Aerospace Center Hospital, Haidian, Beijing, China.
Medicine (Baltimore). 2023 Sep 15;102(37):e34917. doi: 10.1097/MD.0000000000034917.
Mindfulness-based stress reduction (MBSR) has been suggested as an effective mind-body approach for relieving stress in patients with chronic diseases. As of yet, there is no conclusive research on MBSR's role in reducing affective disorders among cancer patients. A systematic review and meta-analysis was conducted to determine whether MBSR has an impact on loneliness, anxiety, and depression in cancer patients.
Systematic searches were conducted in PubMed, Embase, and the Cochrane Library from the start of these databases to January 2nd, 2022 to identify relevant randomized controlled trials. Two authors independently conducted the literature search, collected the data, and performed the statistical analysis. In order to account for potential between-study heterogeneity, a random-effect model was used in the meta-analysis.
The meta-analysis included 16 studies with 2072 cancer patients. Among the 16 studies, 13 included patients with breast cancer, and the follow-up duration ranged from 6 to 53 weeks. Compared to controls receiving standard cancer care, interventions of MBSR with sessions for 6 to 8 weeks significantly improved loneliness (standard mean difference [SMD]: -0.35, 95% confidence interval [CI]: -0.59 to -0.12, P = .003, I2 = 46%), anxiety (SMD: -0.51, 95% CI: -0.73 to -0.30, P < .001, I2 = 77%), and depression (SMD: -0.61, 95% CI: -1.02 to -0.20, P = .004, I2 = 94%) in patients with cancer.
According to recent research, MBSR may be beneficial to patients diagnosed with cancer who are feeling lonely, anxious, or depressed.
正念减压(MBSR)被认为是一种有效的身心方法,可以缓解慢性病患者的压力。目前,尚无确凿的研究证明 MBSR 可减轻癌症患者的情感障碍。本系统评价和荟萃分析旨在确定 MBSR 是否会对癌症患者的孤独感、焦虑和抑郁产生影响。
从各数据库建立开始至 2022 年 1 月 2 日,系统检索 PubMed、Embase 和 Cochrane Library 中相关的随机对照试验,由两位作者独立进行文献检索、数据收集和统计分析。为了考虑潜在的研究间异质性,荟萃分析采用了随机效应模型。
荟萃分析纳入了 16 项研究,共 2072 名癌症患者。在这 16 项研究中,有 13 项研究纳入了乳腺癌患者,随访时间为 6 至 53 周。与接受标准癌症护理的对照组相比,MBSR 干预(疗程为 6 至 8 周)可显著降低孤独感(标准均数差 [SMD]:-0.35,95%置信区间 [CI]:-0.59 至 -0.12,P = .003,I² = 46%)、焦虑(SMD:-0.51,95% CI:-0.73 至 -0.30,P < .001,I² = 77%)和抑郁(SMD:-0.61,95% CI:-1.02 至 -0.20,P = .004,I² = 94%)。
根据最新研究,MBSR 可能对感到孤独、焦虑或抑郁的癌症患者有益。