West of England Forensic Mental Health Service, Psychology Department, Bristol.
Clin Psychol Psychother. 2010 May-Jun;17(3):250-68. doi: 10.1002/cpp.665.
Despite the efficacy of cognitive-behavioural interventions in improving the experience of obsessions and compulsions, some people do not benefit from this approach. The present research uses a case series design to establish whether mindfulness-based therapy could benefit those experiencing obsessive-intrusive thoughts by targeting thought-action fusion and thought suppression. Three participants received a relaxation control intervention followed by a six-session mindfulness-based intervention which emphasized daily practice. Following therapy all participants demonstrated reductions in Yale-Brown Obsessive-Compulsive Scale scores to below clinical levels, with two participants maintaining this at follow-up. Qualitative analysis of post-therapy feedback suggested that mindfulness skills such as observation, awareness and acceptance were seen as helpful in managing thought-action fusion and suppression. Despite being limited by small participant numbers, these results suggest that mindfulness may be beneficial to some people experiencing intrusive unwanted thoughts and that further research could establish the possible efficacy of this approach in larger samples.
尽管认知行为干预在改善强迫观念和强迫行为的体验方面是有效的，但有些人并没有从中受益。本研究采用病例系列设计，通过针对思维-行动融合和思维抑制，来确定基于正念的疗法是否可以使那些经历强迫性侵入性思维的人受益。三名参与者先接受放松控制干预，然后接受六节基于正念的干预，强调日常练习。治疗后，所有参与者的耶鲁-布朗强迫症量表评分均降至临床水平以下，其中两名参与者在随访时仍保持这一水平。治疗后反馈的定性分析表明，观察、意识和接受等正念技能被认为有助于管理思维-行动融合和抑制。尽管参与者人数较少，但这些结果表明，正念可能对一些经历侵入性、不想要的想法的人有益，进一步的研究可以在更大的样本中确定这种方法的可能疗效。
