Chan Sunny H W, Cheston Richard, Steward-Anderson Charlotte, Yu Chong-Ho, Dodd Emily, Coulthard Elizabeth
Centre for Health and Clinical Research, University of the West of England, Bristol BS16 1QY, UK.
School of Social Sciences, University of the West of England, Bristol BS16 1QY, UK.
Healthcare (Basel). 2025 Jan 31;13(3):296. doi: 10.3390/healthcare13030296.
: This scoping review investigates the effectiveness of mindfulness meditation in alleviating sleep disturbances among individuals with mild cognitive impairment (MCI) and Alzheimer's disease (AD). With the rising prevalence of dementia and its profound impact on cognitive function and quality of life, this review aims to synthesize existing research and identify gaps in the literature. : We systematically searched six electronic databases (CINAHL, Embase, Medline, PsycINFO, PubMed, and Scopus) from 2004 to 2024, yielding 462 potentially relevant articles. Screening was conducted using ASReview, an AI ranking tool, which facilitated the selection of studies. Ultimately, seven studies that met our stringent eligibility criteria were included in the review. We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines for reporting. : Our findings indicate that mindfulness meditation significantly improves sleep quality, reduces insomnia severity, and enhances overall well-being in this at-risk population. Notably, interventions that combine structured, face-to-face sessions with at-home practice emerged as the most effective. : Despite these positive outcomes, methodological limitations, including small sample sizes and reliance on self-reported measures, underscore the need for more rigorous long-term studies. This review highlights the potential of mindfulness meditation as a low-cost, scalable intervention to improve sleep and cognitive health in older adults, paving the way for future research and clinical applications.
本综述性研究旨在探讨正念冥想对缓解轻度认知障碍（MCI）和阿尔茨海默病（AD）患者睡眠障碍的有效性。随着痴呆症患病率的上升及其对认知功能和生活质量的深远影响，本综述旨在综合现有研究并找出文献中的空白。我们系统地检索了2004年至2024年的六个电子数据库（CINAHL、Embase、Medline、PsycINFO、PubMed和Scopus），共获得462篇可能相关的文章。使用人工智能排名工具ASReview进行筛选，这有助于研究的选择。最终，七项符合我们严格纳入标准的研究被纳入综述。我们遵循系统评价和Meta分析扩展的首选报告项目（PRISMA-ScR）指南进行报告。我们的研究结果表明正念冥想能显著改善这一高危人群的睡眠质量、降低失眠严重程度并提升整体幸福感。值得注意的是，将结构化的面对面课程与家庭练习相结合的干预措施最为有效。尽管取得了这些积极成果，但方法学上的局限性，包括样本量小和依赖自我报告的测量方法，凸显了开展更严格的长期研究的必要性。本综述强调了正念冥想作为一种低成本、可扩展的干预措施在改善老年人睡眠和认知健康方面的潜力，为未来的研究和临床应用铺平了道路。
