Department of Psychology, University of Massachusetts, Boston, MA 02125, United States.
Clin Psychol Rev. 2011 Jun;31(4):617-25. doi: 10.1016/j.cpr.2011.02.003. Epub 2011 Feb 17.
Mindfulness based approaches have shown promise in the treatment of various anxiety disorders. However, further research is needed to more precisely elucidate mechanisms of action through which mindfulness practice may enhance treatment for anxiety. Given centrality of exposure-based procedures in the treatment of anxiety, it is important to consider ways in which mindfulness may affect exposure and extinction processes. In fact, numerous findings in the basic science of extinction point to the possible ways in which mindfulness may facilitate extinction learning. The present paper aims to critically review the literature surrounding mindfulness and extinction learning in order to more fully explore the ways in which mindfulness-based treatments may positively impact exposure and extinction processes in the treatment of anxiety disorders. This will provide a unique synthesis of newer, acceptance-based behavior therapies with established principles of effective behavioral treatments.
基于正念的方法在治疗各种焦虑障碍方面显示出了希望。然而,需要进一步的研究来更精确地阐明正念练习可能增强焦虑治疗效果的作用机制。鉴于暴露疗法在焦虑治疗中的核心地位,重要的是要考虑正念可能影响暴露和消退过程的方式。事实上,在消退的基础科学中,有许多发现指出了正念可能促进消退学习的可能方式。本文旨在批判性地回顾围绕正念和消退学习的文献,以便更充分地探讨基于正念的治疗方法如何积极影响焦虑障碍治疗中的暴露和消退过程。这将为新兴的、基于接纳的行为疗法与有效的行为治疗的既定原则提供独特的综合。