Bipolar Bozuklukta Zihin–Beden Terapilerinin Ruh Sağlığı Sonuçları Üzerindeki Etkisi: Randomize Kontrollü Çalışmaların Meta-Analizi

Öz

Bu çalışmanın amacı, zihin–beden terapilerinin bipolar bozukluğu olan bireylerde ruh sağlığına ilişkin sonuçlar (depresif belirtiler, manik belirtiler, anksiyete, yaşam kalitesi ve farkındalık) üzerindeki etkililiğini incelemektir. Aktif kontrol grubu veya bekleme listesiyle karşılaştırılan, yıl sınırlaması olmaksızın yayımlanmış İngilizce randomize kontrollü çalışmalar dâhil edilmiştir. Scopus, PubMed (MEDLINE), Wiley, ScienceDirect ve Web of Science (WOS) veritabanları Nisan 2024’e kadar taranmıştır. Toplam 1205 katılımcıyı içeren dokuz çalışma meta-analize dâhil edilmiştir. Zihin-beden terapilerinin depresif semptomlar, manik semptomlar veya yaşam kalitesi üzerinde anlamlı bir etkisi bulunmamıştır. Ancak bu terapiler, kaygıda önemli bir azalma ve farkındalık puanlarında önemli bir artışla ilişkilendirildi. Gelecekteki çalışmalar, bipolar bozukluğa özgü zihin–beden terapi programlarının geliştirilmesi, uygulanması ve bipolar bozukluğu olan popülasyonlarda uygulanabilir olup olmadığına yönelik çalışma tasarımları oluşturmayı hedeflemelidir. Kaygıyı azaltma ve farkındalığı artırma potansiyelleri göz önüne alındığında, zihin-beden terapileri, bipolar bozuklukta farmakolojik ve psikososyal tedavilere tamamlayıcı bir yaklaşım olarak düşünülebilir.

Anahtar Kelimeler

• zihin–beden terapileri
• tamamlayıcı terapiler
• bipolar bozukluk

Effect of Mind-Body Therapies on Mental Health Outcomes in Bipolar Disorder: Meta-Analysis of Randomized Controlled Trials

Öz

The aim of this study was to examine the effectiveness of mind–body therapies on mental health outcomes (depressive symptoms, manic symptoms, anxiety, quality of life, and mindfulness) in individuals with bipolar disorder. Randomized controlled trials published in English without year restriction and comparing mind–body therapies with an active control group or a wait-list control were included. Scopus, PubMed (MEDLINE), Wiley, ScienceDirect, and Web of Science (WOS) databases were searched up to April 2024. Nine studies including a total of 1,205 participants were included in the meta-analysis. Mind–body therapies were not associated with significant effects on depressive symptoms, manic symptoms, or quality of life. However, these therapies were associated with a significant reduction in anxiety and a significant increase in mindfulness scores. Future studies should aim to develop and implement mind–body therapy programs specific to bipolar disorder and design studies to evaluate whether these interventions are applicable in individuals with bipolar disorder. Given their potential to reduce anxiety and increase mindfulness, mind–body therapies may be considered as a complementary approach to pharmacological and psychosocial treatments in bipolar disorder.

Anahtar Kelimeler

• mind-body therapies
• complementary therapies
• bipolar disorder
• mood disorder

Kaynakça

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