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内隐正念及基于正念的干预措施对烧伤心理社会后果的影响:一项系统综述

Effects of Dispositional Mindfulness and Mindfulness-Based Interventions on the Psychosocial Consequences of Burn Injuries: A Systematic Review.

作者信息

Simione Luca

机构信息

Dipartimento di Scienze Umanistiche e Sociali Internazionali, Università degli Studi Internazionali, 00147 Rome, Italy.

Istituto di Scienze e Tecnologie della Cognizione, Consiglio Nazionale delle Ricerche, 00196 Rome, Italy.

出版信息

Eur Burn J. 2025 May 15;6(2):25. doi: 10.3390/ebj6020025.

Abstract

Burn injuries lead to significant physical and psychological consequences, including chronic pain, post-traumatic stress, depression, and social isolation. Mindfulness-based interventions (MBIs) have been proposed as a holistic approach to address these challenges in burn rehabilitation. This systematic review evaluates the efficacy of dispositional mindfulness and MBIs, including mindfulness meditation, yoga, and self-compassion training, in managing pain, emotional distress, and psychosocial adaptation in burn survivors. A comprehensive literature search was conducted through MEDLINE and Web of Science, covering studies up to February 2025, with additional papers retrieved from Google Scholar and Semantic Scholar. Studies were included if they reported quantitative data on the effects of MBIs in burn patients and/or their families, excluding opinion pieces, editorials, reviews, and qualitative studies. After screening 91 studies retrieved from the databases and adding a compelling paper retrieved from the other sources explored, 12 studies were included in the final pool, categorized into cross-sectional studies ( = 6), and intervention studies ( = 6). The extracted data included publication year, research design, sample characteristics, intervention details, main findings, and data for quality assessment. The synthesis of the results suggests that mindfulness is associated with reduced psychological symptoms, improved emotional regulation, and enhanced self-compassion, leading to better coping strategies and social reintegration. However, the long-term efficacy of MBIs remains inconclusive, and further research is needed to differentiate mindfulness-specific effects from those of general physical exercise. Evidence also suggests that mindfulness interventions may reduce anxiety and secondary trauma in children with burns and their caregivers. This review highlights the potential of MBIs as adjuncts to conventional burn rehabilitation programs, but further high-quality trials are needed to establish their sustained efficacy and to understand the specific benefits of mindfulness.

摘要

烧伤会导致严重的身体和心理后果,包括慢性疼痛、创伤后应激障碍、抑郁和社会隔离。基于正念的干预措施(MBIs)已被提议作为一种整体方法来应对烧伤康复中的这些挑战。本系统评价评估了特质正念和MBIs,包括正念冥想、瑜伽和自我同情训练,在管理烧伤幸存者的疼痛、情绪困扰和心理社会适应方面的疗效。通过MEDLINE和科学网进行了全面的文献检索,涵盖截至2025年2月的研究,并从谷歌学术和语义学者中检索了其他论文。如果研究报告了关于MBIs对烧伤患者和/或其家人影响的定量数据,则纳入研究,不包括观点文章、社论、综述和定性研究。在筛选了从数据库中检索到的91项研究,并添加了从其他探索来源检索到的一篇有说服力的论文后,最终纳入了12项研究,分为横断面研究(=6)和干预研究(=6)。提取的数据包括出版年份、研究设计、样本特征、干预细节、主要发现和质量评估数据。结果综合表明,正念与心理症状减轻、情绪调节改善和自我同情增强相关,从而带来更好的应对策略和社会重新融入。然而,MBIs的长期疗效仍不确定,需要进一步研究以区分正念的特定效果与一般体育锻炼的效果。证据还表明,正念干预可能会减少烧伤儿童及其照顾者的焦虑和继发性创伤。本综述强调了MBIs作为传统烧伤康复项目辅助手段的潜力,但需要进一步的高质量试验来确定其持续疗效,并了解正念的具体益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/443a/12101291/8739a35c117d/ebj-06-00025-g001.jpg

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