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自我报告的正念作为癌症患者减压干预中心理幸福感的中介因素——一项随机研究。

Self-report mindfulness as a mediator of psychological well-being in a stress reduction intervention for cancer patients--a randomized study.

机构信息

Department of Oncology-Pathology, Karolinska Institute, Radiumhemmet, 171 76, Stockholm, Sweden.

出版信息

Ann Behav Med. 2010 May;39(2):151-61. doi: 10.1007/s12160-010-9168-6.

DOI:10.1007/s12160-010-9168-6
PMID:20177843
Abstract

BACKGROUND

There is increasing recognition of mindfulness and mindfulness training as a way to decrease stress and increase psychological functioning.

PURPOSE

The aims of this study were to examine the effects of mindfulness stress reduction training on perceived stress and psychological well-being and to examine if changes in mindfulness mediate intervention effects on these outcomes.

METHODS

Seventy women and one man with a previous cancer diagnosis (mean age 51.8 years, standard deviation = 9.86) were randomized into an intervention group or a wait-list control group. The intervention consisted of an 8-week mindfulness training course.

RESULTS

Compared to participants in the control group, participants in the mindfulness training group had significantly decreased perceived stress and posttraumatic avoidance symptoms and increased positive states of mind. Those who participated in the intervention reported a significant increase in scores on the five-facet mindfulness questionnaire (FFMQ) when compared to controls. The increase in FFMQ score mediated the effects of the intervention on perceived stress, posttraumatic avoidance symptoms, and positive states of mind.

CONCLUSIONS

This study indicates that the improvements in psychological well-being resulting from mindfulness stress reduction training can potentially be explained by increased levels of mindfulness as measured with the FFMQ. The importance of these findings for future research in the field of mindfulness is discussed.

摘要

背景

正念和正念训练作为一种减轻压力和提高心理功能的方法,越来越受到关注。

目的

本研究旨在考察正念减压训练对感知压力和心理幸福感的影响,并探讨正念的变化是否可以作为干预对这些结果的影响的中介。

方法

70 名女性和 1 名男性(平均年龄 51.8 岁,标准差=9.86)被随机分为干预组和等待名单对照组。干预包括 8 周的正念训练课程。

结果

与对照组相比,正念训练组的参与者感知压力和创伤后回避症状显著降低,积极心态显著增加。与对照组相比,参加干预的参与者在五因素正念问卷(FFMQ)上的得分显著增加。FFMQ 得分的增加中介了干预对感知压力、创伤后回避症状和积极心态的影响。

结论

本研究表明,正念减压训练带来的心理幸福感的改善可以通过使用 FFMQ 测量的正念水平的提高来解释。讨论了这些发现对正念领域未来研究的重要性。

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