A Meta-Regression of psychosocial factors associated with sleep outcomes in mindfulness-based intervention trials.

IF 2.2 3区医学 Q3 CLINICAL NEUROLOGY

Behavioral Sleep Medicine Pub Date : 2024-09-16 DOI:10.1080/15402002.2024.2401457

Nathaniel R Choukas, Emily C Woodworth, Heena R Manglani, Jonathan Greenberg, Ryan A Mace

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引用次数: 0

Abstract

Objectives: In this meta-regression, we aimed to explore associations between changes in psychosocial factors and changes in sleep disturbance during mindfulness-based interventions (MBIs). We also investigated participant-specific and methodological factors associated with sleep disturbance during MBIs.

Method: We utilized data from a published meta-analysis of 40 randomized controlled trials of MBIs (published from inception to 2020) with a sleep disturbance outcome measure in healthy and clinical adult populations. We conducted meta-regressions to test associations between sleep improvements following MBIs and psychosocial factors, as well as demographic and methodological factors.

Results: MBIs were associated with significant reductions in sleep disturbance (SMD = -0.523; 95% CI = -0.678 to -0.368) and psychosocial factors (SMD = -0.213 - -0.894). Reductions in sleep disturbance were associated with reductions in stress (r = 0.74, p = .02) and depression (r = 0.90, p < .001).

Conclusions: MBIs improve sleep disturbance across a wide range of healthy and clinical populations. Stress and depression may be important psychosocial factors associated with sleep disturbance. Future RCTs should include measures of additional factors and should investigate longitudinal associations between psychosocial, demographic, and methodological factors with changes in sleep disturbance to test mechanisms and to identify "active ingredients" of MBIs.

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与正念干预试验中睡眠结果相关的社会心理因素的元回归。

研究目的在这项荟萃回归中，我们旨在探索正念干预（MBIs）过程中社会心理因素的变化与睡眠障碍变化之间的关联。我们还调查了MBI期间与睡眠障碍相关的参与者特异性因素和方法学因素：我们利用已发表的 40 项 MBI 随机对照试验（从开始到 2020 年发表）的荟萃分析数据，对健康和临床成年人群中的睡眠障碍结果进行了测量。我们进行了元回归，以检验MBI后睡眠改善与社会心理因素、人口统计学因素和方法学因素之间的关联：结果：MBIs 与睡眠障碍（SMD = -0.523；95% CI = -0.678至-0.368）和心理社会因素（SMD = -0.213 -0.894）的显著减少有关。睡眠障碍的减轻与压力（r = 0.74，p = .02）和抑郁（r = 0.90，p 结论：MBIs 可改善不同人群的睡眠障碍：MBI可改善各种健康和临床人群的睡眠障碍。压力和抑郁可能是与睡眠障碍相关的重要心理社会因素。未来的研究性试验应包括对其他因素的测量，并应调查心理社会、人口统计学和方法学因素与睡眠障碍变化之间的纵向联系，以检验机制并确定 MBIs 的 "活性成分"。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY

CiteScore

7.20

自引率

3.20%

发文量

审稿时长

>12 weeks

期刊介绍： Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.