目的:评价正念干预(MBI)对癌症患者创伤后成长(PTG)的干预效果。方法:计算机检索Cochrane library、PubMed、Embase、Web of Science、CBM、VIP、WangFang Data和CNKI数据库中MBI对癌症患者PTG的随机对照试验(RCT)。两名研究者按照纳入...目的:评价正念干预(MBI)对癌症患者创伤后成长(PTG)的干预效果。方法:计算机检索Cochrane library、PubMed、Embase、Web of Science、CBM、VIP、WangFang Data和CNKI数据库中MBI对癌症患者PTG的随机对照试验(RCT)。两名研究者按照纳入排除标准独立筛选文献、进行文献质量评价并从中提取数据,采用RevMan 5.3软件进行数据分析。结果:共纳入9篇RCT,合计822例患者。Meta分析结果显示,实施MBI后,干预组患者的PTG水平优于对照组,差异有统计学意义[MD=7.27,95%CI=(4.75~9.79),P<0.001],干预效果能维持到干预后3个月[MD=8.64,95%CI=(7.20~10.08),P<0.001]。与对照组相比,线上干预模式对癌症患者PTG的改善效果不明显,差异无统计学意义[MD=3.59,95%CI=(-1.22~8.41),P>0.05],而面对面的小组干预模式能促进癌症患者PTG水平的提高[MD=7.87,95%CI=(5.19~10.54),P<0.001]。结论:正念干预有助于提高癌症患者的创伤后成长水平,面对面小组干预模式比线上干预模式在提升患者的创伤后成长水平上效果更佳。展开更多
BACKGROUND Sleep problems are particularly prevalent in people with depression or anxiety disorder.Although mindfulness has been suggested as an important component in alleviating insomnia,no comprehensive review and ...BACKGROUND Sleep problems are particularly prevalent in people with depression or anxiety disorder.Although mindfulness has been suggested as an important component in alleviating insomnia,no comprehensive review and meta-analysis has been conducted to evaluate the effects of different mindfulness-based intervention(MBI)programs on sleep among people with depression or anxiety disorder.AIM To compare the effects of different MBI programs on sleep among people with depression or anxiety disorder.METHODS Related publications in Embase,Medline,PubMed and PsycINFO databases were systematically searched from January 2010 to June 2020 for randomised controlled trials.Data were synthesized using a random-effects or a fixed-effects model to analyse the effects of various MBI programs on sleep problems among people with depression or anxiety disorder.The fixed-effects model was used when heterogeneity was negligible,and the random-effects model was used when heterogeneity was significant to calculate the standardised mean differences(SMDs)and 95%confidence intervals(CIs).RESULTS We identified 397 articles,of which 10 randomised controlled trials,involving a total of 541 participants,were included in the meta-analysis.Studies of internet mindfulness meditation intervention(IMMI),mindfulness meditation(MM),mindfulness-based cognitive therapy(MBCT),mindfulness-based stress reduction(MBSR)and mindfulness-based touch therapy(MBTT)met the inclusion criteria.The greatest effect sizes are reported in favour of MBTT,with SMDs of-1.138(95%CI:-1.937 to-0.340;P=0.005),followed by-1.003(95%CI:-1.645 to-0.360;P=0.002)for MBCT.SMDs of-0.618(95%CI:-0.980 to-0.257;P=0.001)and-0.551(95%CI:-0.842 to-0.260;P<0.0001)were reported for IMMI and MBSR in the pooling trials,respectively.Significant effects on sleep problem improvement are shown in all reviewed MBI programs,except MM,for which the effect size was shown to be nonsignificant.CONCLUSION All MBI programs(MBTT,MBCT,IMMI and MBSR),except MM,are effective options to improve sleep problems展开更多
目的采用Meta分析评价正念干预(MBI)对脑卒中患者睡眠障碍的改善效果。方法计算机检索Embase、PubMed、Cochrane Library、Web of Science、CINAHL、中国知网、万方、维普、中国生物医学文献数据库,检索时间为建库至2022年10月31日。依...目的采用Meta分析评价正念干预(MBI)对脑卒中患者睡眠障碍的改善效果。方法计算机检索Embase、PubMed、Cochrane Library、Web of Science、CINAHL、中国知网、万方、维普、中国生物医学文献数据库,检索时间为建库至2022年10月31日。依照纳入和排除标准筛选文献并对纳入文献进行资料提取和质量评价,使用RevMan5.3软件进行Meta分析。结果共纳入12篇文献,1006例患者,其中观察组502例,对照组504例。Meta分析结果显示,观察组的匹兹堡睡眠质量指数(PSQI)评分低于对照组(P<0.00001);合并结果显示,两组的总睡眠时间(TST)、醒觉次数(AT)、醒觉时间(AWT)、睡眠效率(SE)、3期持续睡眠时间(S_(3))、4期持续睡眠时间(S_(4))、非快速眼动睡眠期(NREM)、醒觉时间占总记录时间比例(AR)、总微醒觉次数(MAT)、快速动眼期微醒觉次数(MAT-REM)比较,差异具有统计学意义(P<0.05)。结论MBI可在短期内缓解脑卒中患者睡眠障碍及伴随的焦虑、抑郁等负性情绪,但是能否长期从中获益尚需开展高质量、大样本、多中心随访研究。展开更多
目的评价正念干预对乳腺癌患者癌因性疲乏(CRF)的干预效果。方法系统检索Web of Science、PubMed、Cochrane Library、Embase、中国生物医学文献数据库、维普、万方和中国知网数据库从建库至2021年5月23日公开发表的关于正念干预对乳腺...目的评价正念干预对乳腺癌患者癌因性疲乏(CRF)的干预效果。方法系统检索Web of Science、PubMed、Cochrane Library、Embase、中国生物医学文献数据库、维普、万方和中国知网数据库从建库至2021年5月23日公开发表的关于正念干预对乳腺癌患者癌因性疲乏的随机对照试验。采用RevMan 5.4进行Meta分析。结果最终纳入8篇文献,包括1042名受试者。结果表明,实施正念干预后,干预组患者的癌因性疲乏水平低于对照组[MD=-0.91,95%CI(-1.33,-0.49),P<0.01]。结论现有证据表明,正念干预是一种以生活方式为导向的非药物干预,可有效改善乳腺癌患者的癌因性疲乏。展开更多
Background:COVID-19 can lead to increased psychological symptoms such as post-traumatic stress disorder(PTSD),depression,and anxiety among patients with COVID-19.Based on the previous mindfulness-based interventions p...Background:COVID-19 can lead to increased psychological symptoms such as post-traumatic stress disorder(PTSD),depression,and anxiety among patients with COVID-19.Based on the previous mindfulness-based interventions proved to be effective,this protocol reports a design of a randomized controlled trial aiming to explore the efficacy and possible mechanism of a mindful living with challenge(MLWC)intervention developed for COVID-19 survivors in alleviating their psychological problems caused by both the disease and the pandemic.Methods:In April 2021,more than 1600 eligible participants from Hubei Province of China will be assigned 1:1 to an online MLWC intervention group or a waitlist control group.All participants will be asked to complete online questionnaires at baseline,post-program,and 3-month follow-up.The differences of mental health status(e.g.PTSD)and physical symptoms including fatigue and sleeplessness between the COVID-19 survivors who receiving the online MLWC intervention and the control group will be assessed.In addition,the possible mediators and moderators of the link between the MLWC intervention and target outcomes will be evaluated by related verified scales,such as the Five Facets Mindfulness Questionnaire.Data will be analyzed based on an intention-to-t「eat approach,and SPSS software will be used to perform statistical analysis.Discussion:The efficacy and potential mechanism of MLWC intervention in improving the quality of life and psychological status of COVID-19 survivors in China are expected to be reported.Findings from this study will shed light on a novel and feasible model in improving the psychological well-being of people during such public health emergencies.Trial registration Chinese ClinicalTrial Registry(ChiCTR),ChiCTR2000037524;Registered on August 29,2020,http://www.chictr.org.cn/showproj.aspx?proj=60034.展开更多
文摘BACKGROUND Sleep problems are particularly prevalent in people with depression or anxiety disorder.Although mindfulness has been suggested as an important component in alleviating insomnia,no comprehensive review and meta-analysis has been conducted to evaluate the effects of different mindfulness-based intervention(MBI)programs on sleep among people with depression or anxiety disorder.AIM To compare the effects of different MBI programs on sleep among people with depression or anxiety disorder.METHODS Related publications in Embase,Medline,PubMed and PsycINFO databases were systematically searched from January 2010 to June 2020 for randomised controlled trials.Data were synthesized using a random-effects or a fixed-effects model to analyse the effects of various MBI programs on sleep problems among people with depression or anxiety disorder.The fixed-effects model was used when heterogeneity was negligible,and the random-effects model was used when heterogeneity was significant to calculate the standardised mean differences(SMDs)and 95%confidence intervals(CIs).RESULTS We identified 397 articles,of which 10 randomised controlled trials,involving a total of 541 participants,were included in the meta-analysis.Studies of internet mindfulness meditation intervention(IMMI),mindfulness meditation(MM),mindfulness-based cognitive therapy(MBCT),mindfulness-based stress reduction(MBSR)and mindfulness-based touch therapy(MBTT)met the inclusion criteria.The greatest effect sizes are reported in favour of MBTT,with SMDs of-1.138(95%CI:-1.937 to-0.340;P=0.005),followed by-1.003(95%CI:-1.645 to-0.360;P=0.002)for MBCT.SMDs of-0.618(95%CI:-0.980 to-0.257;P=0.001)and-0.551(95%CI:-0.842 to-0.260;P<0.0001)were reported for IMMI and MBSR in the pooling trials,respectively.Significant effects on sleep problem improvement are shown in all reviewed MBI programs,except MM,for which the effect size was shown to be nonsignificant.CONCLUSION All MBI programs(MBTT,MBCT,IMMI and MBSR),except MM,are effective options to improve sleep problems
文摘目的采用Meta分析评价正念干预(MBI)对脑卒中患者睡眠障碍的改善效果。方法计算机检索Embase、PubMed、Cochrane Library、Web of Science、CINAHL、中国知网、万方、维普、中国生物医学文献数据库,检索时间为建库至2022年10月31日。依照纳入和排除标准筛选文献并对纳入文献进行资料提取和质量评价,使用RevMan5.3软件进行Meta分析。结果共纳入12篇文献,1006例患者,其中观察组502例,对照组504例。Meta分析结果显示,观察组的匹兹堡睡眠质量指数(PSQI)评分低于对照组(P<0.00001);合并结果显示,两组的总睡眠时间(TST)、醒觉次数(AT)、醒觉时间(AWT)、睡眠效率(SE)、3期持续睡眠时间(S_(3))、4期持续睡眠时间(S_(4))、非快速眼动睡眠期(NREM)、醒觉时间占总记录时间比例(AR)、总微醒觉次数(MAT)、快速动眼期微醒觉次数(MAT-REM)比较,差异具有统计学意义(P<0.05)。结论MBI可在短期内缓解脑卒中患者睡眠障碍及伴随的焦虑、抑郁等负性情绪,但是能否长期从中获益尚需开展高质量、大样本、多中心随访研究。
文摘目的评价正念干预对乳腺癌患者癌因性疲乏(CRF)的干预效果。方法系统检索Web of Science、PubMed、Cochrane Library、Embase、中国生物医学文献数据库、维普、万方和中国知网数据库从建库至2021年5月23日公开发表的关于正念干预对乳腺癌患者癌因性疲乏的随机对照试验。采用RevMan 5.4进行Meta分析。结果最终纳入8篇文献,包括1042名受试者。结果表明,实施正念干预后,干预组患者的癌因性疲乏水平低于对照组[MD=-0.91,95%CI(-1.33,-0.49),P<0.01]。结论现有证据表明,正念干预是一种以生活方式为导向的非药物干预,可有效改善乳腺癌患者的癌因性疲乏。
基金sponsored by the Chinese Academy of Medical Sciences(2020-I2M-2-015,2019-I2M-2-005)Asian Regional Special Cooperation Fund of National Health Commission ofthe People's Republic of China(BLXM01).
文摘Background:COVID-19 can lead to increased psychological symptoms such as post-traumatic stress disorder(PTSD),depression,and anxiety among patients with COVID-19.Based on the previous mindfulness-based interventions proved to be effective,this protocol reports a design of a randomized controlled trial aiming to explore the efficacy and possible mechanism of a mindful living with challenge(MLWC)intervention developed for COVID-19 survivors in alleviating their psychological problems caused by both the disease and the pandemic.Methods:In April 2021,more than 1600 eligible participants from Hubei Province of China will be assigned 1:1 to an online MLWC intervention group or a waitlist control group.All participants will be asked to complete online questionnaires at baseline,post-program,and 3-month follow-up.The differences of mental health status(e.g.PTSD)and physical symptoms including fatigue and sleeplessness between the COVID-19 survivors who receiving the online MLWC intervention and the control group will be assessed.In addition,the possible mediators and moderators of the link between the MLWC intervention and target outcomes will be evaluated by related verified scales,such as the Five Facets Mindfulness Questionnaire.Data will be analyzed based on an intention-to-t「eat approach,and SPSS software will be used to perform statistical analysis.Discussion:The efficacy and potential mechanism of MLWC intervention in improving the quality of life and psychological status of COVID-19 survivors in China are expected to be reported.Findings from this study will shed light on a novel and feasible model in improving the psychological well-being of people during such public health emergencies.Trial registration Chinese ClinicalTrial Registry(ChiCTR),ChiCTR2000037524;Registered on August 29,2020,http://www.chictr.org.cn/showproj.aspx?proj=60034.
