Workplace based mindfulness practice and inflammation: a randomized trial.

Workplace based mindfulness practice and inflammation: a randomized trial.
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DOI:
10.1016/j.bbi.2012.10.009
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发表时间:
2013-01
影响因子:
15.1
通讯作者:
Klatt, Maryanna
Klatt, Maryanna
中科院分区:
医学1区
文献类型:
--
作者:
Malarkey, William B.;Jarjoura, David;Klatt, Maryanna

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我们已经开发了一种低剂量的基于正念的干预(MBI-ld),减少了会议和正式正念练习的时间,同时在工作日进行会议。这减少了通常提到的不参与正念计划的障碍。在一项随机对照试验中,我们研究了大学教职员工(n=186),他们被发现CRP水平升高,>3.0 mg/ml,并且患有心血管疾病或有患心血管疾病的风险。这项研究旨在评估MBI-ld是否可以产生更大的降低CRP,IL-6和皮质醇比积极对照组接受生活方式教育计划时,在2个月的干预措施结束时测量。我们发现,MBI-ld显着提高了2个月的正念,并保持长达一年的时间相比,教育控制。两个月后,皮质醇、IL-6水平或自我报告的压力、抑郁和睡眠质量指标的干预措施之间没有显着变化。虽然没有统计学显著性(p= 0.08),但MBI-ld组在2个月时的CRP水平比教育对照组低1 mg/ml,这种变化可能具有临床意义。基线BMI<30(−2.67 mg/ml)的参与者比BMI> 30(− 0.18 mg/ml)的参与者对CRP的影响更大(与对照组相比)。我们的结论是,MBI-ld应该作为一种低成本的自我导向的补充策略,以减少炎症,它似乎最有前途的非肥胖受试者进行更充分的研究。
We have developed a low dose Mindfulness Based Intervention (MBI-ld) that reduces the time committed to meetings and formal mindfulness practice, while conducting the sessions during the workday. This reduced the barriers commonly mentioned for non-participation in mindfulness programs. In a controlled randomized trial we studied university faculty and staff (n=186) who were found to have an elevated CRP level, >3.0 mg/ml, and who either had, or were at risk for cardiovascular disease. This study was designed to evaluate if MBI-ld could produce a greater decrease in CRP, IL-6 and cortisol than an active control group receiving a lifestyle education program when measured at the end of the 2 month interventions. We found that MBI-ld significantly enhanced mindfulness by 2-months and it was maintained for up to a year when compared to the education control. No significant changes were noted between interventions in cortisol, IL-6 levels or self-reported measures of perceived stress, depression and sleep quality at 2-months. Although not statistically significant (p=.08), the CRP level at 2-months was one mg/ml lower in the MBI-ld group than in the education control group, a change which may have clinical significance. A larger MBI-ld effect on CRP (as compared to control) occurred among participants who had a baseline BMI<30 (−2.67 mg/ml) than for those with BMI>30 (−0.18mg/ml). We conclude that MBI-ld should be more fully investigated as a low-cost self-directed complementary strategy for decreasing inflammation, and it seems most promising for non-obese subjects.
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