동의신경정신과학회지 (Journal of Oriental Neuropsychiatry)

  • 제30권3호
  • /
  • Pages.237-249
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  • 2019
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  • 1226-6396(pISSN)
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  • 2234-4942(eISSN)
대한한방신경정신과학회 (The Korean Society of Oriental Neuropsychiatry)
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Meditation for Alzheimer's Disease: Systematic Review and Meta-Analysis

  • Lee, Go eun (Department of Korean Rehabilitative Medicine, National Rehabilitation Center) ;
  • Kim, Sang ho (Department of Neuropsychiatry of Korean Medicine, Pohang Korean Medicine Hospital, Daegu Haany University) ;
  • Jung, In chul (Department of Neuropsychiatry of Korean Medicine, Dunsan Korean Medicine Hospital of Daejeon University) ;
  • Kang, Hyung won (Department of Korean Neuropsychiatry Medicine, Wonkwang University Sanbon Hospital)
  • 투고 : 2019.08.25
  • 심사 : 2019.09.22
  • 발행 : 2019.09.30
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초록

Objectives: Interest in the use of complementary and alternative treatments to treat dementia. Meditation is used to treat various symptoms of physical and psychological diseases. Some studies suggest that meditation might have positive effects on cognitive functions, especially attention, in the elderly. However, how meditation affects Alzheimer's disease (AD) patients remains unclear. In this review, we assessed the effectiveness of practicing meditation in combination with standard care in AD. Methods: We searched the CCRCT, MEDLINE, EMBASE, AMED and CINAHL databases on 30 May 2017. We included randomized controlled trials (RCTs) that used meditation in adult patients diagnosed with AD. We allocated patients to a meditation combined with standard care or a standard care-only group. Results: The two RCTs met the inclusion criteria. A total of 98 patients were included in the meditation with standard care and standard care-only groups in this review. All meditation programs in the included trials were based on practicing mindfulness. The results of our meta-analysis indicatedthat adjunctive mindfulness meditation programs exerted favourable but non-significant effects on cognitive function on the Mini Mental State Examination (MMSE) (MD=4.68, 95% CI -0.11 to 9.46; Z=1.92, p=0.06). Only one study assessed depression, anxiety, quality of life and stress. No adverse events related to meditation were reported in the included studies. Conclusions: Insufficient data iscurrently available to determine the effectiveness of practicing meditation on patients diagnosed with AD. Hence, further RCTs with high methodological quality and larger sample sizes are needed to effectively estimate the effects of meditation on AD.

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참고문헌

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