正念疗法对多囊卵巢综合征患者干预效果的Meta分析
A Meta-Analysis of the Intervention Effect of Mindfulness Therapy on Patients with Polycystic Ovary Syndrome
DOI: 10.12677/ap.2024.144252, PDF,   
作者: 王文青, 张 敏：华北理工大学护理与康复学院，河北 唐山；白国欣：沧州市中心医院护理部，河北 沧州
关键词: 多囊卵巢综合征；正念；焦虑；抑郁；Polycystic Ovary Syndrome； Mindfulness； Anxiety； Depression
摘要: 目的：运用Meta分析的方法探讨正念疗法对多囊卵巢综合征患者干预效果。方法：检索了PubMed数据库、MEDLINE数据库、Cochrane临床对照试验中心注册库、Embase数据库、CINAHL数据库、WOS数据库、APA数据库、中国知网(CNKI)，万方数据库(WanFang)，中国生物医学文献数据库(CBM)，维普数据库(VIP)。共计检索文献118篇，通过筛选最终纳入5篇文献，使用Review Manager5.3软件进行统计分析。结果：正念疗法可以显著改善多囊卵巢综合征患者的焦虑情绪[SMD = −1.07, 95%CI (−1.94, −0.21), p < 0.05]、抑郁情绪[SMD = −1.07, 95%CI (−1.94, −0.21), p < 0.05]、身体质量指数[SMD = −0.56, 95%CI (−0.93, −0.19), p < 0.05]、黄体生长素[SMD = −1.33, 95%CI (−1.65, −1.00), p < 0.05]。而对压力状况[SMD = −0.95, 95%CI (−3.04, 1.14), p > 0.05]、睾酮[SMD = −1.19, 95%CI (−2.65, 0.27), p > 0.05]、卵泡刺激素[SMD = −0.46, 95%CI (−1.65, 0.74), p > 0.05]影响不显著。结论：正念疗法能够改善多囊卵巢综合征患者的情绪问题、降低身体质量指数以及黄体生长素。但是在降低压力状况以及其他性激素水平方面效果尚不明确。因此，未来需要进行高质量、大样本的随机对照试验，以进一步验证这一结论的可靠性。
Abstract: Objective: To explore the effect of mindfulness therapy on patients with polycystic ovary syndrome by Meta-analysis. Methods: PubMed database, MEDLINE database, Cochrane Central Register of Controlled Trials, Embase database, CINAHL database, WOS database, APA database, CNKI database, WanFang database were searched. Chinese Biomedical Literature database (CBM), VIP database (VIP). A total of 118 literatures were retrieved, and 5 literatures were finally included. Review Manager5.3 software was used for statistical analysis. Results: Mindfulness therapy can significantly improve anxiety [SMD = −1.07, 95%CI (−1.94, −0.21), p < 0.05], depression [SMD = −1.07, 95%CI (−1.94, −0.21), p < 0.05], body mass index [SMD = −0.56, 95%CI (−0.93, −0.19), p < 0.05] and luteinizing hormone [SMD = −1.33, 95%CI (−1.65, −1.00), p < 0.05] in patients with polycystic ovary syndrome. While the effects on stress status [SMD = −0.95, 95%CI (−3.04, 1.14), p > 0.05], testosterone [SMD = −1.19, 95%CI (−2.65, 0.27), p > 0.05], follicle-stimulating hormone [SMD = −0.46, 95%CI (−1.65, 0.74), p > 0.05]. Conclusion: Mindfulness therapy can improve the emotional problems of patients with polycystic ovary syndrome, reduce body mass index and luteinizing hormone. But its effect on reducing stress status and other sex hormone levels is less clear. Therefore, future randomized controlled trials with high quality and large sample size are needed to further verify the reliability of this conclusion.
文章引用：王文青, 张敏, 白国欣 (2024). 正念疗法对多囊卵巢综合征患者干预效果的Meta分析. 心理学进展, 14(4), 564-574. https://doi.org/10.12677/ap.2024.144252

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