University of Oxford.
Emotion. 2010 Feb;10(1):34-42. doi: 10.1037/a0016825.
The authors examined the effects of mindfulness training on 2 aspects of mode of processing in depressed participants: degree of meta-awareness and specificity of memory. Each of these has been suggested as a maladaptive aspect of a mode of processing linked to persistence and recurrence of symptoms. Twenty-seven depressed participants, all of whom had experienced suicidal crises, described warning signs for their last crisis. These descriptions were blind-rated independently for meta-awareness and specificity. Participants were then randomly allocated to receive mindfulness-based cognitive therapy (MBCT) plus treatment as usual (TAU) or TAU alone, and retested after 3 months. Results showed that, although comparable at baseline, patients randomized to MBCT displayed significant posttreatment differences in meta-awareness and specificity compared with TAU patients. These results suggest that mindfulness training may enable patients to reflect on memories of previous crises in a detailed and decentered way, allowing them to relate to such experiences in a way that is likely to be helpful in preventing future relapses.
元意识程度和记忆特异性。这两者都被认为是与症状持续和复发相关的一种加工模式的不适应方面。27 名经历过自杀危机的抑郁参与者描述了他们上次危机的预警信号。这些描述由独立的观察者进行元意识和特异性的盲评。然后，参与者被随机分配接受正念认知疗法（MBCT）加常规治疗（TAU）或仅接受 TAU，并在 3 个月后进行重新测试。结果表明，尽管基线时相似，但接受 MBCT 随机分组的患者在元意识和特异性方面与 TAU 患者相比，治疗后存在显著差异。这些结果表明，正念训练可以使患者以详细和去中心化的方式反思以前危机的记忆，使他们能够以一种可能有助于预防未来复发的方式来应对这些经历。
