Effects of Participation in a Mindfulness Program for Veterans With Posttraumatic Stress Disorder: A Randomized Controlled Pilot Study
Effects of Participation in a Mindfulness Program for Veterans With Posttraumatic Stress Disorder: A Randomized Controlled Pilot Study
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DOI：
10.1002/jclp.21911
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发表时间：
2013-01-01
影响因子：
3
通讯作者：
Simpson, Tracy L.
中科院分区：
文献类型：
--
作者：
Kearney, David J.;McDermott, Kelly;Simpson, Tracy L.
目的 评估患有 PTSD 的退伍军人与正念减压 (MBSR) 相关的结果。方法 47 名患有创伤后应激障碍 (PTSD；37 名男性，32 名白种人) 的退伍军人被随机分为照常治疗 (TAU；n = 22) 或 MBSR 加 TAU (n = 25)。在基线、治疗后和 4 个月随访时评估 PTSD、抑郁症和心理健康相关生活质量 (HRQOL)。计算标准化效应大小和具有临床意义的结果变化的比例。结果意向治疗分析发现 MBSR 对 PTSD 或抑郁症没有可靠的作用。治疗后心理HRQOL有所改善，但4个月时没有可靠的效果。在 4 个月的随访中，更多随机接受 MBSR 的退伍军人在心理 HRQOL 以及心理 HRQOL 和 PTSD 症状方面出现了具有临床意义的变化。完整分析（= 参加 4 节课）显示，抑郁症、心理 HRQOL 和正念技能的组间效应大小为中等至较大。结论 需要进行更多研究来评估患有 PTSD 的退伍军人的 MBSR。
Objective To assess outcomes associated with Mindfulness-Based Stress Reduction (MBSR) for veterans with PTSD. MethodsForty-seven veterans with posttraumatic stress disorder (PTSD; 37 male, 32 Caucasian) were randomized to treatment as usual (TAU; n = 22), or MBSR plus TAU (n = 25). PTSD, depression, and mental health-related quality of life (HRQOL) were assessed at baseline, posttreatment, and 4-month follow-up. Standardized effect sizes and the proportion with clinically meaningful changes in outcomes were calculated. ResultsIntention-to-treat analyses found no reliable effects of MBSR on PTSD or depression. Mental HRQOL improved posttreatment but there was no reliable effect at 4 months. At 4-month follow-up, more veterans randomized to MBSR had clinically meaningful change in mental HRQOL, and in both mental HRQOL and PTSD symptoms. Completer analyses (= 4 classes attended) showed medium to large between group effect sizes for depression, mental HRQOL, and mindfulness skills. ConclusionsAdditional studies are warranted to assess MBSR for veterans with PTSD.