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基于正念减压(MBSR)对癌症女性的注意力、反刍思维和静息血压的影响:一项等待对照研究。

Impact of Mindfulness-Based Stress Reduction (MBSR) on attention, rumination and resting blood pressure in women with cancer: a waitlist-controlled study.

机构信息

Department of Psychology, University of Calgary, 2500 University Drive NW, Calgary, AL T2N 1N4, Canada.

出版信息

J Behav Med. 2012 Jun;35(3):262-71. doi: 10.1007/s10865-011-9357-1. Epub 2011 Jun 12.

Abstract

The present study is a waitlist-controlled investigation of the impact of a Mindfulness-Based Stress Reduction (MBSR) program on mindful attentiveness, rumination and blood pressure (BP) in women with cancer. Female post-treatment cancer patients were recruited from the MBSR program waitlist. Participants completed self-report measures of mindfulness and rumination and measured casual BP at home before and after the 8-week MBSR program or waiting period. MBSR group participants demonstrated higher levels of mindful attentiveness and decreased ruminative thinking following the intervention but no difference in BP, when compared to controls. In the MBSR group, decreases in rumination correlated with decreases in SBP and increases in mindful attention. When participants were assigned to "Higher BP" and "Lower BP" conditions based on mean BP values at week 1, "Higher BP" participants in the MBSR group (n=19) had lower SBP at week 8 relative to the control group (n=16). A MBSR program may be efficacious in increasing mindful attention and decreasing rumination in women with cancer. Randomized controlled trials are needed to evaluate an impact on clinically elevated BP.

摘要

本研究是一项基于正念减压(MBSR)的对照研究,旨在探讨 MBSR 对癌症女性的正念注意力、反刍思维和血压(BP)的影响。研究招募了 MBSR 项目候补名单中的女性癌症后治疗患者。参与者在接受为期 8 周的 MBSR 项目或候补期前后,完成了正念和反刍思维的自我报告测量,并在家中测量了偶然血压。与对照组相比,MBSR 组参与者在干预后表现出更高的正念注意力水平和降低的反刍思维,但血压无差异。在 MBSR 组中,反刍思维的减少与 SBP 的降低和正念注意力的增加相关。当根据第 1 周的平均血压值将参与者分配到“高 BP”和“低 BP”条件时,MBSR 组的“高 BP”参与者(n=19)的 SBP 在第 8 周时相对低于对照组(n=16)。MBSR 项目可能在增加癌症女性的正念注意力和减少反刍思维方面有效。需要进行随机对照试验来评估其对临床升高的 BP 的影响。

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