBSR干预后对改善退伍军人的正念有小的效果。组内比较时,随访期间观察到三种结果的治疗效果得以维持。组间比较时,抑郁和正念的治疗效果在随访时得以维持,但PTSD症状的治疗效果未维持。此外,MBSR与认知行为疗法/以人为中心的团体治疗干预组在这三种结果上没有显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/46b4d808db47/10.1177_20551029241302969-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/bbe9a56193b4/10.1177_20551029241302969-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/4b7d1389ebc2/10.1177_20551029241302969-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/2195b20b1abf/10.1177_20551029241302969-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/d1f2c1618767/10.1177_20551029241302969-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/52573b7ffe43/10.1177_20551029241302969-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/4e10f76a9f2b/10.1177_20551029241302969-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/46b4d808db47/10.1177_20551029241302969-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/bbe9a56193b4/10.1177_20551029241302969-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/4b7d1389ebc2/10.1177_20551029241302969-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/2195b20b1abf/10.1177_20551029241302969-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/d1f2c1618767/10.1177_20551029241302969-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/52573b7ffe43/10.1177_20551029241302969-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/4e10f76a9f2b/10.1177_20551029241302969-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53a7/11583271/46b4d808db47/10.1177_20551029241302969-fig7.jpg

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