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基于互联网的正念冥想对大学生抑郁焦虑情绪干预效果的Meta分析
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Abstract:
目的：系统评价基于互联网的正念冥想对大学生抑郁焦虑情绪影响的干预效果。方法：分别检索Cochrane library、PubMed、Embase、Web of Science、中国知网和万方数据库中有关基于互联网的正念冥想对大学生抑郁焦虑情绪影响的干预试验研究。两名研究者按照纳入排除标准独立筛选文献、进行文献质量评价并从中提取数据，采用RevMan 5. 3软件进行数据分析。结果：共纳入6篇，合计750名研究对象。Meta分析结果发现基于抑郁症筛查量表(PHQ9)的抑郁情绪评估显示，实施正念冥想后，正念干预组抑郁短期改善优于对照组，差异有统计学意义(SMD = ？2.16; 95% CI ？3.59~0.73; P = 0.003)。基于贝克焦虑量表(BAI)评估焦虑情绪程度的meta分析结果显示正念冥想干预后焦虑情绪有显著改善(SMD = ？4.99; 95% CI ？8.78~1.21; P = 0.010)。基于广泛焦虑评估量表(GAD-7)的评估，meta分析显示正念冥想干预同样可以显著改善焦虑情绪(SMD = ？2.17; 95% CI ？3.26~1.08; P < 0.001)。结论：基于互联网的正念冥想有助于改善大学生的抑郁、焦虑情绪，未来可利用基于互联网正念冥想训练改善大学生心理健康问题。
Objective: To explore the effect of Internet-based mindfulness meditation on depression and anxiety in college students. Methods: We searched Cochrane library, PubMed, Embase, Web of Science, WangFang and CNKI databases for the effects of mindfulness meditation on depression and anxiety of college students. According to the inclusion and exclusion criteria, two researchers independently screened literatures, evaluated literature quality and extracted data from them. RevMan 5.3 software was used for data analysis. Results: A total of 6 studies were included, with a total of 750 patients. The results of meta-analysis showed that the depression condition assessment based on PHQ9 scale showed that the short-term improvement of depression in the mindfulness intervention group was better than that in the control group after the implementation of mindfulness meditation, and the difference was statistically significant (SMD = ？2.16; 95% CI ？3.59~0.73; P = 0.003). The results of meta-analysis based on Baker Anxiety Scale (BAI) showed that the anxiety condition was significantly improved after mindfulness meditation intervention (SMD = ？4.99; 95% CI ？8.78~1.21; P = 0.010). Efficacy Meta Analysis based on the Broad Anxiety Assessment Scale (GAD-7) showed that mindfulness meditation intervention can also significantly improve anxiety (SMD = ？2.17; 95% CI ？3.26~1.08; P < 0.001). Conclusion: Internet-based mindfulness meditation can help improve depression and anxiety of college students. In the future, Internet-based mindfulness meditation training can be used to improve college students’ mental health problems.
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