冥想练习,正念和与疼痛相关的结果在基于正念的治疗中治疗情节性偏头痛
Carly A Hunt1,2, Janelle E Letzen1, Samuel R Krimmel3
1Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Mindfulness
|March 4, 2024
概括
对偏头痛患者的正念训练表明,大脑连接性预测了冥想练习. 虽然冥想改善了疼痛的信念,但正念减少了头痛的影响,而不是频率.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 偏头痛研究 偏头痛研究
背景情况:
- 基于正念的干预措施 (MBI) 显示出有望预防偶发性偏头痛.
- 了解偏头痛中MBI冥想实践的预测因素和结果至关重要.
- 需要研究增强正念作为变革机制的作用.
研究的目的:
- 在接受MBI的偏头痛患者中检查正式冥想实践的生物心理社会预测因素.
- 为了确定与冥想实践相关的结果.
- 为了确定增强的正念是否在治疗效果的基础上有机械作用.
主要方法:
- 临床试验数据的二次分析,将基于正念的增强减压课程 (MBSR +) 与头痛压力管理 (SMH) 进行比较.
- 进行了12周的干预,MBSR+的50名参与者和SMH的48名参与者.
- 评估治疗前的中皮层临床系统功能 (vmPFC-rNAC连接) 和冥想练习时间.
主要成果:
- 在MBSR+中,更大的治疗前vmPFC-rNAC功能连接预测了更长的冥想练习时间.
- 这种连接也预测了治疗后头痛频率的更大降低.
- 增加冥想练习与更高的正念和减少灾难性疼痛 (无助感) 相关联,但不是头痛的频率,严重程度或影响. 增加的正念调解减少了头痛的影响.
结论:
- 中皮层临系统功能可能会影响对偏头痛的基于正念的干预措施的参与.
- 正式的冥想实践有利于与疼痛相关的认知,但没有直接临床疼痛结果.
- 正念增强是MBI影响头痛的关键机制,特别是头痛的影响.
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