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1.
Prax Kinderpsychol Kinderpsychiatr ; 69(3): 183-202, 2020 May.
Artículo en Alemán | MEDLINE | ID: mdl-32394825

RESUMEN

Indicated Stress Prevention for Adolescents in the Group Setting - A manual based on Acceptance- and Commitment-Therapy Stress in adolescence has become a topic of interest in recent years. Long-term exposure to stress can play a significant role in the development and maintenance of mental disorders. Previous studies have shown that especially the more severely stressed adolescents benefit from targeted interventions. However, evidence-based treatment concepts targeting this group are scarce. In this article we introduce the first German-language treatment manual for indicated stress prevention, addressing adolescents based on Acceptance and Commitment Therapy (ACT). ACT is part of the third wave of behavioral therapies, designed for treatment across disorders, which makes it suitable for the treatment of chronic stress symptoms. Previous studies show good efficacy of the ACT-approach in the treatment of adult stress and first promising successes in treatment of adolescents in non-German-speaking countries. The focus of our training lies in practical exercises based on ACT which are conveyed by the use of metaphors, art therapy techniques, role plays and group discussions. The concept is complemented by psychoeducation on stress, mindfulness exercises and training in problem solving. Worksheets and tasks for the week facilitate the transfer into everyday life. Alongside the presentation of the treatment manual, first experiences in the implementation of the program are discussed.


Asunto(s)
Terapia de Aceptación y Compromiso , Estrés Psicológico/prevención & control , Adolescente , Alemania , Humanos , Trastornos Mentales/complicaciones , Atención Plena , Estrés Psicológico/complicaciones
2.
J Zhejiang Univ Sci B ; 21(5): 400-404, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32425006

RESUMEN

Public health crises, such as the outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) since Dec. 2019, are widely acknowledged as severe traumatic events that impose threats not only because of physical concerns but also because of the psychological distress of infected patients. We designed an internet-based integrated intervention and evaluated its efficacy on depression and anxiety symptoms in patients infected by SARS-CoV-2.


Asunto(s)
Ansiedad/terapia , Infecciones por Coronavirus/psicología , Depresión/terapia , Internet , Neumonía Viral/psicología , Autocuidado/métodos , Adulto , Betacoronavirus , Teléfono Celular , China , Femenino , Humanos , Masculino , Persona de Mediana Edad , Atención Plena , Pandemias , Estudios Prospectivos , Distrés Psicológico , Terapia por Relajación
3.
Hu Li Za Zhi ; 67(2): 45-57, 2020 Apr.
Artículo en Chino | MEDLINE | ID: mdl-32281082

RESUMEN

BACKGROUND: Relocating from home to a long-term facility is frequently a stressful event for older persons with diabetes. Therefore, it is important that nurses have available an intervention program that effectively reduces relocation anxiety and promotes adaptation in this population. PURPOSE: To evaluate the effectiveness of a mindfulness-based intervention in reducing relocation anxiety and promoting adaptation in older persons with diabetes. METHODS: Four long-term care facilities in Kaohsiung City were selected as the study sites. Residents of these facilities who had diabetes and who had moved in within the previous year were recruited as participants using a simple random-sampling method. The experimental group (n = 34) received a 9-week mindfulness-based intervention and the control group (n = 32) received routine diabetes care and maintained their normal daily routine. Outcome measurements included a demographic datasheet, the Taiwanese version of the State Anxiety Inventory, and the individual mental factors subscale of the elderly adaptation problem scale. These measures were administered at baseline and upon completion of the intervention. RESULTS: Thirty participants in each group completed the study. The mean differences between the baseline and post-test scores in the experimental group for relocation anxiety (t = 5.15, p < .01) and adaptation (t = -5.57, p < .01) were both significant. Among the participants who tested positive for relocation anxiety at pretest (a mean score > 30.13; 83.3% of the participants), those in the experimental group reported a more significant decrease (p < .05) in relocation anxiety at posttest than their control group peers. Among the participants who tested as having poor adaptation pretest (a mean scores < 45.62; 71.7% of the participants), those in the experimental group reported a more significant improvement (p < .05) in adaptation at posttest than their control group peers. CONCLUSIONS / IMPLICATIONS FOR PRACTICE: The results indicate that the 9-week intervention has the potential to help older people with diabetes improve their relocation anxiety and adaptation. This study may be used as a reference to improve emotional distress among residents of long-term care facilities.


Asunto(s)
Adaptación Psicológica , Ansiedad/psicología , Diabetes Mellitus/psicología , Atención Plena , Características de la Residencia , Anciano , Diabetes Mellitus/epidemiología , Humanos , Evaluación de Programas y Proyectos de Salud , Instituciones Residenciales , Taiwán/epidemiología
5.
Med Clin North Am ; 104(3): 561-572, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32312415

RESUMEN

Burnout is common in physicians who care for patients with serious illness, with rates greater than 60% in some studies. Risk factors for burnout include working on small teams and/or in small organizations, working longer hours and weekends, being younger than 50 years, burdensome documentation requirements, and regulatory issues. Personal factors that can protect against burnout include mindfulness, exercise, healthy sleep patterns, avoiding substance abuse, and having adequate leisure time. Institutional and work factors that can buffer against burnout include working on adequately staffed teams, having a manageable workload, and minimally burdensome electronic health record documentation.


Asunto(s)
Agotamiento Profesional/prevención & control , Agotamiento Profesional/psicología , Médicos/psicología , Adulto , Agotamiento Profesional/economía , Agotamiento Profesional/epidemiología , Depresión/etiología , Empatía/fisiología , Ejercicio Físico/fisiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Atención Plena/métodos , Cuidados Paliativos/métodos , Cuidados Paliativos/estadística & datos numéricos , Calidad de Vida , Factores de Riesgo , Autocuidado/métodos , Sueño/fisiología , Trastornos Relacionados con Sustancias/etiología , Suicidio/psicología , Suicidio/estadística & datos numéricos , Estados Unidos/epidemiología , Carga de Trabajo
6.
Medicina (B Aires) ; 80 Suppl 2: 47-52, 2020.
Artículo en Español | MEDLINE | ID: mdl-32150713

RESUMEN

This article is intended to review the effect of mindfulness-based interventions on perinatal mental health. A search of the literature published until September 2019 in the Web of Science (WOS) database was carried out. Taking into account the inclusion and exclusion criteria and after reading the title and abstracts of the articles found, 26 of them have been selected. Finally we only analyzed randomized controlled trials (RCTs) that show data on anxiety, depression, perceived stress and mindfulness before and after intervention and with follow-up data. The results found show that mindfulness-based interventions (IBMs) are more effective than the usual healthcare (TAU) that pregnant women receive for the reduction of depressive, anxious and perceived stress symptoms as well as increasing their postintervention mindfulness levels. For future research, a postpartum follow-up would be considered interesting taking into account variables such as the quality of the mother-baby attachment, adherence to breastfeeding and the evolutionary development of the newborn.


Asunto(s)
Ansiedad/terapia , Depresión/terapia , Atención Plena/métodos , Mujeres Embarazadas/psicología , Ansiedad/psicología , Depresión/psicología , Depresión Posparto/psicología , Depresión Posparto/terapia , Femenino , Humanos , Atención Perinatal/métodos , Embarazo , Complicaciones del Embarazo/psicología , Complicaciones del Embarazo/terapia , Resultado del Tratamiento
7.
BMC Med Educ ; 20(1): 34, 2020 Feb 04.
Artículo en Inglés | MEDLINE | ID: mdl-32019524

RESUMEN

BACKGROUND: Medical specialists experience high levels of stress. This has an impact on their well-being, but also on quality of their leadership. In the current mixed method study, the feasibility and effectiveness of a course Mindful Leadership on burnout, well-being and leadership skills of medical specialists were evaluated. METHODS: This is a non-randomized controlled pre-post evaluation using self-report questionnaires administered at 3 months before (control period), start and end of the training (intervention period). Burn-out symptoms, well-being and leadership skills were assessed with self-report questionnaires. Semi-structured interviews were used to qualitatively evaluate barriers and facilitators for completion of the course. RESULTS: From September 2014 to June 2016, 52 medical specialists participated in the study. Of these, 48 (92%) completed the course. Compared to the control period, the intervention period resulted in greater reductions of depersonalization (mean difference = - 1.2, p = 0.06), worry (mean difference = - 4.3, p = 0.04) and negative work-home interference (mean difference = - 0.2, p = 0.03), and greater improvements of mindfulness (mean difference = 0.5, p = 0.04), life satisfaction (mean difference = 0.4, p = 0.01) and self-reported ethical leadership (mean difference = 0.1, p = 0.02). Effect sizes were generally small to medium (0.3 to 0.6) and large for life satisfaction (0.8). Appreciation of course elements was a major facilitator and the difficulty of finding time a major barrier for participating. CONCLUSIONS: A 'Mindful Leadership' course was feasible and not only effective in reducing burnout symptoms and improving well-being, but also appeared to have potential for improving leadership skills. Mindful leadership courses could be a valuable part of ongoing professional development programs for medical specialists.


Asunto(s)
Agotamiento Profesional/prevención & control , Educación Médica Continua , Liderazgo , Atención Plena/educación , Adulto , Estudios de Factibilidad , Femenino , Humanos , Masculino , Medicina , Persona de Mediana Edad , Países Bajos , Proyectos Piloto
8.
Adv Exp Med Biol ; 1191: 291-329, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32002935

RESUMEN

Anxiety disorders are an enormous societal burden given their high lifetime prevalence among adult populations worldwide. A variety of anxiety disorders can be successfully treated with psychological treatments such as cognitive behavioral therapy (CBT), mindfulness-based cognitive therapy (MBCT), and acceptance and commitment therapy (ACT), either as stand-alone individual or group treatment or as adjunctive treatment to pharmacotherapy. Furthermore, a growing body of evidence suggests that therapist-guided Internet-delivered CBT (iCBT) and, to some degree, digitalized mindfulness- and acceptance-based interventions may be an efficacious complement to traditional face-to-face therapy. In view of the current advances regarding the integration of traditional and innovative treatment approaches, this chapter provides an overview on the theory and evidence base for different delivery modes of CBT-related interventions for specific phobia, panic disorder, agoraphobia, social anxiety disorder, and generalized anxiety disorder in adults. Finally, implications for clinical practice and research will be derived, and future directions for the psychological treatment of anxiety disorders will be outlined.


Asunto(s)
Terapia de Aceptación y Compromiso , Trastornos de Ansiedad/psicología , Trastornos de Ansiedad/terapia , Terapia Cognitivo-Conductual , Atención Plena , Humanos , Trastornos Fóbicos/psicología , Trastornos Fóbicos/terapia , Resultado del Tratamiento
9.
J Bus Contin Emer Plan ; 13(3): 220-229, 2020 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-32093813

RESUMEN

Mindfulness is the daily practice of noticing our present moment experiences (thoughts, emotions and physical sensations) with curiosity, non-judgment and equanimity (accepting what is). Scientific research shows that the regular practice of mindfulness can help lower stress, boost the immune system and increase productivity. Recognising these benefits, companies such as Google, Nike and Goldman Sachs have incorporated mindfulness programmes into the workplace. Among the positive results reported, these companies have observed a reduction in sick leave, improved collaboration between employees, and projects being completed more effectively. But these are only some of the benefits that mindfulness can offer. Other advantages include improved emotional regulation and better decision-making during a crisis. This suggests that those C-level executives and recovery teams who play key roles in restoring mission-critical processes following business-disruptive events would benefit from mindfulness training. This paper will explore how and why mindfulness can help optimise incident management, the training tools required, and how to build mindfulness into a business continuity management training and exercise programme.


Asunto(s)
Planificación en Desastres , Atención Plena , Comercio , Emociones , Terapia por Ejercicio , Humanos , Lugar de Trabajo
10.
PLoS One ; 15(2): e0228655, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32017791

RESUMEN

Mindful individuals are able to acknowledge mind wandering and live in the present moment in a nonjudgmental way. Previous studies have found that both mind wandering and mindfulness are associated with subjective well-being. However, the main predictor of happiness is personality; more specifically, happier people are emotionally stable and extraverted. The present study aimed to explore the contribution of the five factors of personality, dispositional mindfulness facets and a mindfulness intervention to happiness. A sample of 372 university students was assessed with the NEO-Five Factor Inventory, and another sample of 217 community adults answered the Big Five Personality Trait Short Questionnaire. Both samples, 589 participants in all, completed the Five Facet Mindfulness Questionnaire and the Subjective Happiness Scale. Furthermore, 55 participants from the general population sample took a 6-week training course in meditation and developing mindfulness. The regression analyses showed that emotional stability and extraversion traits were the strongest predictors of subjective well-being. Nonetheless, the nonjudging facet, which is nonevaluative/acceptance awareness of thoughts and feelings, still remained a significant predictor of happiness when personality was accounted for. Finally, mindfulness training did not increase subjective well-being. Being nonjudgmental of one's inner thoughts, feelings and sensations contributes to happiness even when personality is taken into account. Accordingly, it seems reasonable that mindfulness training that intends to improve subjective well-being should focus on noticing thoughts without judging them.


Asunto(s)
Felicidad , Atención Plena , Personalidad , Adolescente , Adulto , Extraversión Psicológica , Humanos , Juicio , Meditación/psicología , Persona de Mediana Edad , España , Encuestas y Cuestionarios , Adulto Joven
14.
BMC Public Health ; 20(1): 16, 2020 Jan 07.
Artículo en Inglés | MEDLINE | ID: mdl-31910847

RESUMEN

BACKGROUND: The work of health professionals is characterized by a high demand for psychological and emotional resources and high levels of stress. Therefore, the promotion of commitment and job well-being through strategies such as increased mindfulness, is important among nursing workers. Although mindfulness has shown positive effects in the health field, few studies have explored the mechanisms and processes underlying these results. We investigated the mediating role of empathy (cognitive/affective) in the effect of mindfulness on the dimensions of engagement in nursing professionals. METHODS: Sample was comprised of 1268 Spanish nurses between 22 and 62 years old, that completed the Utrecht Labor Engagement Scale and the adapted versions of Mindful Attention Awareness Scale and Basic Empathy Scale. The relationship between variables to be included in the regression analyses, bivariate correlations were carried out, and the descriptive statistics of these variables were also found. To estimate the mediation model was used, in this case for multiple mediation effects. RESULTS: Mindfulness is found to affect the Vigor and Dedication factors of engagement through cognitive empathy. While for the Absorption factor, the affective component of empathy also exerts a mediating role, although weaker than cognitive empathy. Cognitive empathy, as an individual factor, was shown to have a mediating effect between mindfulness and the factors of engagement in healthcare workers. CONCLUSIONS: The level of mindfulness influences engagement of nursing professionals positively, and this result is mediated mainly by cognitive empathy. Both mindfulness and empathy are modifiable individual factors, so their intervention by designing and implementing specific programs, can increase the commitment and wellbeing of professionals generating benefits to workers and to their patients.


Asunto(s)
Cognición , Empatía , Atención Plena , Relaciones Enfermero-Paciente , Atención de Enfermería/psicología , Personal de Enfermería/psicología , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , España , Adulto Joven
15.
Integr Cancer Ther ; 19: 1534735419890682, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31957499

RESUMEN

Background: There is a paucity of research on the long-term impact of stress-reduction in Hispanic/Latina breast cancer (BC) survivors, a growing minority. In this article, we assess the long-term efficacy of an 8-week training program in mindfulness-based stress reduction (MBSR) on quality of life (QoL) in Hispanic BC survivors. Methods: Hispanic BC survivors, within the first 5 years of diagnosis, stages I to III BC, were recruited. Participants were enrolled in bilingual, 8-week intensive group training in MBSR and were asked to practice a- home, daily. They were also provided with audio recordings and a book on mindfulness practices. Patient-reported outcomes for QoL and distress were evaluated at baseline, and every 3 months, for 24 months. Results: Thirty-three self-identified Hispanic women with BC completed the MBSR program and were followed at 24 months. Statistically significant reduction was noted for the Generalized Anxiety Disorder measure (mean change -2.39, P=0.04); and Patient Health Questionnaire (mean change -2.27, P=0.04), at 24 months, compared with baseline. Improvement was noted in the Short-Form 36 Health-related QoL Mental Component Summary with an increase of 4.07 (95% confidence interval = 0.48-7.66, P=0.03). However, there was no significant change in the Physical Component Summary. Conclusions: Hispanic BC survivors who participated in an 8-week MBSR-based survivorship program reported persistent benefits with reduced anxiety, depression, and improved mental health QoL over 24 months of follow-up. Stress reduction programs are beneficial and can be implemented as part of a comprehensive survivorship care in BC patients.


Asunto(s)
Neoplasias de la Mama/terapia , Supervivientes de Cáncer/psicología , Hispanoamericanos/psicología , Atención Plena/métodos , Calidad de Vida/psicología , Estrés Psicológico/terapia , Adaptación Psicológica , Adulto , Neoplasias de la Mama/etnología , Neoplasias de la Mama/psicología , Femenino , Hispanoamericanos/estadística & datos numéricos , Humanos , Salud Mental , Persona de Mediana Edad , Estadificación de Neoplasias , Medición de Resultados Informados por el Paciente , Sentido de Coherencia , Estrés Psicológico/psicología , Resultado del Tratamiento
16.
BMC Neurol ; 20(1): 32, 2020 Jan 21.
Artículo en Inglés | MEDLINE | ID: mdl-31964353

RESUMEN

BACKGROUND: Populations with reduced sensory and motor function, such as spinal cord injury (SCI) are at increased risk of depression, anxiety, pain, and poorer quality of life (QoL). Mindfulness-Based Interventions (MBIs) have been developed with the aim of improving outcomes for people with SCI. To understand the value of MBIs, a systematic review was conducted pertaining to the use of MBIs, and interventions including elements of mindfulness, with people with SCI. METHODS: Databases were reviewed from 1996 to October 2018 (updated January 2020). Eligibility criteria included the assessment of at least one of the common secondary consequences of SCI (i.e. risk of depression, anxiety, pain, and QoL), describe the use of mindfulness training as a component part of an intervention, or as the whole intervention. The Cochrane Collaboration Risk of Bias and The Effective Public Health Practice Project Quality Assessment Tools were utilised for quality appraisals. Two assessors appraised the studies and demonstrated good agreement (Cohen's k = .848, p < .001). RESULTS: Five papers met the inclusion criteria, and demonstrated a range of results of interventions delivered individually, in a group format, in person, and online. Only one study reported significant reductions in pain-related outcomes (with moderate effect sizes), with the remaining studies (n = 4) demonstrating no change. Four studies described reductions in depressive symptoms and three reported reductions in anxiety. Despite the importance of good QoL as a goal for people with SCI, few studies (n = 2) assessed this as an outcome with no improvements reported. Study quality ranged from high to low/weak. CONCLUSIONS: The findings in this review provide mixed support for the use of mindfulness to improve outcomes after SCI. In particular, findings indicate that mindfulness may be particularly effective for improving symptoms of depression and anxiety. This review highlights the requirement for more rigorous, high-quality research, particularly larger randomised-controlled trials with long-term follow-up, in this area. The small number of studies included in the present review mean that conclusions drawn are preliminary and thus reflects the paucity of the research in the area to date.


Asunto(s)
Atención Plena/métodos , Calidad de Vida/psicología , Traumatismos de la Médula Espinal/complicaciones , Traumatismos de la Médula Espinal/psicología , Ansiedad/etiología , Dolor Crónico/etiología , Depresión/etiología , Femenino , Humanos , Masculino
18.
J Altern Complement Med ; 26(1): 34-43, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31825240

RESUMEN

Objectives: To demonstrate the feasibility and acceptability of a brief mindfulness-based intervention taught by physicians for patients with opioid addiction and to determine if the intervention reduces likelihood of relapse or treatment failure within 6 months. Design: A prospective, feasibility, single-group, cohort pilot study. Setting: A Family Medicine teaching clinic serving a mixed urban and rural population in Bangor, Maine. Subjects: Adult patients initiating outpatient treatment for opioid addiction with buprenorphine (N = 40). Interventions: Study physicians conducted a 10- to 12-min education session for all patients starting treatment during the enrollment period, including a 5-min mindfulness exercise. Enrolled subjects received an MP3 player loaded with six mindfulness audio exercises (5-19 min) and were instructed to practice at least 5 min daily and record their practice in a logbook. Outcome measures: Acceptability and subjective usefulness to recovery were evaluated at 2, 4, and 6 months of follow-up, with qualitative analysis of themes in recorded poststudy interviews. Logbook entries and tablet-based surveys provided data on home mindfulness practice, classified as "high" or "low." Relapse or treatment failure was documented. Results: Feasibility and acceptability were demonstrated with 82% enrollment and 100%, 97%, and 90% completion of follow-up visits at 2, 4, and 6 months, respectively, among those still in treatment. Sustained positive impressions of the intervention and exercises remained at 6 months. Relapse or treatment failure was reduced in the "high" practice uptake group compared with "low" practice uptake (11% vs. 42%, p = 0.033). Conclusions: In contrast to more intensive 8-week models of meditation training, this study demonstrates that even a brief single training session can induce sustained home meditation practice that subjectively helped patients in recovery for opioid addiction and was associated with lower risk of relapse. Brief mindfulness-based interventions may be useful to increase access to mindfulness training in this population.


Asunto(s)
Buprenorfina/uso terapéutico , Atención Plena , Trastornos Relacionados con Opioides/terapia , Adulto , Estudios de Factibilidad , Femenino , Humanos , Masculino , Trastornos Relacionados con Opioides/epidemiología , Proyectos Piloto , Embarazo , Atención Primaria de Salud
19.
Psychiatry Clin Neurosci ; 74(4): 257-262, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-31876024

RESUMEN

AIM: There is increasing evidence that mild cognitive impairment (MCI) is associated with widespread brain dysconnectivity. Mindfulness practice, which involves focused attention to experience the present moment in a purposeful way, has been shown to confer positive psychological and functional brain changes in healthy practitioners. It is unclear whether mindfulness practice could improve functional brain connectivity in older adults with cognitive impairment. METHODS: Forty-seven participants with MCI were randomized into two groups: a mindfulness practice group and a control group. Functional magnetic resonance imaging of the brain and neurocognitive tests were performed before and after the 3-month intervention. A temporal efficiency analysis approach was used to examine the spatiotemporal networks of the brain. RESULTS: Participants in the mindfulness group had significantly better temporal global efficiency than controls after 3-months of intervention. Localized changes of temporal nodal properties were present in the right cingulate gyrus, insula, and left superior temporal gyrus. Together, these results suggest greater information transmission efficiency at both the global and local spatiotemporal level. In terms of cognitive function, verbal recognition memory improved in the mindfulness group compared to the controls. CONCLUSION: Elders who practiced mindfulness had better brain network efficiency and neurocognitive function relative to controls in this study, suggesting that mindfulness may be of benefit to aging adults with early cognitive degeneration.


Asunto(s)
Encéfalo , Disfunción Cognitiva , Atención Plena , Anciano , Anciano de 80 o más Años , Envejecimiento , Atención , Encéfalo/diagnóstico por imagen , Encéfalo/fisiopatología , Mapeo Encefálico , Disfunción Cognitiva/fisiopatología , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Memoria , Persona de Mediana Edad , Resultado del Tratamiento
20.
Behav Sleep Med ; 18(1): 1-9, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-30380915

RESUMEN

Objective: Mindfulness-based interventions (MBIs) are clinically effective for insomnia, but the research findings have been mixed. This meta-analysis of randomized controlled trials (RCTs) examined the effect of MBIs on insomnia. Method: Both English (PubMed, PsycINFO, Embase, and Cochrane Library databases) and Chinese (WanFang and CNKI) databases were systematically and independently searched. Standardized mean differences (SMDs) and risk ratio (RR) with their 95% confidence intervals (CIs) were calculated using the random effects model. Results: Five RCTs (n = 520) comparing MBIs (n = 279) and control (n = 241) groups were identified and analyzed. Compared to the control group, participants in the MBIs group showed significant improvement in insomnia as measured by the Pittsburgh Sleep Quality Index (n = 247; SMD: -1.01, 95% CI: -1.28 to -0.75, I2 = 0%, p < 0.00001) at post-MBIs assessment. Conclusion: In this comprehensive meta-analysis, MBIs appear to be effective in the treatment of insomnia. Further studies to examine the long-term effects of MBIs for insomnia are needed.


Asunto(s)
Trastornos del Inicio y del Mantenimiento del Sueño/terapia , Adulto , Humanos , Atención Plena , Ensayos Clínicos Controlados Aleatorios como Asunto
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