PLOS Med:正念减少焦虑、抑郁和压力?并不是所有人都有用!

2021-03-08 MedSci原创 MedSci原创

与不采取行动相比,正念训练可以促进非临床环境中的心理健康。

正念(Minfulness)通常被定义为 "全心全意地关注在当下发生的事情,从自己的身体感觉,到整个环境的变化。近年来,它作为一种提高幸福感和减少压力的方式越来越受欢迎。

作为维护和调节身心健康的一种方式,正念训练越来越流行。多项研究显示,正念对一系列身心疾病都有益处,包括肠易激综合症,纤维肌痛,牛皮癣,焦虑症,抑郁症和创伤后应激障碍等等。但因其研究样本量较小或实验设计并没有统一的结论。尽管如此,正念仍在一些关键领域,包括抑郁症,慢性疼痛和焦虑症等,参与正念冥想计划使得患者受益匪浅,其作用与其他现有疗法相似。

目前,正念课程经常被宣传为减轻压力和提高幸福感的通用工具,任何人、任何地方都可以使用。因此,许多国家的卫生服务机构已经开始提供基于正念的疗法,旨在帮助治疗抑郁症和有自杀念头的患者的心理健康问题。

目前已经发表了许多随机对照试验以评估正念训练是否可以改善心理健康和幸福感,但结果各异。最近,发表在《PLOS Medicine》上的一项研究中,来自剑桥大学精神病学系的一个研究小组对上述问题进行了全面系统回顾和meta分析,旨在为人们提供更有力的结论。

该小组纳入了136项关于在社区环境中促进心理健康正念训练的RCTs,共包括来自29个国家的11605名18至73岁的参与者。主要结果是在项目完成后1至6个月进行的心理测量学验证的焦虑、抑郁、心理痛苦和心理健康问卷。

研究人员发现,在大多数社区环境中,与什么都不做相比,正念训练确实可以减少焦虑、抑郁和压力,并增加幸福感。然而,研究人员同样提到,正念训练对于压力较小的社区环境似乎作用没有那么大。

该研究的第一作者,剑桥大学精神病学系的Julieta Galante博士说:"对于一般的人和环境来说,正念练习似乎比什么都不做更有利于改善我们的心理健康,特别是当涉及到抑郁、焦虑和心理困扰时--但我们不应该假设它对每个人、每个地方都有效。

"社区开展正念训练需要谨慎实施——这只是其中的一种选择,随着课程在新的环境中的实施,应该对其效果范围进行研究。最有效的课程可能是针对压力最大或处于紧张状态的人,例如卫生工作者,因为这些人群中观察到了最大的获益。"

综上,与不采取行动相比,正念训练可以促进非临床环境中的心理健康。但考虑到研究之间的异质性,这些发现并不支持每个环境中的正念训练都有效。应进一步根据不同的非临床环境研究正念训练的作用,以更好发现哪类人群在哪些环境最有可能受益。

 

参考文献:

Galante J, et al. Mindfulness-based programmes for mental health promotion in adults in nonclinical settings: A systematic review and meta-analysis of randomised controlled trials. PLoS Med. 2021 Jan 11;18(1):e1003481. doi: 10.1371/journal.pmed.1003481.

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    2021-07-28 lily81713

    不错

    0

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  3. [GetPortalCommentsPageByObjectIdResponse(id=1003405, encodeId=13501003405d6, content=不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKFGucAbiblxRaM4pguwtZW1b9ht4VM4eOCaMop2XgRhYA3YnCbDvkYqNKBrQMqfuicPfIjWq70C74w/132, createdBy=7e5a2499123, createdName=lily81713, createdTime=Wed Jul 28 19:22:52 CST 2021, time=2021-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1610950, encodeId=3023161095088, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Wed Mar 10 12:07:08 CST 2021, time=2021-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946676, encodeId=c53a9466e6d1, content=这个例如医疗工作者就很灵性了, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eqECZcqB1HjQrfNz5yRtP20rXibvlLsaiaBQNrtcQpiaaMQZkEhanOc5pP0rpsGdA5icg1aRBJiaVdqREA/132, createdBy=f0625292139, createdName=Mysterio, createdTime=Tue Mar 09 08:57:27 CST 2021, time=2021-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1050545, encodeId=77fa10505454c, content=焦虑是当年年轻人的共同问题,需要认真对待。, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=明天jing, createdTime=Tue Mar 09 00:07:08 CST 2021, time=2021-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946603, encodeId=3108946603b3, content=666666666, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bf2f5467007, createdName=ms6000001823683290, createdTime=Mon Mar 08 22:56:52 CST 2021, time=2021-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946589, encodeId=4388946589ce, content=非常好, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d37c5466990, createdName=ms6000000054928928, createdTime=Mon Mar 08 22:27:35 CST 2021, time=2021-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946566, encodeId=8503946566ac, content=赞同, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210308/ee92791efc274c3fa0b59c0ced8592b9/e0153faceb6943e38173dc65f2b4956e.jpg, createdBy=8ebe1507172, createdName=348511787, createdTime=Mon Mar 08 21:43:08 CST 2021, time=2021-03-08, status=1, ipAttribution=)]
    2021-03-09 Mysterio

    这个例如医疗工作者就很灵性了

    0

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    2021-03-09 明天jing

    焦虑是当年年轻人的共同问题,需要认真对待。

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1003405, encodeId=13501003405d6, content=不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKFGucAbiblxRaM4pguwtZW1b9ht4VM4eOCaMop2XgRhYA3YnCbDvkYqNKBrQMqfuicPfIjWq70C74w/132, createdBy=7e5a2499123, createdName=lily81713, createdTime=Wed Jul 28 19:22:52 CST 2021, time=2021-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1610950, encodeId=3023161095088, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Wed Mar 10 12:07:08 CST 2021, time=2021-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946676, encodeId=c53a9466e6d1, content=这个例如医疗工作者就很灵性了, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eqECZcqB1HjQrfNz5yRtP20rXibvlLsaiaBQNrtcQpiaaMQZkEhanOc5pP0rpsGdA5icg1aRBJiaVdqREA/132, createdBy=f0625292139, createdName=Mysterio, createdTime=Tue Mar 09 08:57:27 CST 2021, time=2021-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1050545, encodeId=77fa10505454c, content=焦虑是当年年轻人的共同问题,需要认真对待。, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=明天jing, createdTime=Tue Mar 09 00:07:08 CST 2021, time=2021-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946603, encodeId=3108946603b3, content=666666666, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bf2f5467007, createdName=ms6000001823683290, createdTime=Mon Mar 08 22:56:52 CST 2021, time=2021-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946589, encodeId=4388946589ce, content=非常好, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d37c5466990, createdName=ms6000000054928928, createdTime=Mon Mar 08 22:27:35 CST 2021, time=2021-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946566, encodeId=8503946566ac, content=赞同, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210308/ee92791efc274c3fa0b59c0ced8592b9/e0153faceb6943e38173dc65f2b4956e.jpg, createdBy=8ebe1507172, createdName=348511787, createdTime=Mon Mar 08 21:43:08 CST 2021, time=2021-03-08, status=1, ipAttribution=)]
    2021-03-08 ms6000001823683290

    666666666

    0

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    2021-03-08 ms6000000054928928

    非常好

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1003405, encodeId=13501003405d6, content=不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKFGucAbiblxRaM4pguwtZW1b9ht4VM4eOCaMop2XgRhYA3YnCbDvkYqNKBrQMqfuicPfIjWq70C74w/132, createdBy=7e5a2499123, createdName=lily81713, createdTime=Wed Jul 28 19:22:52 CST 2021, time=2021-07-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1610950, encodeId=3023161095088, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Wed Mar 10 12:07:08 CST 2021, time=2021-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946676, encodeId=c53a9466e6d1, content=这个例如医疗工作者就很灵性了, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eqECZcqB1HjQrfNz5yRtP20rXibvlLsaiaBQNrtcQpiaaMQZkEhanOc5pP0rpsGdA5icg1aRBJiaVdqREA/132, createdBy=f0625292139, createdName=Mysterio, createdTime=Tue Mar 09 08:57:27 CST 2021, time=2021-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1050545, encodeId=77fa10505454c, content=焦虑是当年年轻人的共同问题,需要认真对待。, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=明天jing, createdTime=Tue Mar 09 00:07:08 CST 2021, time=2021-03-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946603, encodeId=3108946603b3, content=666666666, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=bf2f5467007, createdName=ms6000001823683290, createdTime=Mon Mar 08 22:56:52 CST 2021, time=2021-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946589, encodeId=4388946589ce, content=非常好, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d37c5466990, createdName=ms6000000054928928, createdTime=Mon Mar 08 22:27:35 CST 2021, time=2021-03-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=946566, encodeId=8503946566ac, content=赞同, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210308/ee92791efc274c3fa0b59c0ced8592b9/e0153faceb6943e38173dc65f2b4956e.jpg, createdBy=8ebe1507172, createdName=348511787, createdTime=Mon Mar 08 21:43:08 CST 2021, time=2021-03-08, status=1, ipAttribution=)]
    2021-03-08 348511787

    赞同

    0