PDF(Pubmed)
Abstract：
Mind-body interventions have gained increasing popularity for use with anxiety symptoms; however, it is unclear what role they play in the treatment of anxiety disorders, such as generalized anxiety disorder, panic disorder, and social anxiety disorder. Although psychopharmacology and psychotherapy treatment interventions are available, mind-body interventions may be low-stigma options that can serve as effective alternatives. The goal of this review is to provide clinicians with an overview of high-quality studies for the most well researched mind-body interventions. This review involved a search of the primary literature, including meta-analyses, systematic reviews, and randomized controlled trials (RCTs), that evaluated mind-body interventions for the treatment of anxiety disorders. When published evidence was limited, lower-quality studies were reviewed. Overall, data were limited on the efficacy of most mind-body modalities for anxiety disorders. The highest-quality data existed for yoga, mindfulness-based interventions, and applied relaxation for anxiety disorders. However, findings were sometimes inconsistent across studies, and some studies were limited by small sample sizes, poorly defined randomization and blinding procedures, and inadequate control groups. Although not enough data exist to recommend mind-body interventions as primary treatment options, they may be considered as part of a larger treatment plan given their relatively low levels of risk. Future steps for researchers include conducting additional RCTs with adequate control groups, comparing mind-body treatments with existing treatments, and examining long-term effects of mind-body interventions.
摘要：
身心干预在焦虑症状方面越来越受欢迎；然而，目前还不清楚它们在焦虑症的治疗中扮演什么角色，比如广泛性焦虑症，恐慌症,和社交焦虑症.虽然精神药理学和心理治疗干预措施是可用的，身心干预可能是低污名化的选择，可以作为有效的替代方案。这篇综述的目的是为临床医生提供高质量研究的概述，以研究最充分的身心干预措施。这篇综述涉及对主要文献的搜索，包括荟萃分析，系统评价,和随机对照试验(RCT)，评估了治疗焦虑症的身心干预措施。当公布的证据有限时，对低质量的研究进行了综述。总的来说,大多数身心疗法治疗焦虑症的疗效数据有限.瑜伽存在最高质量的数据，基于正念的干预措施，并对焦虑症应用放松。然而,研究结果有时不一致，一些研究受到小样本量的限制，定义不清的随机化和盲法程序，和不足的对照组。尽管没有足够的数据推荐身心干预作为主要治疗方案，考虑到它们相对较低的风险水平,它们可以被视为更大治疗计划的一部分.研究人员未来的步骤包括与足够的对照组进行额外的随机对照试验，将身心疗法与现有疗法进行比较，并检查身心干预的长期效果。
