Mindfulness Meditation for Primary Headache Pain: A Meta-Analysis
Mindfulness Meditation for Primary Headache Pain: A Meta-Analysis
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正念冥想治疗原发性头痛的Meta分析
DOI：
10.4103/0366-6999.228242
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发表时间：
2018-04-05
影响因子：
6.1
通讯作者：
Fang, Xiang-Ming
中科院分区：
文献类型：
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作者：
Gu, Qiang;Hou, Jin-Chao;Fang, Xiang-Ming
背景：多项研究报告称，正念冥想对控制头痛（例如偏头痛和紧张型头痛）具有潜在作用；然而，其作用仍然存在争议。本综述评估了有关正念冥想对原发性头痛的影响的证据。 方法：仅对英文数据库（PubMed、Cochrane 对照试验中央注册库 [Cochrane 图书馆]、PsycINFO、心理学和行为科学合集、PsyArticles、Web of Science 和 Scopus）进行搜索，从其成立到 2016 年 11 月，使用关键词（“冥想”或“正念”或“内观”或“dzogchen”或“禅宗”或“身心综合训练”或“IBMT”或“基于正念的减压”或“MBSR”或“基于正念的认知疗法”或“MBCT”和“头痛”或“头痛”或“头痛”或“头痛”或“偏头痛”或“偏头痛”）。根据研究纳入标准筛选标题、摘要和全文文章：针对患有原发性头痛的成年患者进行结构化冥想计划的对照试验。荟萃分析中包含的研究质量通过耶茨质量评定量表进行评估。使用 Revman 5.3 进行荟萃分析。结果：该研究纳入了 10 项随机对照试验和一项对照临床试验，合并研究人群为 315 名患者。与对照组数据相比，正念冥想显着改善了疼痛强度（标准化平均差，-0.89；95%置信区间，-1.63至-0.15；P = 0.02）和头痛频率（-0.67；-1.24至-0.10；P = 0.02）。在不同冥想形式的亚组分析中，基于正念的减压对疼痛强度显示出显着的积极影响（P < 0.000）。此外，8周的干预具有显着的积极效果（P < 0.000）。结论：正念冥想可以减轻疼痛强度，对患者来说是一种有前途的治疗选择。临床医生可能会将正念冥想视为治疗原发性头痛的可行补充和替代医疗选择。
Background: Several studies have reported that mindfulness meditation has a potential effect in controlling headaches, such as migraine and tension-type headache; however, its role remains controversial. This review assessed the evidence regarding the effects of mindfulness meditation for primary headache pain.Methods: Only English databases (PubMed, Cochrane Central Register of Controlled Trials [the Cochrane Library], PsycINFO, Psychology and behavioral science collection, PsyArticles, Web of Science, and Scopus) were searched from their inception to November 2016 with the keywords ("meditation" or "mindfulness" or "vipassana" or "dzogchen" or "zen" or "integrative body-mind training" or "IBMT" or "mindfulness-based stress reduction" or "MBSR" or "mindfulness-based cognitive therapy" or "MBCT" and "Headache" or "Head pain" or "Cephalodynia" or "Cephalalgia" or "Hemicrania" or "Migraine"). Titles, abstracts, and full-text articles were screened against study inclusion criteria: controlled trials of structured meditation programs for adult patients with primary headache pain. The quality of studies included in the meta-analysis was assessed with the Yates Quality Rating Scale. The meta-analysis was conducted with Revman 5.3.Results: Ten randomized controlled trials and one controlled clinical trial with a combined study population of 315 patients were included in the study. When compared to control group data, mindfulness meditation induced significant improvement in pain intensity (standardized mean difference, -0.89; 95% confidence interval, -1.63 to -0.15; P = 0.02) and headache frequency (-0.67; -1.24 to -0.10; P = 0.02). In a subgroup analysis of different meditation forms, mindfulness-based stress reduction displayed a significant positive influence on pain intensity (P < 0.000). Moreover, 8-week intervention had a significant positive effect (P < 0.000).Conclusions: Mindfulness meditation may reduce pain intensity and is a promising treatment option for patients. Clinicians may consider mindfulness meditation as a viable complementary and alternative medical option for primary headache.