Please wait a minute...
  本期目录 | 过刊浏览 | 高级检索 |
正念冥想对焦虑症状的干预效果及其影响因素的元分析
任志洪1,2,张雅文3,江光荣4
1. University of Wisconsin—Madison
2. 福州大学
3. 北京大学医学部
4. 华中师范大学心理学院; 人的发展与心理健康湖北省重点实验室
Mindfulness-based Meditation Intervention for Anxiety: Meta-Analysis
1.
2. University of Wisconsin—Madison
全文: PDF(0 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 正念冥想对焦虑症状的干预效果结论不一,系统考察其干预效果及影响因素,有助于理解其作用机制,并为正念冥想干预焦虑提供实践指导。本研究遵循PRISMA-Protocol,运用元分析技术,以即时效果与追踪效果为结果变量,考察被试特征、干预特征、研究特征和结果分析4个方面(11个变量)的调节作用。通过数据库检索与筛选,最终纳入东西方国家实证研究共55项 (68个独立效应量,4595名被试)。结果发现:正念冥想对焦虑干预的整体即时效果量达到显著的中等到大效果(g = 0.60),但追踪效果不显著。单因素回归模型分析表明,研究质量、国家地域、年龄、干预形式(团体练习 vs. 个体练习)、家庭练习与脱落率显著调节干预即时效果,其中国家地域变量对效果量影响程度最大;多元回归分析显示,对照组类型、国家地域、练习经验、数据分析方式(ITT vs. PP)对干预效果存在调节作用;此外,国家地域与其他变量存在交互作用。后续研究需在研究质量、成本效益、不同焦虑类型及其他调节变量和提供客观评价指标上作改进。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
任志洪
张雅文
江光荣
关键词 正念冥想焦虑干预调节作用文化差异元分析    
Abstract:In such an era which increasingly emphasizes the practice of bio-psycho-social model in the field of modern medicine, mindfulness meditation (MM) has enjoyed a growing population in healthcare and demonstrated significant effectiveness in alleviating anxiety for nonclinical and clinical populations based on mounting empirical literature. However, the result of effect size has remained inconsistent and the moderators have not explored comprehensively yet. Accordingly, we conducted meta-analysis by systematically reviewing the studies regarding mindfulness-based intervention for anxiety to determine the acute and follow-up efficacy, and examine whether the features of subjects (e.g. age, area), intervention (e.g. duration, home practice), study design (e.g. type of controlling), as well as data analysis (e.g. attrition) moderate the magnitude of effect (11variables). The review was performed according to PRISMA-Protocol in a rigor method. The randomized controlled trial researches, which have been published, were selected by searching databases of VIP Journal Integration Platform, Wan fang, China National Knowledge Infrastructure, Scopus, Web of Science, Embase, the Cochrane Library, PubMed. Keywords encompassed mindfulness, meditation, MBSR, MBCT, anxi*, mood, intervention, therapy, program. Using random effect model, we pooled the effect size (Hedge’s g), meanwhile, we conducted publication bias evaluation, moderating effect analysis, interaction analysis in CMA 3.3. We finally identified fifty-five RCTs from both East and West (k = 68 samples, N = 4595 participants), mindfulness meditation for anxiety are efficacious with a medium to large acute effect (g = 0.60), but is not stable at follow-up. Post-heterogeneity test turned out that the use of random effect model is reasonable. Univariate meta-regression models analysis has yielded that study quality, area, age, intervention form (Group vs. Individual), home practice, and attrition rate remarkably influence the acute effect size, while type of controlling, health condition, mindfulness practice experience, intervention duration, or statistical analysis methods (ITT vs. PP) don’t evidently moderate the acute efficacy for anxiety. Additionally, area affects the effect size most. Multiple meta-regression model suggested that type of controlling and area, as well as statistical analysis methods significantly moderate the effect size of intervention. The results strongly support the efficacy of mindfulness-based practices for anxiety, but may not last. Besides, the variance of area influences the efficacy most among these moderators, and practitioners in the east may benefit more than those who are in the west. Likewise, moderators including study quality, age, mindfulness practice experience, intervention form, home practice and attrition also affect the effect size to a certain extent. Future research in methodologically sound studies are warranted to provide more clear and reproducible evidence, and explore more underlying moderators for the intervention effect size, such as participant satisfaction and so forth.
Key wordsmindfulness meditation    anxiety    intervention    moderating effect    cultural differences    meta-analysis
收稿日期: 2017-03-29      出版日期: 2018-01-08
基金资助:国家社会科学基金;中国科学院心理健康重点实验室
通讯作者: 江光荣   
引用本文:   
任志洪 张雅文 江光荣. 正念冥想对焦虑症状的干预效果及其影响因素的元分析[J]. , .
链接本文:  
http://journal.psych.ac.cn/xlxb/CN/Y/V/I/0
[1] 赵梦雪;冯正直;王毅超;赖薇;胡丰;刘可愚;夏凡;蒋娟;王佳;夏蕾. 1993~2013年常驻高海拔地区军人心理健康状态的横断历史研究[J]. 心理学报, 2017, 49(5): 653-662.
[2] 任志洪, 阮怡君, 赵庆柏, 张微, 赖丽足, 江光荣.  抑郁障碍和焦虑障碍治疗的神经心理机制 ——脑成像研究的ALE元分析[J]. 心理学报, 2017, 49(10): 1302-1321.
[3] 周雅, 范方, 彭婷, 李媛媛, 龙可, 周洁莹, 梁颖欣.  NR3C1基因多态性及单倍型、父母教养方式 对青少年焦虑障碍的影响[J]. 心理学报, 2017, 49(10): 1287-1301.
[4] 于增艳;赵阿勐;刘爱书. 儿童期受虐经历与抑郁的元分析[J]. 心理学报, 2017, 49(1): 40-49.
[5] 张丽锦; 毕远; 梁熠; 刘敏红;. 小学一年级数感不良儿童的筛查与动态干预[J]. 心理学报, 2016, 48(7): 804-817.
[6] 任志洪; 李献云; 赵陵波; 余香莲; 李政汉; 赖丽足; 阮怡君; 江光荣. 抑郁症网络化自助干预的效果及作用机制 ——以汉化MoodGYM为例[J]. 心理学报, 2016, 48(7): 818-832.
[7] 谢和平;王福兴;周宗奎;吴鹏. 多媒体学习中线索效应的元分析[J]. 心理学报, 2016, 48(5): 540-555.
[8] 徐亮;区诵宜;郑希付;陈婷;冯彪;闫沛. 状态焦虑对条件性恐惧泛化的影响[J]. 心理学报, 2016, 48(12): 1507-1518.
[9] 张淑华;刘兆延. 组织认同与离职意向关系的元分析[J]. 心理学报, 2016, 48(12): 1561-1573.
[10] 黄四林;侯佳伟;张梅;辛自强;张红川;孙铃;窦东徽. 中国农民工心理健康水平变迁的横断历史研究:1995~2011[J]. 心理学报, 2015, 47(4): 466-477.
[11] 周文霞;谢宝国;辛迅;白光林:苗仁涛. 人力资本、社会资本和心理资本影响中国员工职业成功的元分析[J]. 心理学报, 2015, 47(2): 251-263.
[12] 孙亚文;贺雯;罗俊龙. 随迁儿童元刻板印象威胁对工作记忆的影响:群际焦虑的中介作用[J]. 心理学报, 2015, 47(11): 1349-1359.
[13] 吴鹏;刘华山. 道德推理与道德行为关系的元分析[J]. 心理学报, 2014, 46(8): 1192-1207.
[14] 夏瑞雪;周爱保;李世峰;徐科朋;任德云;朱婧. 观点采择在内隐情绪加工中的调节作用[J]. 心理学报, 2014, 46(8): 1094-1102.
[15] 辛自强;韩玉蕾. 小学低年级儿童的等值分数概念发展及干预[J]. 心理学报, 2014, 46(6): 791-806.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
版权所有 © 《心理学报》编辑部
本系统由北京玛格泰克科技发展有限公司设计开发  技术支持:support@magtech.com.cn