Mindfulness-Based Interventions Reduce Psychological Distress in Working Adults: a Meta-Analysis of Intervention Studies

Mindfulness-Based Interventions Reduce Psychological Distress in Working Adults: a Meta-Analysis of Intervention Studies
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基于正念的干预措施减少工作成年人的心理困扰:干预研究的荟萃分析

DOI:
10.1007/s12671-013-0264-0
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发表时间:
2015
期刊:
影响因子:
3.6
通讯作者:
M. Virgili
M. Virgili
中科院分区:
医学3区
文献类型:
--
作者:
M. Virgili

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本研究的目的是评估正念为基础的干预(MBIs)的有效性,以减少心理困扰的工作成年人。对相关数据库进行全面的文献检索,包括2012年12月发表的英文文章。荟萃分析包括19项对照和非对照干预研究,共有1139名参与者。分析结果显示,组内(前后)比较(Hedges's g = 0.68, 95%可信区间(CI)[0.58, 0.78])和组间(Hedges's g = 0.68, 95% CI [0.48, 0.88]) MBI与无活性对照比较的平均效应大小为中到大。疗效在中位随访5周后基本保持(Hedges的g = 0.60, 95% CI[0.46, 0.75])。基于亚组比较的分析表明,为组织环境开发的基于正念的减压简短版本与最初为临床环境开发的标准8周版本同样有效。然而,几乎没有证据表明MBIs比其他类型的职业压力管理干预(如放松训练和瑜伽)更有效,以减少在职成年人的心理困扰。总的来说,这些发现支持在组织环境中使用mbi来减少心理困扰。讨论了对实践和研究的启示。
The aim of this study was to assess the effectiveness of mindfulness-based interventions (MBIs) for reducing psychological distress in working adults. A comprehensive literature search of relevant databases included articles written in English published on December 2012. The meta-analysis included 19 controlled and uncontrolled intervention studies with a total of 1,139 participants. Analyses yielded medium-to-large mean effect sizes for the within-group (pre–post) comparison (Hedges's g = 0.68, 95 % confidence interval (CI) [0.58, 0.78]) and for the between-group (Hedges's g = 0.68, 95 % CI [0.48, 0.88]) comparison of MBI with an inactive control. Effectiveness was largely maintained at a median follow-up of 5 weeks (Hedges's g = 0.60, 95 % CI [0.46, 0.75]). Analyses based on subgroup comparisons suggested that brief versions of mindfulness-based stress reduction developed for organisational settings are equally effective as standard 8-week versions originally developed for clinical settings. However, there is little evidence to suggest that MBIs are more effective than other types of occupational stress management interventions, such as relaxation training and yoga, for reducing psychological distress in working adults. Overall, these findings support the use of MBIs in organisational settings for the reduction of psychological distress. Implications for practice and research are discussed.
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影响因子: 5.9
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