正念干预（mbi）对癌症患者睡眠质量的影响：随机对照试验的系统回顾和荟萃分析

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-03-25 DOI:10.1016/j.jpsychores.2025.112110

Chuntana Reangsing , Sasinun Punsuwun , Sarah Oerther

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引用次数: 0

摘要

目的通过系统回顾和荟萃分析，探讨mbi对癌症患者睡眠质量的影响，并探讨方法、干预措施和参与者特征对这种影响的调节作用。方法对Ovid Medline、CINAHL、PubMed、Scopus、APA PsycINFO、Age line、ProQuest Dissertation and Theses、Web of Science、Academic Search Complete、ScienceDirect等10个电子数据库进行检索。我们回顾了关于癌症患者接受基于佛教教导的正念干预的睡眠质量结果的研究。我们只回顾了用英文写的随机对照试验。采用随机效应模型计算效应大小。我们使用漏斗图、Q统计量和I2来检验研究间的异质性。此外，我们检查了调节因子以探索异质性的来源。结果在25项纳入的研究中，提供26个比较（N = 2263）， 1157名癌症患者参与了正念干预；1106人作为对照。大多数癌症患者为男性（s = 14）。平均年龄39.02 ~ 70.86岁。（Mean = 53.70, SD = 6.52）。总体而言，mbi对改善癌症患者睡眠质量有中等效果(g = 0.598, 95% CI 0.332, 0.864, p <；.001, i2 = 88%)。结果测量的资金和时间是影响ES的调节因子。没有初步研究报告其不良反应。结论mbi可显著改善癌症患者的睡眠质量。临床医生应考虑使用mbi作为改善癌症患者睡眠质量的替代补充治疗。

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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Effects of mindfulness-based interventions (MBIs) on quality of sleep among patients with cancer: A systematic review and meta-analysis of randomized controlled trials

Objective

The purpose of this systematic review and meta-analysis was to examine the effects of MBIs on quality of sleep in patients with cancer and explore methods, intervention and participants' characteristics as moderators to the effects.

Method

Ten electronic databases were searched from inception to October 2024 including Ovid Medline, CINAHL, PubMed, Scopus, APA PsycINFO, Age line, ProQuest Dissertation and Theses, Web of Science, Academic Search Complete, and ScienceDirect. We reviewed studies on quality of sleep outcomes for patients with cancer receiving mindfulness-based interventions based on Buddhist teaching. We only reviewed randomized controlled trials written in English. A random-effects model was used to compute the effect size. We used Funnel plot, Q statistics, and I² to test the heterogeneity across studies. Also, we examined moderators to explore sources of heterogeneity.

Results

Across 25 included studies providing 26 comparisons (N = 2263), 1157 cancer patients participated in mindfulness interventions; 1106 served as controls. Most cancer patients were males (s = 14). Mean age ranged from 39.02 to 70.86 yrs. (Mean = 53.70, SD = 6.52). Overall, MBIs had a moderate effect on improving quality of sleep among cancer patients (g = 0.598, 95 %CI 0.332, 0.864, p < .001, I² = 88 %). Funding and time of outcome measure were moderators affecting ES. No primary studies reported the adverse effects.

Conclusion

MBIs significantly improved quality of sleep among patients with cancer. Clinicians should consider using MBIs as alternative complementary treatment for improving quality of sleep among patients with cancer.

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.