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针对老年人的简短正念干预——对认知功能和心理困扰的去中心化效应的探索性半随机检验

Brief Mindfulness-Based Intervention for Seniors-An Exploratory Semi-Randomized Examination of Decentering Effects on Cognitive Functions and Psychological Distress.

作者信息

Katzenelenbogen Ophir, Aisenberg-Shafran Daniela

机构信息

The Dror (Imri) Aloni Center for Health Informatics, Ruppin Academic Center, Emek Hefer 4025000, Israel.

出版信息

Behav Sci (Basel). 2025 Apr 3;15(4):466. doi: 10.3390/bs15040466.

DOI:10.3390/bs15040466
PMID:40282087
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12024281/
Abstract

The need for psychological treatment in the community, specifically in times of crisis and for those in isolation, calls for finding suitable interventions, especially for older adults. The present study examined the effect of a short mindfulness-based intervention emphasizing a 'decentering' component and an equivalent guided-imagery intervention on cognitive and emotional measures in seniors living in the community. Thirty community seniors ( = 74.7) performed either 'decentering' or matched guided-imagery intervention, or care as usual as a control. The 8-week interventions included weekly 20 min sessions and daily 10 min home practice. Participants underwent a cognitive and emotional assessment before and after the interventions, which included filling out questionnaires and performing the cognitive Simon task. The results showed improvements only for intervention groups: cognitively, reduced response time and improved accuracy rate were found in the Simon task. Emotionally, reported depression levels were decreased and an increase in reported positive relationships was found. Our study, hence, introduces two intervention protocols, with promising positive effects on psychological and cognitive status. This contributes evidence-based treatments, easy to deliver in nursing homes or retirement communities, for improving the life quality of older adults.

摘要

社区中对心理治疗的需求,尤其是在危机时期以及针对那些处于隔离状态的人,要求找到合适的干预措施,特别是针对老年人。本研究考察了一种强调“去中心化”成分的简短正念干预以及一种等效的引导式意象干预对社区老年人认知和情绪指标的影响。30名社区老年人(平均年龄 = 74.7岁)分别接受“去中心化”干预、匹配的引导式意象干预或照常护理作为对照。为期8周的干预包括每周20分钟的课程和每天10分钟的家庭练习。参与者在干预前后接受了认知和情绪评估,包括填写问卷和执行认知西蒙任务。结果显示仅干预组有改善:在认知方面,西蒙任务中的反应时间缩短且准确率提高。在情绪方面,报告的抑郁水平降低且报告的积极人际关系增加。因此,我们的研究引入了两种干预方案,对心理和认知状态有积极的影响。这为改善老年人生活质量提供了基于证据的治疗方法,便于在养老院或退休社区实施。

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本文引用的文献

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Exploring mindfulness interventions across cultures: a comparative meta-analysis of mindfulness interventions for athletes in Western and Eastern contexts.跨文化探索正念干预:对西方和东方背景下运动员正念干预的比较荟萃分析。
Front Psychol. 2024 Oct 31;15:1449886. doi: 10.3389/fpsyg.2024.1449886. eCollection 2024.
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A gradual separation from the world: commentary on a qualitative exploration of existential loneliness in old age.逐渐与世界分离:对老年人存在性孤独的质性探索的评论。
Br J Community Nurs. 2023 Dec 2;28(12):586-590. doi: 10.12968/bjcn.2023.28.12.586.
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Individual participant data systematic review and meta-analysis of randomised controlled trials assessing adult mindfulness-based programmes for mental health promotion in non-clinical settings.
针对在非临床环境中评估成人正念减压疗法促进心理健康的随机对照试验的个体参与者数据系统评价和荟萃分析。
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Improving depressive symptoms and maintaining cognitive abilities of seniors within the nursing homes: A pilot study of brief mindfulness-based interventions for seniors in a semi-randomized trial.改善养老院老年人的抑郁症状并维持其认知能力:一项针对老年人的基于正念的简短干预措施的半随机试验的初步研究。
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