The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: A meta-analysis
The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: A meta-analysis
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DOI：
10.1016/j.jpsychores.2009.10.005
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发表时间：
2010-06-01
影响因子：
4.7
通讯作者：
Cuijpers, Pim
中科院分区：
文献类型：
--
作者：
Bohlmeijer, Ernst;Prenger, Rilana;Cuijpers, Pim
目的：本研究的目的是探讨正念减压（MBSR）对不同慢性躯体疾病人群的抑郁、焦虑和心理困扰的有效性。方法：进行系统回顾和荟萃分析，以检查MBSR对抑郁，焦虑和心理困扰的影响。分析了研究质量对正念减压效果的影响。结果：纳入了8项已发表的随机对照结局研究。对抑郁症的总体效应量为0.26，表明MBSR对抑郁症的影响很小。焦虑的效应量为0.47。然而，研究的质量被发现缓和这种效应大小。当排除低质量的研究时，发现焦虑的效应量为0.24，心理困扰的效应量也很小（0.32）。结论：结论：正念减压疗法对慢性躯体疾病患者的抑郁、焦虑和心理困扰的影响较小。将正念减压疗法与行为疗法相结合可以提高正念干预的效果。(C)2010年爱思唯尔公司All rights reserved.
Objectives: The objective of this study was to examine the effectiveness of mindfulness-based stress reduction (MBSR) on depression, anxiety and psychological distress across populations with different chronic somatic diseases. Methods: A systematic review and meta-analysis were performed to examine the effects of MBSR on depression, anxiety, and psychological distress. The influence of quality of studies on the effects of MBSR was analyzed. Results: Eight published, randomized controlled outcome studies were included. An overall effect size on depression of 0.26 was found, indicating a small effect of MBSR on depression. The effect size for anxiety was 0.47. However, quality of the studies was found to moderate this effect size. When the studies of lower quality were excluded, an effect size of 0.24 on anxiety was found. A small effect size (0.32) was also found for psychological distress. Conclusions: It can be concluded that MBSR has small effects on depression, anxiety and psychological distress in people with chronic somatic diseases. Integrating MBSR in behavioral therapy may enhance the efficacy of mindfulness based interventions. (C) 2010 Elsevier Inc. All rights reserved.