正念作为强迫症的辅助治疗:一项综合综述

L. Cruz Torres, Francisco Filho, Tainah Pereira, P. Pinheiro, Vitória Lima, Giliara De Luna
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摘要

强迫症的特征是存在强迫和/或强迫行为。标准治疗虽然对改善症状有效,但在更严重的病例中可能还不够。本研究的目的是在文献数据中确定正念作为一种辅助治疗在减轻强迫症患者症状方面的有效性。该综合评价在Medline、Lilacs、Embase、Cochrane、CINAHL和Web of Science数据库中进行。共发现135篇结果,应用重复排除标准和入选标准后,仅使用了11篇。因此,我们发现,与更传统的治疗方法(如认知行为治疗)相比,基于正念的认知疗法(MBCT)表现出了希望,特别是在改善有关该疾病症状的自我意识方面。然而,需要设计更长的暴露时间和更具体变量的研究来验证MBCT的长期疗效,特别是在更严重和更年长的患者中。
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Mindfulness as Adjuvant Treatment for Obsessive‐Compulsive Disorder: An Integrative Review
Obsessive‐compulsive disorder is characterized by the presence of obsessions and/or compulsions. Standard treatment, although effective in improving symptoms, in more severe cases may not be sufficient. The objective of this studywas to identify in the literature data on the effectiveness of Mindfulness as a complementary treatment in reducing symptoms in patients with obsessive‐compulsive disorder. This integrative review was performed in Medline, Lilacs, Embase, Cochrane, CINAHL, and Web of Science databases. A total of 135 results were found, of which only 11 articles were used after applying the duplicate exclusion and eligibility criteria. Thus, we identified that mindfulness­ ‐based cognitive therapy (MBCT) when compared to more traditional treatments, such as cognitive‐behavioral therapy, showed promise, especially in improving self‐awareness regarding the symptoms of the disorder. However, studies with longer exposure time and with more specific variables need to be designed to verify the long­term efficacy of MBCT, especially in more severe and older patients.
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