中风后康复期间正念认知疗法的有效性:随机对照试验。

IF 1.5 4区 医学 Q3 REHABILITATION International Journal of Rehabilitation Research Pub Date : 2024-09-01 Epub Date: 2024-07-15 DOI:10.1097/MRR.0000000000000639
Veronika Udvardi, Gabor Szabo, Johanna Takacs, Gabor Fazekas
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引用次数: 0

摘要

脑卒中会对幸存者的身体、心理、认知和社交产生一系列影响,这对他们来说是一项挑战。本研究旨在评估将正念干预纳入住院康复计划与标准护理相比的疗效。研究在 93 名脑卒中后患者中进行了单中心随机对照试验。干预组接受了为期 6 周的正念认知治疗(MBCT)和标准护理;对照组接受了标准护理。主要结果是抑郁和特质焦虑;次要结果是特质正念和注意力。参与者在基线和干预后(6 周)填写问卷。对不同组别和不同时间进行了混合效应模型重复测量方差分析。共有 80 名参与者(干预 n = 43;标准护理 n = 37)被纳入干预后分析。各组间的主要结果在统计学上没有显著差异。不过,干预组在特质正念观察分量表上有所改善。与标准护理相比,在为期 6 周的中风住院康复计划中融入 8 节 MBCT 课程并不能有效改善抑郁和焦虑。缺乏随访和基线时的中低度病理症状可能限制了该干预的效果。
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The effectiveness of mindfulness-based cognitive therapy during poststroke rehabilitation: a randomized controlled trial.

Stroke can have a range of physical, psychological, cognitive, and social impacts that are challenging for survivors. This study aimed to evaluate the efficacy of a group-based mindfulness intervention integrated into an inpatient rehabilitation program compared to standard care. A single-center, randomized, controlled trial was conducted in 93 poststroke patients. The intervention group received 6-weeks of mindfulness-based cognitive therapy (MBCT) and standard care; the control group received standard care. Primary outcomes were depression and trait anxiety; secondary outcomes were trait mindfulness and attention. Participants completed questionnaires at baseline, and postintervention (6 weeks). Mixed-effect model repeated measures analysis of variance was conducted between groups and across time. A total of 80 participants (intervention n  = 43; standard care n  = 37) were included in the postintervention analysis. There were no statistically significant differences in the primary outcomes between the groups over time. An improvement was found, however, on the trait mindfulness observing subscale in favor of the intervention group. Eight sessions of MBCT integrated into an inpatient stroke rehabilitation program over 6 weeks was not effective in improving depression and anxiety compared to standard care. Lack of follow-up and low to moderate pathological symptoms at baseline may have limited the effectiveness of this intervention.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.
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