童年创伤和亚临床PTSD症状预测了积极抑郁症的两个基于正念的计划的不良影响和更糟糕的结果
Nicholas K Canby1, Elizabeth A Cosby1, Roman Palitsky1
1Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, Providence, RI, United States of America.
PloS one
|January 30, 2025
概括
童年创伤在基于正念的计划 (MBPs) 中对抑郁症治疗结果产生负面影响. 它还增加了与冥想相关的不良影响 (MRAE) 的风险,需要创伤知情护理.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 创伤研究 创伤研究
背景情况:
- 基于正念的计划 (MBPs) 显示出关于童年创伤在抑郁症结果中的作用的混合结果.
- 童年创伤和PTSD症状是冥想相关不良影响 (MRAE) 的潜在风险因素.
研究的目的:
- 调查儿童创伤和PTSD症状作为抑郁症治疗结果和MRAEs的预测因素.
- 分析各种童年创伤形式对抑郁症治疗和MBPs参与者 attrition的影响.
主要方法:
- 两个MBP临床试验的二次分析 (N=52和N=104).
- 检查了童年创伤 (虐待,忽视) 作为抑郁症结果和消耗的预测因素.
- 评估了与冥想相关的副作用 (MRSE) 和MRAE,并将PTSD症状作为研究2的预测因素.
主要成果:
- 在这两项研究中,童年创伤预测了更糟糕的抑郁症结果; 总的童年创伤和性虐待是重要的预测因素.
- 在研究2中,童年性虐待预测了消耗.
- 童年创伤和PTSD症状预测了MRSE;总创伤,情绪虐待和亚临床PTSD预测了持久的MRAE.
结论:
- 童年创伤和创伤后应激障碍症状与抑郁症结果较差以及MBP的不良影响增加有关.
- 强调需要对创伤敏感的修改,安全监测,查和提供者教育在MBP对抑郁症患者的个人.
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