The Effect of Mindfulness-Based Interventions on Tinnitus Distress. A Systematic Review
The Effect of Mindfulness-Based Interventions on Tinnitus Distress. A Systematic Review
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基于正念的干预措施对耳鸣困扰的效果。
DOI：
10.3389/fneur.2019.01135
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发表时间：
2019
影响因子：
3.4
通讯作者：
A. Smit
中科院分区：
文献类型：
--
作者：
M. Rademaker;I. Stegeman;Krysten E. Ho;R. Stokroos;A. Smit
目的：通过本系统综述，我们旨在概述基于正念的干预（mbi）对耳鸣患者(1)耳鸣窘迫和(2)焦虑和/或抑郁的影响的证据。方法：结合“Tinnitus”和“Mindfulness”的术语和同义词，在PubMed Medline、EMBASE和PsycInfo中进行系统检索。最近一次搜索是在2018年12月4日进行的。我们根据系统评价和荟萃分析的首选报告项目（PRISMA）撰写了本系统评价。两位独立作者鉴定了研究，评估了偏倚风险并提取了数据。如果研究对象包括患有耳鸣的成年人，进行有协议的MBI，并使用有效的问卷测量耳鸣痛苦，则研究被认为是合格的。根据研究的设计，采用Cochrane偏倚风险工具或未成年人标准对研究进行评估。结果：系统检索到7篇文献（425例患者）。3项随机对照试验（rct）、3项队列研究和1项比较对照试验。不同类型的mbbi，包括MBCT和MBSR，用不同的问卷进行评估。三分之二的随机对照试验显示，与对照组相比，正念组在治疗后耳鸣窘迫评分有统计学意义上的显著下降。七项研究中有六项显示，正念治疗后耳鸣痛苦评分有统计学意义的显著下降。三分之一的随机对照试验显示，与治疗后直接接受治疗的对照组相比，MBI后抑郁问卷得分有统计学意义的改善。结论：基于中等到高质量的研究，治疗后可以直接观察到mbi患者耳鸣窘迫评分的下降。无论患者的异质性、研究设计、MBI类型和结果评估如何，都发现了这一点。三分之二的随机对照试验发现耳鸣窘迫评分有临床相关性下降。没有观察到MBIs对耳鸣患者抑郁和焦虑的影响。长期影响仍不确定。正念可能在耳鸣治疗中占有一席之地，尽管长期效果需要研究。
Objectives: With this systematic review we aim to provide an overview of the evidence of the effect of Mindfulness Based Interventions (MBIs) on (1) tinnitus distress and (2) anxiety and/or depression in tinnitus patients. Methods: We conducted a systematic search in PubMed Medline, EMBASE and PsycInfo combining the terms and synonyms of “Tinnitus” and “Mindfulness.” The most recent search was performed on December 4th 2018. We wrote this systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Two independent authors identified studies, assessed the risk of bias and extracted data. Studies were considered eligible if they included adults with tinnitus, performed a protocolled MBI and measured tinnitus distress with validated questionnaires. Studies were appraised with either the Cochrane Risk of Bias tool or the MINORS criteria, depending on their design. Results: The systematic search yielded seven articles (425 patients). Three randomized controlled trials (RCTs), three cohort studies and one comparative controlled trial. Different types of MBIs, including MBCT and MBSR, were assessed with various questionnaires. Two of three RCTs showed a statistically significant decrease in tinnitus distress scores directly after treatment in the mindfulness group compared to the control group. Six of seven studies showed statistically significant decrease in tinnitus distress scores directly after mindfulness therapy. One of three RCTs showed a statistically significant improvement of depression questionnaire scores after MBI compared to the control group directly post treatment. Conclusions: A decrease of tinnitus distress scores in MBIs can be observed directly post-therapy based on moderate to high quality studies. This was found regardless of the heterogeneity of patients, study design, type of MBI and outcome assessment. Two out of three RCTs found clinically relevant decreases in tinnitus distress scores. No effect of MBIs was observed for depression and anxiety in tinnitus patients. Long term effects remain uncertain. Mindfulness may have a place in tinnitus therapy, although the long term effects need to be studied.
影响因子：
5.9
作者：
Hofmann, Stefan G.;Sawyer, Alice T.;Witt, Ashley A.;Oh, Diana
通讯作者：
Oh, Diana