练习正念是否"有风险"增加精神性? 对声称的效果进行系统审查和批判性分析
Fabrice Berna1, Amaury C Mengin1, Philippe Huguelet2
1Psychiatry, Inserm U1329, université de Strasbourg, hôpitaux universitaires de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg cedex, France.
正念冥想对灵性的影响是不确定的,一些研究显示略有增加,但质疑临床相关性. 对法国宗教关系和世俗主义的担忧需要谨慎的政策,而不是禁令.
科学领域:
- 精神病学和人体护理
- 心理治疗研究 心理治疗研究
- 正念研究 研究正念研究
背景情况:
- 正念冥想在医疗保健中越来越多地用于诸如抑郁症复发预防等疾病.
- 人们担心它与佛教和灵性有关,这给世俗主义带来了挑战,特别是在法国.
研究的目的:
- 量化评估正念冥想对灵性和宗教性的影响.
- 为了分析经过验证的尺度数据,对干预后精神和宗教分数的变化进行分析.
主要方法:
- 对PubMed索引的研究进行了系统审查.
- 在质量和数量上分析了四个灵性尺度 (FACIT-sp,INSPIRIT,DSES,DUREL).
- 对18项研究中的1272名参与者进行了干预前后评分的效果大小计算.
主要成果:
- 定性分析在评估尺度上确定了精神,宗教和神秘主义项目.
- 定量分析显示,在正念后的精神性得分中,轻微的,往往在临床上有疑问的精神性得分增加.
- 对照组通常显示得分变化较小,这表明潜在的正念效应.
结论:
- 正念引起的灵性变化的临床意义是不确定的.
- 正念冥想与佛教和心理治疗传统的关系是复杂的和有争议的.
- 建议采取减少危害的方法和监管政策,而不是禁止,特别是在法国的世俗背景下.
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