正念疗法对青少年睡眠问题干预效果的meta分析  

Effect of mindfulness therapy on sleep problems in adolescents:a meta-analysis

作　　者：王丹丹[1] 陈琪[1] 尹敏 WANG Dandan;CHEN Qi;YIN Min(School of Nursing,Lanzhou University,Lanzhou,Gansu 730000,P.R.China)

机构地区：[1]兰州大学护理学院,兰州730000

出　　处：《华西医学》2023年第1期79-85,共7页West China Medical Journal

摘　　要：目的评价正念疗法在青少年睡眠问题中的应用效果。方法检索PubMed、Cochrane Library、Embase、Web of Science、中国知网、万方、维普和中国生物医学文献数据库中关于正念干预改善青少年睡眠的随机对照试验,检索时间从建库截至2022年10月21日,采用RevMan 5.4软件对结果进行meta分析。结果共纳入11项随机对照试验,纳入总样本量870例。正念疗法的类型包括正念减压疗法、正念认知疗法、正念冥想、团体正念睡眠干预、身体扫描等正念技术,单次干预时长不等。纳入研究显示,正念干预较对照干预能有效改善青少年群体睡眠问题及所伴随的日间困倦和焦虑、抑郁等负性情绪。对6项研究进行meta分析,结果显示,正念干预组青少年睡眠质量得到提升[均数差=-1.21分,95%置信区间(-1.58分,-0.83分),P<0.00001]。结论正念疗法对改善青少年睡眠问题有较好的效果,但是否可以实现长期获益尚需要进一步开展高质量、多中心的长期随访试验进行评价。Objective To evaluate the effect of mindfulness therapy on sleep problems in adolescents.Methods We searched PubMed,Cochrane Library,Embase,Web of Science,China National Knowledge Infrastructure,Wanfang,Chongqing VIP and SinoMed for relevant randomized controlled trials on mindfulness intervention to improve adolescents’sleep.The retrieval time was from the establishment of the databases to October21,2022.The results were meta-analysed with RevMan 5.4 software.Results A total of 11 randomized controlled trials were included,with a total sample size of 870 cases.The types of mindfulness therapy include mindfulness-based stress reduction,mindfulness-based cognitive therapy,mindfulness meditation,group mindfulness sleep intervention,body scanning and other mindfulness technologies.The duration of single intervention was different.The included studies showed that the mindfulness intervention can effectively improve the sleep problems of adolescents and the accompanying daytime sleepiness,anxiety,depression and other negative emotions compared with the control intervention.Metaanalysis of six studies showed that the sleep quality of adolescents in the mindfulness intervention group was improved[mean difference=-1.21,95%confidence interval(-1.58,-0.83),P<0.00001].Conclusion Mindfulness therapy has a good effect on improving adolescents’sleep problems,but whether it can achieve long-term benefits still needs to be further evaluated by high-quality,multicenter long-term follow-up trials.

关 键 词：正念疗法 睡眠 青少年 META分析 

分 类 号：R740[医药卫生—神经病学与精神病学]