正念干预在治疗人口亚群抑郁症中的作用

Nazarii Saiuk, Magdalena Kołodziej, Michał Andrzej Kozicz, Wojciech Mądry, Aleksandra Mazurkiewicz, Joanna Męczyńska, Tomasz Seredyński, Adriana Wojciechowska, Justyna Marcicka, Weronika Salasa
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摘要

导言 重度抑郁障碍(MDD)是最常见的精神疾病之一,其发病率呈上升趋势。在 MDD 中使用正念干预(MBI),主要包括正念认知疗法(MBCT)和正念减压疗法(MBSR),是有科学依据的。但是,是否每个人群都能从这种方法中获益呢?研究目的 我们的研究旨在根据最新的科学发现,分析正念减压疗法在特定抑郁症患者亚群中的效果,包括青少年、老年患者、癌症患者、产后和围产期抑郁症患者以及慢性疼痛患者。此外,我们还试图总结目前有关 MBIs 对人脑结构和功能影响的知识。材料与方法 我们对包括PubMed和谷歌学术在内的科学数据库进行了全面搜索,以确定关注MBI及其对不同亚群体抑郁症治疗效果的相关文章。此外,我们还对 PubMed 和 Google Scholar 上的文献进行了综述,总结了有关 MBI 对人脑影响的现有知识。结论 在不同的亚群体中,MBIs 在减轻抑郁症状方面显示出良好的前景,表明其具有作为辅助治疗或预防措施的潜力。虽然干预持续时间越长,效果越大,但还需要进一步的研究来建立坚实的证据基础,特别是在老年人群和不同癌症类型的癌症患者中。
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The Role of Mindfulness-Based Interventions in Treating Depression among Population Subgroups
Introduction Major depressive disorder (MDD) is one of the most common psychiatric disorders, with its prevalence on the rise. The use of mindfulness-based interventions (MBIs), primarily including mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR), in MDD is scientifically justified. But will every population subgroup benefit from such an approach? Aim of the study The aim of our study is to analyze, based on the latest scientific findings, the effects of MBIs within specific subgroups of patients suffering from depression, including adolescents, elderly patients, cancer patients, individuals experiencing postnatal and perinatal depression, and patients with chronic pain. Additionally, we sought to summarize the current knowledge regarding the structural and functional effects of MBIs on the human brain. Materials and methods We conducted a comprehensive search of scientific databases including PubMed and Google Scholar to identify relevant articles focusing on MBIs and their effects on treating depression within various subgroups. Additionally, we performed a review of literature available on PubMed and Google Scholar to summarize the current knowledge regarding the impact of MBIs on the human brain. Conclusions Across various subgroups MBIs show promise in reducing depressive symptoms, indicating their potential as adjunctive treatments or preventive measures. While longer intervention durations are associated with larger effects, further research is needed to establish a solid evidence base, particularly in older populations and cancer patients with different cancer types.            
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