Sustained Effects of a Mindfulness-Based Stress-Reduction Intervention in Type 2 Diabetic Patients
Sustained Effects of a Mindfulness-Based Stress-Reduction Intervention in Type 2 Diabetic Patients
复制标题
基于正念的减压干预对 2 型糖尿病患者的持续效果
作者：
M. Hartmann;S. Kopf;C. Kircher;V. Faude;Z. Djuric;Florian Augstein;H. Friederich;M. Kieser;A. Bierhaus;P. Humpert;W. Herzog;P. Nawroth
目的探讨正念减压（MBSR）干预是否能有效减轻2型糖尿病患者的心理社会困扰（即抑郁、心理社会压力）和肾病（即蛋白尿）的进展，并改善患者的主观健康状况。研究设计和方法将2型糖尿病和微量白蛋白尿患者随机分为正念干预组（n = 53）和常规治疗对照组（n = 57）。该研究旨在调查为期5年的长期结果。我们提供了随访第一年（FU）的数据。结果在FU时，与对照组相比，MBSR组抑郁水平较低（d = 0.71），健康状况较好（d = 0.54）。两组在蛋白尿方面无显著差异。按方案分析还显示，干预组的压力减轻程度更高（d = 0.64）。结论：正念减压干预可以长期减少心理社会困扰。对蛋白尿的影响将进一步随访。
OBJECTIVE To determine whether a mindfulness-based stress reduction (MBSR) intervention is effective for reducing psychosocial distress (i.e., depression, psychosocial stress) and the progression of nephropathy (i.e., albuminuria) and for improving the subjective health status of patients with type 2 diabetes. RESEARCH DESIGN AND METHODS Patients with type 2 diabetes and microalbuminuria were randomized to a mindfulness-based intervention (n = 53) or a treatment-as-usual control (n = 57) group. The study is designed to investigate long-term outcomes over a period of 5 years. We present data up to the first year of follow-up (FU). RESULTS At FU, the MBSR group showed lower levels of depression (d = 0.71) and improved health status (d = 0.54) compared with the control group. No significant differences in albuminuria were found. Per-protocol analysis also showed higher stress reduction in the intervention group (d = 0.64). CONCLUSIONS MBSR intervention achieved a prolonged reduction in psychosocial distress. The effects on albuminuria will be followed up further.
DOI：
--
发表时间：
2010
期刊：
--
影响因子：
--
作者：
伸二 鍵本
通讯作者：
伸二 鍵本