Mindfulness-based stress reduction for older adults with worry symptoms and co-occurring cognitive dysfunction.
Mindfulness-based stress reduction for older adults with worry symptoms and co-occurring cognitive dysfunction.
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DOI：
10.1002/gps.4086
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发表时间：
2014-10
影响因子：
4
通讯作者：
Wetherell, Julie Loebach
中科院分区：
文献类型：
--
作者：
Lenze, Eric J.;Hickman, Steven;Hershey, Tamara;Wendleton, Leah;Khanh Ly;Dixon, David;Dore, Peter;Wetherell, Julie Loebach
基于正念的减压（MBSR）有可能减少担忧并改善认知功能。在这个治疗开发项目中，我们检查了患有焦虑症状和并发认知功能障碍的老年人的MBSR。我们检查了（1）正念减压疗法的可接受性，（2）正念减压疗法是否需要延长以提供更多的重复，（3）正念减压疗法对减少担忧和改善认知的好处，以及（4）在随访期间继续使用正念减压疗法技术。两个研究中心（圣路易斯和圣地亚哥）招募了年龄在65岁以上、有明显焦虑相关痛苦和主观认知功能障碍的人，分为传统的8节MBSR组和12节MBSR组，这两组的内容相同，但主题和技术重复更多。我们检查了正念、忧虑和专注于记忆和执行功能的神经心理电池在正念减压疗法前后的测量结果，并在正念减压疗法完成后对参与者进行了6个月的随访，以了解他们是否继续使用其技术。参与者（N=34）表现出担忧严重程度的改善，正念的增加，以及通过延迟后的段落学习和回忆来衡量的记忆力的改善，所有这些都具有较大的效应量。大多数参与者继续使用MBSR技术六个月后的指导，并发现他们在压力的情况下很有帮助。没有证据表明，延长12周的正念减压疗法比8周的正念减压疗法产生了上级的认知或临床结果，更高的满意度，或更大的持续性。这些初步的研究结果是有希望的进一步测试和使用正念减压疗法在老年人患有临床焦虑症状和共同发生的认知功能障碍。这些都是老年人的常见问题，其中许多人患有焦虑和情绪障碍;因此，对他们进行减压干预可能具有很大的公共卫生价值。
Mindfulness-Based Stress Reduction (MBSR) has the potential to reduce worry and improve cognitive functioning. In this treatment development project, we examined MBSR in older adults with worry symptoms and co-occurring cognitive dysfunction. We examined (1) acceptability of MBSR, (2) whether MBSR needs to be lengthened providing more repetition, (3) MBSR's benefits for worry reduction and cognitive improvements, and (4) continued use of MBSR techniques during follow-up. Two sites (St. Louis and San Diego) enrolled individuals aged 65+ with significant anxiety-related distress plus subjective cognitive dysfunction, into traditional 8-session MBSR groups and 12-session groups that had the same content but more repetition of topics and techniques. We examined measures of mindfulness, worry, and a neuropsychological battery focused on memory and executive function before and after the MBSR program, and we followed up participants for 6 months after the completion of MBSR regarding their continued use of its techniques. Participants (N=34) showed improvements in worry severity, increases in mindfulness, and improvements in memory as measured by paragraph learning and recall after a delay, all with a large effect size. Most participants continued to use MBSR techniques for six months post-instruction and found them helpful in stressful situations. There was no evidence that the extended 12-week MBSR produced superior cognitive or clinical outcomes, greater satisfaction, or greater continuation of MBSR techniques than 8-week MBSR. These preliminary findings are promising for the further testing and use of MBSR in older adults suffering from clinical worry symptoms and co-occurring cognitive dysfunction. These are common problems in a broad range of older adults, many of whom have anxiety and mood disorders; therefore, stress reduction intervention for them may have great public health value.
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影响因子：
3.4
作者：
Golden, Jeannette;Conroy, Ronan M.;Lawlor, Brian A.
通讯作者：
Lawlor, Brian A.
DOI：
10.1192/bjp.bp.110.090217
发表时间：
2011-09
期刊：
The British journal of psychiatry : the journal of mental science
影响因子：
--
作者：
Butters MA;Bhalla RK;Andreescu C;Wetherell JL;Mantella R;Begley AE;Lenze EJ
通讯作者：
Lenze EJ
影响因子：
2.2
作者：
Bédard, M;Felteau, M;Minthorn-Biggs, MB
通讯作者：
Minthorn-Biggs, MB
影响因子：
10.6
作者：
Alexopoulos, GS;Kiosses, DN;Gunning-Dixon, F
通讯作者：
Gunning-Dixon, F
影响因子：
15.1
作者：
Carlson, Linda E.;Speca, Michael;Patel, Kamala D.
通讯作者：
Patel, Kamala D.