正念认知疗法对多发性硬化患者焦虑敏感性的影响

Mahtab Dizaj Khalili, S. Makvand Hosseini, P. Sabahi
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摘要

背景:多发性硬化症(MS)是一种慢性疾病,可严重影响患者的功能和生活质量。目的:探讨正念认知疗法(MBCT)对多发性硬化症患者焦虑敏感性的影响。方法:采用前测后测、对照组、随访的准实验设计。统计人群包括在德黑兰多发性硬化症协会登记的多发性硬化症妇女。采用方便抽样法,选取30名受试者,随机分为实验组和对照组(每组15人)。实验组接受MBCT(8次,每次90分钟),而对照组没有接受干预。采用焦虑敏感性指数(ASI)进行数据收集,采用重复测量ANCOVA进行数据分析。结果:女性平均年龄37.21±5.78岁。参与者的病程为5.81±2.43年。实验组焦虑敏感性前测、后测和随访得分的均数±标准差(SD)分别为101.66±2.63、93.86±3.11和94.00±3.62,与对照组相比,后测和随访得分差异有统计学意义(P < 0.001)。与对照组相比,MBCT显著改善了实验组的焦虑敏感成分。在随访期间也观察到这一显著差异(P < 0.001)。结论:MBCT有助于缓解MS女性的焦虑敏感性,因此心理治疗师可以将MBCT作为改善MS女性焦虑敏感性的有效干预手段。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Mindfulness-Based Cognitive Therapy on Anxiety Sensitivity in Patients with Multiple Sclerosis
Background: Multiple sclerosis (MS) is a chronic condition that can seriously impact a patient’s functions and quality of life. Mindfulness-based meditation as a clinical intervention can positively affect the emotional and physical states of patients with MS. Objectives: The present study aimed to investigate the role of mindfulness-based cognitive therapy (MBCT) on anxiety sensitivity in patients with MS. Methods: This quasi-experimental study adopted a pretest-posttest, control group design with follow-up. The statistical population included the women with MS who enrolled in the Tehran MS Society. Convenience sampling was employed to select 30 participants who were assigned randomly to an experimental group and a control group (15 members per group). The experimental group received MBCT (for eight 90-minute sessions), whereas the control group received no interventions. The Anxiety Sensitivity Index (ASI) was used for data collection, and repeated measures ANCOVA was adopted for data analysis. Results: The mean age of women was 37.21 ± 5.78 years. Also, the duration of the disease in the participants was 5.81 ± 2.43 years. The mean ± standard deviation (SD) of the pretest, posttest, and follow-up scores of anxiety sensitivity in the experimental group were101.66 ± 2.63, 93.86 ± 3.11 and 94.00 ± 3.62, respectively, which in the posttest and follow-up was significantly different from the control groups (P < 0.001). The MBCT significantly improved anxiety sensitivity components in the experimental group compared to the control group. This significant difference was also observed during the follow-up period (P < 0.001). Conclusions: The MBCT helped alleviate anxiety sensitivity in women with MS. Therefore, psychotherapists can use MBCT as an effective intervention in improving anxiety sensitivity in women with MS.
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