Mindfulness- and Acceptance-Based Interventions for Stroke Survivors: A Systematic Review and Meta-Analysis

IF 1.9 4区医学 Q2 REHABILITATION

Rehabilitation Counseling Bulletin Pub Date : 2021-09-03 DOI:10.1177/00343552211043257

A. Han

{"title":"Mindfulness- and Acceptance-Based Interventions for Stroke Survivors: A Systematic Review and Meta-Analysis","authors":"A. Han","doi":"10.1177/00343552211043257","DOIUrl":null,"url":null,"abstract":"Mindfulness- and acceptance-based intervention (MABI) is an emerging evidence-based practice, but no systematic review incorporating meta-analyses for MABIs in stroke survivors has been conducted. The objective of this systematic review was to measure the effectiveness of MABIs on outcomes for people with stroke. Three electronic databases, PubMed, CINAHL, and PsycINFO, were searched to identify relevant studies published in peer-reviewed journals. The methodological quality of the included studies was assessed. Data were extracted and combined in a meta-analysis with a random-effect model to compute the size of the intervention effect. A total of 11 studies met the eligibility criteria. Meta-analyses found a small-to-moderate effect of MABIs on depressive symptoms (standardized mean difference [SMD] = 0.39, 95% confidence interval [CI] = [0.12, 0.66]) and a large effect on mental fatigue (SMD = 1.22, 95% CI = [0.57, 1.87]). No statistically significant effect of MABIs on anxiety, quality of life, and mindfulness was found, but there was a trend in favor of MABIs overall. This meta-analysis found positive effects of MABIs on depressive symptoms and mental fatigue in stroke survivors, but future high-quality studies are needed to guarantee treatment effects of MABIs on varied outcomes in stroke survivors.","PeriodicalId":47012,"journal":{"name":"Rehabilitation Counseling Bulletin","volume":"66 1","pages":"123 - 135"},"PeriodicalIF":1.9000,"publicationDate":"2021-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Rehabilitation Counseling Bulletin","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00343552211043257","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 2

Abstract

Mindfulness- and acceptance-based intervention (MABI) is an emerging evidence-based practice, but no systematic review incorporating meta-analyses for MABIs in stroke survivors has been conducted. The objective of this systematic review was to measure the effectiveness of MABIs on outcomes for people with stroke. Three electronic databases, PubMed, CINAHL, and PsycINFO, were searched to identify relevant studies published in peer-reviewed journals. The methodological quality of the included studies was assessed. Data were extracted and combined in a meta-analysis with a random-effect model to compute the size of the intervention effect. A total of 11 studies met the eligibility criteria. Meta-analyses found a small-to-moderate effect of MABIs on depressive symptoms (standardized mean difference [SMD] = 0.39, 95% confidence interval [CI] = [0.12, 0.66]) and a large effect on mental fatigue (SMD = 1.22, 95% CI = [0.57, 1.87]). No statistically significant effect of MABIs on anxiety, quality of life, and mindfulness was found, but there was a trend in favor of MABIs overall. This meta-analysis found positive effects of MABIs on depressive symptoms and mental fatigue in stroke survivors, but future high-quality studies are needed to guarantee treatment effects of MABIs on varied outcomes in stroke survivors.

查看原文本刊更多论文

脑卒中幸存者基于正念和接受的干预：系统综述和荟萃分析

基于正念和接受的干预（MABI）是一种新兴的循证实践，但尚未对中风幸存者的MABI进行综合荟萃分析的系统综述。这项系统综述的目的是衡量MABI对中风患者预后的有效性。检索了PubMed、CINAHL和PsycINFO三个电子数据库，以确定发表在同行评审期刊上的相关研究。对纳入研究的方法学质量进行了评估。数据被提取出来，并在荟萃分析中与随机效应模型相结合，以计算干预效果的大小。共有11项研究符合资格标准。荟萃分析发现，MABI对抑郁症状的影响较小至中等（标准化平均差[SMD]=0.39，95%置信区间[CI]=[0.12，0.66]），对精神疲劳的影响较大（SMD=1.22，95%CI=[0.57，1.87]）。MABI对焦虑、生活质量和正念的影响没有统计学意义，但总体上有利于MABI的趋势。这项荟萃分析发现，MABI对中风幸存者的抑郁症状和精神疲劳有积极影响，但未来需要高质量的研究来保证MABI对卒中幸存者不同结果的治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Rehabilitation Counseling Bulletin REHABILITATION-

CiteScore

2.90

自引率

15.40%

发文量

期刊介绍： Rehabilitation Counseling Bulletin (RCB) publishes articles on rehabilitation counseling with a major emphasis on data-based research reports, although other types of contributions to professional knowledge in rehabilitation counseling will be considered. Examples include articles that explain an innovative technique or application, point/ counterpoint debates on a current controversy challenging the profession, or insightful essays on an important issue. Contributions of these kinds may be considered for a special section of RCB. Article topics cover a wide range—from ethical dilemmas related to counseling clients with HIV/AIDS to clinical problem solving in micro–case management.