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Efficacy of mental health smartphone apps on stress levels: a meta-analysis of randomised controlled trials. 心理健康智能手机应用程序对压力水平的影响:随机对照试验荟萃分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-07-23 DOI: 10.1080/17437199.2024.2379784
Jake Linardon, Joseph Firth, John Torous, Mariel Messer, Matthew Fuller-Tyszkiewicz

The management of stress has evolved in recent years due to widespread availability of mobile-device applications (apps) and their capacity to deliver psychological interventions. We evaluated the efficacy of mental health apps on stress and sought to identify characteristics associated with effect size estimates. Sixty-nine randomised controlled trials (RCTs) were included. Random effects meta-analyses were performed and putative moderators were examined at univariate and multivariate (combinations and interactions) levels. From 78 comparisons, we observed a small but significant pooled effect of apps over control conditions on perceived stress levels (g = 0.27; 95% CI = 0.20, 0.34; I2 = 68%). This effect weakened after taking into account small-study bias according to the trim-and-fill procedure (g = 0.10; 95% CI = 0.02, 0.19; I2 = 78%). Delivery of apps with stress monitoring features produced smaller efficacy estimates, although this association interacted with other trial features (small sample size and inactive control group) in multivariate analyses, suggesting that this effect may have been explained by features characteristic of low-quality trials. Mental health apps appear to have small, acute effects on reducing perceived stress. Future research should shift focus towards identifying change mechanisms, longitudinal outcomes, features that facilitate sustained app usage, and tangible pathways to integrating apps into real-world clinical settings.

近年来,由于移动设备应用程序(Apps)的普及及其提供心理干预的能力,压力管理得到了发展。我们评估了心理健康应用程序对压力的疗效,并试图找出与估计效应大小相关的特征。我们纳入了 69 项随机对照试验(RCT)。我们进行了随机效应荟萃分析,并在单变量和多变量(组合和交互作用)水平上研究了可能的调节因素。在 78 项比较中,我们观察到应用程序与对照条件相比,对感知压力水平有微小但显著的集合效应(g = 0.27;95% CI = 0.20,0.34;I2 = 68%)。根据 "修剪-填充 "程序考虑到小规模研究的偏差后,这一效应有所减弱(g = 0.10; 95% CI = 0.02, 0.19; I2 = 78%)。具有压力监测功能的应用程序产生的疗效估计值较小,但在多变量分析中,这种关联与其他试验特征(样本量小和对照组不活跃)相互影响,表明这种效应可能是由低质量试验的特征造成的。心理健康应用程序似乎在减少感知压力方面具有微小的急性效应。未来的研究应将重点转向确定变化机制、纵向结果、有助于持续使用应用程序的特征,以及将应用程序整合到实际临床环境中的具体途径。
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引用次数: 0
Selective outcome reporting in trials of behavioural health interventions in health psychology and behavioural medicine journals: a review. 健康心理学和行为医学期刊对行为健康干预试验结果的选择性报告:综述。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-26 DOI: 10.1080/17437199.2024.2367613
Karen Matvienko-Sikar, Jen O'Shea, Stephen Kennedy, Siobhan D Thomas, Kerry Avery, Molly Byrne, Sheena McHugh, Daryl B O' Connor, Ian J Saldanha, Valerie Smith, Elaine Toomey, Kerry Dwan, Jamie J Kirkham

Selective outcome reporting can result in overestimation of treatment effects, research waste, and reduced openness and transparency. This review aimed to examine selective outcome reporting in trials of behavioural health interventions and determine potential outcome reporting bias. A review of nine health psychology and behavioural medicine journals was conducted to identify randomised controlled trials of behavioural health interventions published since 2019. Discrepancies in outcome reporting were observed in 90% of the 29 trials with corresponding registrations/protocols. Discrepancies included 72% of trials omitting prespecified outcomes; 55% of trials introduced new outcomes. Thirty-eight percent of trials omitted prespecified and introduced new outcomes. Three trials (10%) downgraded primary outcomes in registrations/protocols to secondary outcomes in final reports; downgraded outcomes were not statistically significant in two trials. Five trials (17%) upgraded secondary outcomes to primary outcomes; upgraded outcomes were statistically significant in all trials. In final reports, three trials (7%) omitted outcomes from the methods section; three trials (7%) introduced new outcomes in results that were not in the methods. These findings indicate that selective outcome reporting is a problem in behavioural health intervention trials. Journal- and trialist-level approaches are needed to minimise selective outcome reporting in health psychology and behavioural medicine.

选择性结果报告可能会导致治疗效果被高估、研究浪费以及公开性和透明度降低。本综述旨在研究行为健康干预试验中的选择性结果报告,并确定潜在的结果报告偏差。我们对九种健康心理学和行为医学期刊进行了回顾,以确定自2019年以来发表的行为健康干预随机对照试验。在29项有相应注册/方案的试验中,90%的试验结果报告存在差异。差异包括72%的试验遗漏了预先指定的结果;55%的试验引入了新的结果。38%的试验遗漏了预先指定的结果并引入了新的结果。三项试验(10%)将登记/方案中的主要结果降级为最终报告中的次要结果;在两项试验中,降级结果没有统计学意义。五项试验(17%)将次要结果升级为主要结果;在所有试验中,升级后的结果均具有统计学意义。在最终报告中,有三项试验(7%)遗漏了方法部分的结果;有三项试验(7%)在结果中引入了方法中没有的新结果。这些发现表明,选择性结果报告是行为健康干预试验中的一个问题。需要在期刊和试验者层面采取相应措施,尽量减少健康心理学和行为医学中的选择性结果报告。
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引用次数: 0
Does socioeconomic position moderate the associations between the content and delivery features of digital behaviour change interventions for smoking cessation and intervention effectiveness? A systematic review and meta-analysis 社会经济地位是否会缓和戒烟数字化行为改变干预的内容和实施特点与干预效果之间的关联?系统回顾与荟萃分析
IF 9.8 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-18 DOI: 10.1080/17437199.2024.2366189
Corinna Leppin, Tosan Okpako, Jamie Brown, Claire Garnett, Olga Perski
Prior research indicates that digital smoking cessation interventions can be effective, but little is known about their active ingredients. Therefore, this review aimed to examine the associations ...
先前的研究表明,数字化戒烟干预措施可能有效,但人们对其有效成分知之甚少。因此,本综述旨在研究...
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引用次数: 0
Gay community involvement and the sexual health behaviours of sexual minority men: a systematic review and directions for future research. 男同性恋社区参与与性少数群体男性的性健康行为:系统综述与未来研究方向》(Gay community involvement and the sexual health behaviours of sexual minority men: a systematic review and directions for future research.
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-08-07 DOI: 10.1080/17437199.2023.2236180
Laurel P Gibson, Emily B Kramer, Jordan Wrigley, Maxwell Probst, Angela D Bryan

Considerable research has examined how involvement in gay-affiliated communities is associated with sexual health behaviours in sexual minority men (i.e., gay, bisexual, and other men who have sex with men), yet findings in this domain are often contradictory and inconclusive. This systematic review aimed to (a) synthesise the related empirical literature, and (b) identify potential factors driving inconsistent findings. Peer-reviewed publications were included if they contained quantitative data and at least one measure of the statistical association between gay community involvement and sexual health behaviour. The search strategy was implemented in six databases and returned 6,409 articles, of which 86 met the inclusion criteria. There was considerable heterogeneity in how gay community involvement was assessed across studies. Although gay community involvement was consistently associated with greater engagement in protective behaviours across studies, the association between gay community involvement and risk behaviours appeared to depend on how gay community involvement was conceptualised and measured (e.g., nightlife involvement vs. political activism). Findings emphasise a need for studies that employ validated measures that reflect the multidimensional nature of gay community involvement, as well as research designs better suited to address the causal effects of community involvement on HIV/STI transmission and prevention.

大量研究探讨了性少数群体男性(即男同性恋、双性恋和其他男男性行为者)参与男同性恋社区与性健康行为之间的关系,但这方面的研究结果往往相互矛盾且没有定论。本系统综述旨在:(a) 综合相关的实证文献;(b) 找出导致研究结果不一致的潜在因素。经同行评审的出版物中,只要包含定量数据和至少一种衡量同性恋社区参与与性健康行为之间统计关系的指标,均被纳入其中。该搜索策略在六个数据库中实施,共检索到 6,409 篇文章,其中 86 篇符合纳入标准。不同研究对同性恋社区参与的评估方式存在很大差异。尽管在各项研究中,同性恋社区参与与更多的保护行为相关,但同性恋社区参与与风险行为之间的关联似乎取决于同性恋社区参与的概念化和衡量方式(如夜生活参与与政治活动)。研究结果强调,研究需要采用能够反映同性恋社区参与多面性的有效测量方法,以及更适合解决社区参与对艾滋病毒/性传播感染传播和预防的因果效应的研究设计。
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引用次数: 0
Psychosocial and behavioural predictors of immune response to influenza vaccination: a systematic review and meta-analysis. 流感疫苗免疫反应的社会心理和行为预测因素:系统回顾和荟萃分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-05-09 DOI: 10.1080/17437199.2023.2208652
Andrea Ballesio, Andrea Zagaria, Cristiano Violani, Caterina Lombardo

High variability of influenza vaccine efficacy requires the identification of modulators of immunisation that may be targeted as adjuvants in health psychology interventions. Psychosocial and behavioural variables such as psychological stress, greater negative and lower positive affectivity, poor sleep, loneliness, and lack of social support, have been associated with abnormal immune and inflammatory responses and negative health outcomes, yet their effects in modulating vaccine efficacy are yet to be fully understood. We conducted an updated systematic review of longitudinal and experimental studies examining the effects of such variables in predicting immune response to influenza vaccine. PubMed, Medline, PsycINFO, CINAHL and Scopus were searched up to November 2022. Twenty-five studies met the inclusion criteria for qualitative synthesis and 16 provided data for meta-analysis. Low positive and high negative affect were associated with low antibodies and weak cell-mediated immunity following vaccination in qualitative synthesis. Literature on sleep disturbance, loneliness and social support was limited and yielded inconsistent results. Psychological stress was associated with poorer antibody response in meta-analysis. In conclusion, findings from this review suggest a need for further longitudinal and experimental studies on these factors to support their inclusion as target variables in vaccine adjuvant interventions.

流感疫苗疗效的高变异性要求找出免疫调节因子,并将其作为健康心理干预的佐剂。心理社会和行为变量,如心理压力、消极情绪增加和积极情绪减少、睡眠质量差、孤独和缺乏社会支持等,都与异常免疫和炎症反应及不良健康后果有关,但它们对疫苗疗效的调节作用尚待充分了解。我们对纵向研究和实验研究进行了最新的系统回顾,这些研究探讨了这些变量对预测流感疫苗免疫反应的影响。截至 2022 年 11 月,我们检索了 PubMed、Medline、PsycINFO、CINAHL 和 Scopus。25项研究符合定性综合的纳入标准,16项研究提供了荟萃分析数据。在定性综述中,低积极情绪和高消极情绪与接种疫苗后抗体低和细胞介导免疫力弱有关。有关睡眠障碍、孤独感和社会支持的文献有限,结果也不一致。在荟萃分析中,心理压力与较差的抗体反应有关。总之,本综述的研究结果表明,有必要对这些因素进行进一步的纵向和实验研究,以支持将其作为目标变量纳入疫苗佐剂干预中。
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引用次数: 0
Contextualising flexible nonlinear periodization as a person-adaptive behavioral model for exercise maintenance. 将灵活的非线性周期作为一种个人适应性的运动维持行为模式。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-07-10 DOI: 10.1080/17437199.2023.2233592
Kelley Strohacker, Gorden Sudeck, Richard Keegan, Adam H Ibrahim, Cory T Beaumont

There is a growing focus on developing person-adaptive strategies to support sustained exercise behaviour, necessitating conceptual models to guide future research and applications. This paper introduces Flexible nonlinear periodisation (FNLP) - a proposed, but underdeveloped person-adaptive model originating in sport-specific conditioning - that, pending empirical refinement and evaluation, may be applied in health promotion and disease prevention settings. To initiate such efforts, the procedures of FNLP (i.e., acutely and dynamically matching exercise demand to individual assessments of mental and physical readiness) are integrated with contemporary health behaviour evidence and theory to propose a modified FNLP model and to show hypothesised pathways by which FNLP may support exercise adherence (e.g., flexible goal setting, management of affective responses, and provision of autonomy/variety-support). Considerations for future research are also provided to guide iterative, evidence-based efforts for further development, acceptability, implementation, and evaluation.

人们越来越关注开发个人适应性策略,以支持持续的运动行为,这就需要有概念模型来指导未来的研究和应用。本文介绍了灵活非线性周期化(FNLP)--一种源于特定运动调节的建议但尚未充分开发的个人适应性模型--在经验完善和评估之前,可应用于健康促进和疾病预防领域。为了启动这项工作,FNLP 的程序(即根据个人的心理和身体准备情况评估,及时、动态地匹配运动需求)与当代健康行为证据和理论相结合,提出了一个修改后的 FNLP 模型,并展示了 FNLP 支持坚持运动的假设途径(例如,灵活的目标设定、情绪反应管理以及提供自主/变异支持)。此外,还提供了未来研究的考虑因素,以指导以证据为基础的迭代工作,促进进一步的开发、可接受性、实施和评估。
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引用次数: 0
Effects of digital health interventions on the psychological outcomes of perinatal women: umbrella review of systematic reviews and meta-analyses. 数字健康干预对围产期妇女心理结果的影响:系统综述和荟萃分析总览。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-03-15 DOI: 10.1080/17437199.2023.2185654
Ying Lau, Han Shi Jocelyn Chew, Wei How Darryl Ang, Wen Wei Ang, Chin Yi Yeo, Grace Zhi Qi Lim, Sai Ho Wong, Siew Tiang Lau, Ling Jie Cheng

Evidence about the effects of digital health interventions (DHIs) on the psychological outcomes of perinatal women is increasing but remains inconsistent. An umbrella review was conducted to (1) assess the effect of DHIs on depressive, anxiety and stress symptoms and (2) compare the effects of DHIs on different digital platforms and population natures. Ten databases were searched from inception until December 23, 2022. The Hartung-Knapp-Sidik-Jonkman random-effects meta-analyses were utilised. Methodological quality was evaluated using the Assessment of Multiple Systematic Reviews 2 (AMSTAR-2). Twenty-four systematic reviews with 41 meta-analyses involving 45,509 perinatal women from 264 primary studies were included. The credibility of the evidence of meta-analyses was rated as highly suggestive (4.88%), suggestive (26.83%), weak (51.22%) or non-significant (17.07%) according to AMSTAR-2. Our findings suggest that DHIs are beneficial for reducing stress symptoms. However, conflicting effects were found on anxiety symptoms. Subgroup and meta-regression analyses suggested that DHIs effectively improve depressive symptoms in postnatal women, and DHIs using the website platform are highly effective in stress reduction. DHIs can be implemented adjuvant to usual obstetric care to improve depressive and stress symptoms. Additional well-designed RCTs with long-term follow-up are warranted.

有关数字健康干预(DHIs)对围产期妇女心理结果影响的证据越来越多,但仍不一致。我们进行了一项综合综述,目的是:(1)评估数字健康干预对抑郁、焦虑和压力症状的影响;(2)比较不同数字平台和人群性质的数字健康干预的效果。从开始到 2022 年 12 月 23 日,共检索了 10 个数据库。采用Hartung-Knapp-Sidik-Jonkman随机效应荟萃分析法。方法学质量采用《多重系统综述评估 2》(AMSTAR-2)进行评估。共纳入了 24 篇系统综述和 41 项元分析,涉及 264 项主要研究中的 45 509 名围产期妇女。根据 AMSTAR-2,荟萃分析的证据可信度被评为高度提示(4.88%)、提示(26.83%)、弱(51.22%)或无意义(17.07%)。我们的研究结果表明,DHIs 有助于减轻压力症状。然而,在焦虑症状方面却发现了相互矛盾的效果。分组分析和元回归分析表明,DHIs 能有效改善产后妇女的抑郁症状,而使用网站平台的 DHIs 对减轻压力非常有效。DHI可作为常规产科护理的辅助手段,以改善抑郁症状和压力症状。我们还需要进行更多设计良好、长期随访的 RCT 研究。
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引用次数: 0
Emotion suppression and acute physiological responses to stress in healthy populations: a quantitative review of experimental and correlational investigations. 健康人群对压力的情绪抑制和急性生理反应:实验和相关调查的定量回顾。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-08-30 DOI: 10.1080/17437199.2023.2251559
Alexandra T Tyra, Thomas A Fergus, Annie T Ginty

Emotion suppression may be linked to poor health outcomes through elevated stress-related physiology. The current meta-analyses investigate the magnitude of the association between suppression and physiological responses to active psychological stress tasks administered in the laboratory. Relevant articles were identified through Medline, PsychINFO, PubMed, and ProQuest. Studies were eligible if they (a) used a sample of healthy, human subjects; (b) assessed physiology during a resting baseline and active psychological stress task; and (c) measured self-report or experimentally manipulated suppression. Twenty-four studies were identified and grouped within two separate random effects meta-analyses based on study methodology, namely, manipulated suppression (k = 12) and/or self-report (k = 14). Experimentally manipulated suppression was associated with greater physiological stress reactivity compared to controls (Hg = 0.20, 95% CI [0.08, 0.33]), primarily driven by cardiac, hemodynamic, and neuroendocrine parameters. Self-report trait suppression was not associated with overall physiological stress reactivity but was associated with greater neuroendocrine reactivity (r = 0.08, 95% CI [0.01, 0.14]). Significant moderator variables were identified (i.e., type/duration of stress task, nature of control instructions, type of physiology, and gender). This review suggests that suppression may exacerbate stress-induced physiological arousal; however, this may differ based upon the chosen methodological assessment of suppression.

情绪抑制可能会通过压力相关生理机能的升高而与不良的健康结果相关联。目前的荟萃分析调查了情绪抑制与实验室主动心理压力任务生理反应之间的关联程度。相关文章通过 Medline、PsychINFO、PubMed 和 ProQuest 进行鉴定。符合以下条件的研究均可作为研究对象:(a) 使用健康的人类受试者样本;(b) 评估静息基线和主动心理压力任务期间的生理状况;(c) 测量自我报告或实验操纵的抑制。根据研究方法,即操纵性抑制(k = 12)和/或自我报告(k = 14),确定了 24 项研究,并将其归入两个独立的随机效应荟萃分析中。与对照组相比,实验操纵抑制与更大的生理压力反应相关(Hg = 0.20,95% CI [0.08,0.33]),主要由心脏、血液动力学和神经内分泌参数驱动。自我报告的特质抑郁与总体生理压力反应性无关,但与更大的神经内分泌反应性相关(r = 0.08,95% CI [0.01,0.14])。研究发现了一些重要的调节变量(即压力任务的类型/持续时间、控制指示的性质、生理类型和性别)。这篇综述表明,抑制可能会加剧压力引起的生理唤醒;但是,这可能会根据所选择的抑制方法评估而有所不同。
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引用次数: 0
Identifying the active ingredients of training interventions for healthcare professionals to promote and support increased levels of physical activity in adults with heart failure: a systematic review. 确定医护人员培训干预措施的有效成分,以促进和支持心力衰竭成人增加体育锻炼:系统综述。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-08-13 DOI: 10.1080/17437199.2023.2238811
Kirsten Ashley, Mei Yee Tang, Darren Flynn, Matthew Cooper, Linda Errington, Leah Avery

Heart failure (HF) is characterised by breathlessness and fatigue that impacts negatively on patients' intentions to prioritise physical activity (PA). Healthcare professionals (HCPs) experience challenges when motivating patients to increase PA. It is essential to develop an understanding of how to support HCPs to deliver PA interventions. We aimed to identify active ingredients of HCP training interventions to enable delivery of PA interventions to HF patients. Nine databases were searched. Data were extracted on study characteristics, active ingredients, outcomes, and fidelity measures. Data were synthesised narratively, and a promise analysis was conducted on intervention features. Ten RCTs, which reported a training intervention for HCPs were included (N = 22 HCPs: N = 1,414 HF patients). Two studies reported the use of theory to develop HCP training. Seven behaviour change techniques (BCTs) were identified across the 10 training interventions. The most 'promising' BCTs were 'instruction on how to perform the behaviour' and 'problem solving'. Two studies reported that HCP training interventions had been formally evaluated. Fidelity domains including study design, monitoring and improving the delivery of treatment, intervention delivery, and provider training were infrequently reported. Future research should prioritise theory-informed development and robust evaluation of training interventions for HCPs to enable faithful and quality delivery of patient interventions.

心力衰竭(HF)的特点是呼吸困难和疲劳,这对患者优先进行体育锻炼(PA)的意愿产生了负面影响。医护人员(HCPs)在激励患者增加体力活动时会遇到困难。因此,了解如何支持医护人员实施体育锻炼干预措施至关重要。我们旨在确定医护人员培训干预措施的有效成分,以便为高血压患者提供 PA 干预措施。我们检索了九个数据库。提取了有关研究特点、有效成分、结果和忠实度测量的数据。对数据进行了叙述性综合,并对干预特点进行了承诺分析。共纳入了 10 项 RCT 研究,这些研究报告了针对保健医生的培训干预措施(N = 22 名保健医生:N = 1,414 名高血压患者)。有两项研究报告称使用了理论来开展 HCP 培训。在 10 项培训干预措施中发现了 7 种行为改变技术 (BCT)。最 "有前途 "的 BCT 是 "指导如何实施行为 "和 "解决问题"。有两项研究报告称,已对 HCP 培训干预措施进行了正式评估。包括研究设计、监测和改进治疗实施、干预实施和提供者培训在内的 "忠实性 "领域很少被报道。未来的研究应优先考虑在理论指导下开发和稳健评估针对初级保健人员的培训干预措施,以确保忠实和高质量地实施患者干预措施。
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引用次数: 0
Mindfulness enhances cognitive functioning: a meta-analysis of 111 randomized controlled trials. 正念增强认知功能:111项随机对照试验的荟萃分析。
IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2024-06-01 Epub Date: 2023-08-30 DOI: 10.1080/17437199.2023.2248222
Nur Hani Zainal, Michelle G Newman

Background: Currently no comprehensive meta-analysis of MBI efficacy on global and unique cognitive subdomains exist.

Method: Examined the effects of MBIs on global cognition and 15 cognitive subdomains. Inclusion criteria: meditation naïve participants; randomized controlled trial; outcome included one objective or subjective cognitive functioning measure; primary focus was teaching mindfulness skills. Exclusion criteria: inadequate data; one-session ; control condition contained any MBI component. Robust variance estimation and moderator analyses controlling for presence of treatment fidelity were conducted.

Results: One-hundred-and-eleven RCTs (n = 9,538) met eligibility criteria. MBIs had small-to-moderate significant effects on global cognition, executive attention, working memory accuracy, inhibition accuracy, shifting accuracy, sustained attention, and subjective cognitive functioning (vs. waitlist/no-treatment, g = 0.257-0.643; vs. active controls, g = 0.192-0.394). MBIs did not impact executive functioning (EF) latency indices, verbal fluency, processing speed, episodic memory, and cognitive error. Treatment effects were stronger for those with elevated psychiatric symptoms vs. healthy controls, and medical samples, studies with complete-case (vs. intention-to-treat) analysis, face-to-face (vs. self-guided) delivery, and non-standard (vs. standard MBI).

Conclusion: MBIs consistently yielded small-to-moderate yet practically meaningful effect sizes on global cognition and six cognitive subdomains that captured accuracy vs. latency-based indices of EF and sustained accuracy.

背景:目前还没有关于MBI在全球和独特认知亚领域疗效的综合荟萃分析。方法:考察MBI对全球认知和15个认知亚域的影响。入选标准:冥想天真的参与者;随机对照试验;结果包括一个客观或主观的认知功能测量;主要的重点是教授正念技能。排除标准:数据不足;一次会议;对照条件包含任何MBI成分。对治疗保真度的存在进行了稳健方差估计和调节因子分析。结果:一百一十一项随机对照试验(n = 9538)符合资格标准。MBI对全局认知、执行注意力、工作记忆准确性、抑制准确性、转移准确性、持续注意力和主观认知功能有小到中等的显著影响(与等待名单/不治疗相比,g=0.27-0.643;与主动对照相比,g = 0.192-0.394)。MBI不影响执行功能(EF)潜伏期指数、语言流利性、处理速度、情景记忆和认知错误。与健康对照组、医学样本、具有完整病例(与治疗意向)分析的研究、面对面(与自我指导)交付相比,精神症状加重的患者的治疗效果更强,和非标准(与标准MBI相比)。结论:MBI对全局认知和六个认知子域始终产生小到中等但实际有意义的影响,这些认知子域捕捉了EF和持续准确性的准确性与基于延迟的指数。
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引用次数: 0
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Health Psychology Review
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