Chan SHW et al. Meta-analysis of MBI programs on sleep
ChanSHW等人。 MBI计划对睡眠的荟萃分析
(MBSR) and mindfulness-based touch therapy (MBTT) met the inclusion criteria. The greatest effect sizes are reported in favour of MBTT, with SMDs of -1.138 (95%CI: -1.937 to -0.340; P = 0.005), followed by -1.003 (95%CI: -1.645 to -0.360; P = 0.002) for MBCT. SMDs of -0.618 (95%CI: - 0.980 to -0.257; P = 0.001) and -0.551 (95%CI: -0.842 to -0.260; P < 0.0001) were reported for IMMI and MBSR in the pooling trials, respectively. Significant effects on sleep problem improvement are shown in all reviewed MBI programs, except MM, for which the effect size was shown to be non- significant
(MBSR) 和基于正念的触摸疗法 (MBTT) 符合纳入标准。据报道,SMD 为 -1.138 的 MBTT 效应量最大(95% CI -1.937 至 -0.340;P = 0.005),然后是 -1.003(95% CI:-1.645 至 -0.360;P = 0.002),对于 -0.618 的 MBCTSMD (95% CI- 0.980 至 -0.257;P = 0.001)和 -0.551 (95% CI: -0.842 至 -0.260;在合并试验中分别报告了 IMMI 和 MBSR 的 P < 0.0001)。所有经过审查的 MBI 计划都显示了对睡眠问题改善的显着影响,但 MM 除外,其效应量被证明不显著.
CONCLUSION
结论
All MBI programs (MBTT, MBCT, IMMI andMBSR), except MM, are effective options to improve sleep problems among people with depression or anxiety disorder.
除 MM 外,所有 MBI 计划(MBTT、MBCT、IMMI 和MBSR)都是改善抑郁症或焦虑症患者睡眠问题的有效选择。
KeyWords: Mindfulness-based intervention programs; Common mental disorders; Sleep; Systematic review; Meta-analysis
关键词: 基于正念的干预 programs;常见的精神障碍;睡;系统评价;Meta 分析
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
©作者 2022 年。由BaishidengPublishing Group Inc. 出版 保留所有权利。
Citation: Chan SHW, Lui D, Chan H, Sum K, Cheung A, Yip H, Yu CH. Effects of mindfulness-based intervention
引用:ChanSHW, Lui D, Chan H,Sum K, Cheung A, YipH,Yu CH.正念干预的效果
programs on sleep among people with common mental disorders: A systematic review and meta-analysis. World J Psychiatry 2022; 12(4): 636-650
常见精神障碍患者睡眠计划:系统评价和荟萃分析世界精神病学杂志 2022;12(4):636-650
URL: https://www.wjgnet.com/2220-3206/full/v12/i4/636.htm
网址:https://www.wjgnet.com/2220-3206/full/v12/i4/636.htm
DOI: https://dx.doi.org/10.5498/wjp.v12.i4.636
DOI: https://dx.doi.org/10.5498/wjp.v12.i4.636
INTRODUCTION
介绍Depression and anxiety disorder, also known as common mental disorders, are conditions that critically affect people’s emotions, energy and ability to function. Approximately 1 in 5 adults were identified as meeting criteria for a common mental disorder over the past 12 mo, with the lifetime prevalence reported as 20.8% and 28.8% for depression and anxiety disorder, respectively[1,2]. Both depression and anxiety disorder are among the top 10 causes of disease burden worldwide[3], prompting the necessity to find ways for better treatment and planning of care
抑郁症和焦虑症,也称为常见的精神障碍,是严重影响人们的情绪、精力和功能能力的疾病。在过去 12 个月中,大约每 5 名成年人中就有 1 名被确定为符合常见精神障碍的标准,据报道抑郁症和焦虑症的终生患病率分别为 20.8% 和 28.8%[12]。抑郁症和焦虑症都是全球疾病负担的 10 大原因之一[3],因此有必要寻找更好的治疗和护理规划方法.
Insomnia frequently co-occurs with both depression[4] and anxiety disorder[5]. Sleep problems, which include difficulty in falling asleep, early awakening, poor sleep quality, daytime sleepiness and poor adherence to the sleep-wake cycle pattern, are particularly prevalent among people with depression and anxiety disorder[6]. The relationships between insomnia and common mental disorders appear to be bidirectional[7]. Symptoms of anxiety and depression, such as worry and rumination, can contribute to insomnia. Alternatively, insomnia can also increase the likelihood of developing depression or anxiety disorder, possibly due to the psychological distress as well as hormonal and neurochemical disturbances caused by poor sleep[8,9]. Thus, interventions aiming at reducing symptoms of insomnia should provide benefit for the disorder per se[10].
失眠经常与抑郁症 [4] 和焦虑症 [5] 同时发生。睡眠问题,包括入睡困难、早醒、睡眠质量差、白天嗜睡和对睡眠-觉醒周期模式的依从性差,在患有抑郁症和焦虑症[6]。失眠和常见精神障碍之间的关系似乎是双向的[7]。焦虑和抑郁的症状,如忧愁和反刍,都会导致失眠。或者,失眠也会增加患抑郁症或焦虑症的可能性,这可能是由于心理干扰以及荷尔蒙和神经化学作用睡眠不佳引起的干扰[8, 9]。 因此,旨在诱发失眠症状的干预措施应该为疾病本身提供益处[10]。
Individuals may consider psychotherapy instead of pharmaceutical treatment, due to possible side effects and potential dependence on medication[11-13]. Cognitive behavioural therapy (CBT) has been substantially confirmed to be an effective psychosocial treatment in managing depression and anxiety [14,15]. In a meta-analysis of 1205 CBT trials for anxiety disorders, results indicated that CBT for anxiety has a moderate effect on sleep[16]. In terms of the treatment of both depression and insomnia, another study found that the addition of CBT for insomnia (known as CBT-I) to antidepressant medication treatment can lead to better treatment outcomes [17]. However, some reviews showed that the effect sizes of CBT for depression have steadily decreased since its inception four decades ago [18,19]. Therefore, merely employing CBT might not be sufficient for managing mood disorders and their corresponding sleep problems.
由于可能的副作用和对药物的潜在依赖性,个体可能会考虑心理治疗而不是药物治疗[11-13]。认知行为疗法 (CBT) 已被基本证实是管理抑郁和焦虑的有效社会心理治疗方法[14, 15]。 在一项对 1205 项针对焦虑症的 CBT试验的荟萃分析中,结果表明CBT治疗焦虑对睡眠有中等影响[16]。 在抑郁症和失眠症的治疗方面,另一项研究发现,在抗抑郁药物治疗中加入治疗失眠的 CBT(称为CBT-I)可以带来更好的治疗结果[17]。 然而,一些综述表明,CBT对抑郁症的疗效自4年前开始以来一直在稳步下降[18, 19]。因此,仅使用CBT可能不足以管理情绪障碍及其相应的睡眠问题。
Due to the limitations of traditional treatments, many people who experience insomnia are willing to consider using complementary and alternative medicine (CAM) as an alternative therapeutic option,
由于传统疗法的局限性,许多失眠患者愿意考虑使用补充和替代医学 (CAM) 作为替代治疗选择,
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