基于正念的认知疗法后改善正念:试验性随机对照试验的结果,该试验涉及暴露于创伤的黑人成年人
Abigail Powers1, Rebecca Lipschutz1, Emma C Lathan2
1Department of Psychiatry & Behavioral Sciences, Emory University School of Medicine, 69 Jesse Hill Jr Drive, Atlanta, GA 30303 USA.
Mindfulness
|December 5, 2025
概括
基于正念的认知疗法 (MBCT) 在患有PTSD的黑人成年人中改善了正念观察和非反应性. 这项研究探讨了MBCT.
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:
- 创伤和精神病理不成比例地影响到社会经济资源有限的黑人成年人.
- 基于正念的认知疗法 (MBCT) 可能是一个有价值的干预,因为它是以小组为基础的性质和潜在的减轻心理健康的耻辱感.
- 特征正念和情绪失调 (ED) 是MBCT的拟议机制,但它们在患有PTSD的黑人成年人中的转变仍然未经测试.
研究的目的:
- 检查从一个试点随机对照试验 (RCT) 的8周MBCT干预的特征正念和情绪失调 (ED) 的变化.
- 为了比较MBCT与黑色等候名单对照 (WLC) 的效果,暴露于创伤的成年人对PTSD和抑郁症的查呈阳性.
- 分析特征正念和ED的特定方面随着时间的推移以及按群体状态的变化.
主要方法:
- 一项试点RCT的二次分析,涉及80名患有PTSD和抑郁症状的黑人成年人 (86.3%是女性).
- 参与者被随机分配到8周的MBCT干预或等候名单控制 (WLC) 中.
- 使用潜伏生长曲线模型,在基线,治疗后和1个月后跟踪测量了特征正念 (观察,描述,有意识地行动,不判断,不反应) 和ED.
主要成果:
- 随着时间的推移,MBCT组与WLC组相比,正念观察和非反应性显著增加.
- 随着时间的推移,情绪失调 (ED) 的变化没有发现任何显著的群体差异.
- 这些发现表明,与MBCT干预相关的正念方面的具体改善.
结论:
- 与WLC相比,MBCT在暴露于创伤的黑人成年人中,在正念观察和非反应性方面取得了更大的改善.
- 需要进一步的疗效试验来证实这些发现并探索作用机制.
- 特征正念和ED在该人群MBCT治疗结果中的潜在作用需要进一步调查.
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