Effects of mindfulness-based interventions on depressive symptoms in patients with substance use disorders:a systematic review and meta-analysis  

作　　者：Chuntana Reangsing Sasinun Pusuwun Suneerat Boonsin Sarah Oerther 

机构地区：[1]School of Nursing,Mae Fah Laung University,Chiangrai 57100,Thailand [2]School of Nursing,University of Phayao,Phayao 56000,Thailand [3]Boromarajonani College of Nursing Saraburi,Faculty of Nursing,Praboromarajchanok Institute,Ministry of Public Health,Saraburi 18000,Thailand [4]Trudy Busch Valentine School of Nursing,Saint Louis University,MO 63104,USA

出　　处：《Frontiers of Nursing》2023年第2期145-162,共18页护理前沿（英文）

摘　　要：Objective:We examined the effects of mindfulness-based interventions(MBIs)on depressive symptoms in patients with substance use disorders(SUDs)and explored the moderating effects of participant,method,and intervention characteristics.Methods:We systematically searched 8 databases from their inception till November 2021.The inclusion criteria were primary studies evaluating MBIs in patients with SUDs with depression measured as an outcome,those including a control group,and those written in English.We used a random-effects model to compute effect sizes(ESs)using Hedges’g,a forest plot,and Q and I2 statistics as measures of heterogeneity;we also examined moderator analyses.Results:Nineteen studies included 1352 participants(age:38.6±7.0 years).Overall,MBIs showed significantly improved depression(g=0.67,95%confidence interval[CI]:0.29,1.05,I2=89%)compared to controls.With regard to moderators,providing MBIs as an individual plus group intervention had a greater effect(g=2.13)on reducing depressive symptoms than providing MBIs as a group intervention(g=0.64)or an individual intervention only(g=0.33,P=0.034).Using concealed allocation tended to reduce depressive symptoms(g=1.22)as compared to not using concealed allocation(g=0.48,P=0.086).No other quality indicators were demonstrated to have a moderating influence on the value of the ES.Conclusions:MBIs improved depressive symptoms in patients with SUDs.MBIs might be used as an adjunctive or alternative to conventional treatment for depressed patients with SUDs.

关 键 词：DEPRESSION MEDITATION MINDFULNESS patients with substance use disorders systematic review and meta-analysis 

分 类 号：R473.74[医药卫生—护理学]