特征正念缓和治疗结果在一个随机对照试验的mantram重复计划的退伍军人创伤后应激障碍
Skylar Kelsven1,2, Caitlin L McLean2,3,4,5, Kiara Widjanarko2
1VA San Diego Center of Excellence for Stress and Mental Health, San Diego, California, USA.
Journal of integrative and complementary medicine
|July 31, 2024
概括
像描述经历和非反应性这样的正念意识方面预测了创伤后应激障碍 (PTSD) 的退伍军人的治疗成功. 这些特征表明,谁从Mantra重复计划 (MRP) 与以现在为中心的治疗 (PCT) 中获益最多.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 正念研究研究 正念研究
背景情况:
- 创伤后应激障碍 (PTSD) 显著影响退伍军人的福祉.
- 基于正念的干预措施对创伤后应激障碍治疗有希望.
- 在正念的个体差异可能会影响治疗结果.
研究的目的:
- 研究如何五个方面的正念意识温和的PTSD退伍军人的临床结果.
- 为了比较Mantra重复计划 (MRP) 和以现在为中心的疗法 (PCT) 与正念方面的疗效.
- 为了确定PTSD,失眠和抑郁症治疗反应的预测因素.
主要方法:
- 来自一项随机对照试验 (RCT) 的数据的二次分析,涉及173名与军队有关的PTSD退伍军人.
- 参与者被随机分配,接受八次MRP或PCT.
- 在干预前和后评估了正念 (五方面正念问卷[FFMQ]),PTSD严重程度,失眠和抑郁症.
- 使用等级回归来测试FFMQ域对临床结果的适度效应.
主要成果:
- 与PCT相比",描述内部经验"的能力更强,与MRP治疗中较低的PTSD过度兴奋症状有关.
- 较低的"对内部刺激的非反应性"与MRP与PCT的PTSD避免/麻木和失眠的较大减少有关.
- 与PCT相比,特定的正念领域不同地预测了MRP的症状改善.
结论:
- 干预前的正念方面,特别是"描述"和"非反应性",可以预测患有PTSD的退伍军人的治疗反应.
- 五方面正念问卷 (FFMQ) 可能有助于确定最适合于像MRP这样的正念干预的患者.
- 根据个人的正念能力量身定制的正念干预措施可以提高PTSD的治疗效率.
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