Milani Giada, Zerbinati Luigi, Grassi Luigi, Fregna Giulia, Schincaglia Nicola, Baroni Andrea, Lamberti Nicola, Manfredini Fabio, Straudi Sofia
Department of Neuroscience and Rehabilitation, Ferrara University Hospital, Ferrara, Italy.
Department of Neuroscience and Rehabilitation, Institute of Psychiatry, University of Ferrara, Ferrara, Italy.
Adv Rehabil Sci Pract. 2024 Dec 18;13:27536351241308176. doi: 10.1177/27536351241308176. eCollection 2024 Jan-Dec.
Nearly half of subjects after COVID-19 still experience symptoms after 12 weeks, as described in the Post-Covid Syndrome (PCS). Other than the physical alterations perceived, mental health disorders have been frequently reported. Mindfulness-Based Interventions (MBIs) showed beneficial effects on psychological well-being in patients with respiratory dysfunctions, but they have been rarely tested in severe COVID-19 survivors.
In a quasi-experimental study, test the clinical and psychological effects of a 12-week Tele-MBI in previously hospitalized COVID-19 patients and analyze the feasibility of the intervention.
Subjects earlier hospitalized due to COVID-19 were enrolled 12 weeks after the infection onset, they were assigned to the intervention group (TG) or to the control one (n-TG). Subjects enrolled in the TG attended a 12-week home-based T-MBI and patients of both groups received multimodal rehabilitation interventions according to their own therapeutic needs. Mental health (anxiety, depression, post-traumatic stress disorder (PTSD) symptoms, sleep quality, self-efficacy, and resilience) and quality of life were detected before and after treatment. The feasibility of the T-MBI applied was also investigated.
A total of 88 subjects were included (44 in the TG and 44 in the n-TG; 63.6% males, mean age 64.4 ± 10.6). Most characteristics were similar between groups at the baseline; TG patients showed greater improvements in different psychological metrics (anxiety, depression, PTSD, resilience, and self-efficacy) compared to n-TG while no differences were found for perceived quality of life. T-MBI was well-accepted by patients.
Tele-Mindfulness program seems effective in reducing anxiety, depression, and post-traumatic stress disorder symptoms and increasing resilience and self-efficacy in subjects who required hospitalization due to COVID-19.
如新冠后综合征（PCS）所述，近一半的新冠患者在12周后仍有症状。除了感觉到的身体改变外，心理健康障碍也经常被报道。基于正念的干预措施（MBIs）对呼吸功能障碍患者的心理健康有益，但在重症新冠幸存者中很少进行测试。
在一项准实验研究中，测试为期12周的远程MBI对先前住院的新冠患者的临床和心理影响，并分析该干预措施的可行性。
因新冠病毒感染而较早住院的患者在感染开始12周后入组，他们被分配到干预组（TG）或对照组（n-TG）。TG组的受试者参加为期12周的居家远程MBI，两组患者均根据自身治疗需求接受多模式康复干预。在治疗前后检测心理健康（焦虑、抑郁、创伤后应激障碍（PTSD）症状、睡眠质量、自我效能感和心理韧性）和生活质量。还调查了所应用的远程MBI的可行性。
共纳入88名受试者（TG组44名，n-TG组44名；男性占63.6%，平均年龄64.4±10.6岁）。两组在基线时的大多数特征相似；与n-TG组相比，TG组患者在不同心理指标（焦虑、抑郁、PTSD、心理韧性和自我效能感）上有更大改善，而在生活质量感知方面未发现差异。患者对远程MBI接受度良好。
远程正念计划似乎能有效减轻因新冠病毒感染而需要住院治疗的患者的焦虑、抑郁和创伤后应激障碍症状，并提高心理韧性和自我效能感。
