Black Dog Institute, Hospital Rd, Randwick, NSW, Australia.
Behav Res Ther. 2013 Jul;51(7):338-43. doi: 10.1016/j.brat.2013.03.006. Epub 2013 Apr 6.
This study aimed to examine the impact of quantity of mindfulness meditation practice on the outcome of psychiatric symptoms following Mindfulness-based Cognitive Therapy (MBCT) for those diagnosed with bipolar disorder. Meditation homework was collected at the beginning of each session for the MBCT program to assess quantity of meditation practice. Clinician-administered measures of hypo/mania and depression along with self-report anxiety, depression and stress symptom questionnaires were administered pre-, post-treatment and at 12-month follow-up. A significant correlation was found between a greater number of days meditated throughout the 8-week trial and clinician-rated depression scores on the Montgomery-Åsberg Depression Rating Scale at 12-month follow-up. There were significant differences found between those who meditated for 3 days a week or more and those who meditated less often on trait anxiety post-treatment and clinician-rated depression at 12-month follow-up whilst trends were noted for self-reported depression. A greater number of days meditated during the 8-week MBCT program was related to lower depression scores at 12-month follow-up, and there was evidence to suggest that mindfulness meditation practice was associated with improvements in depression and anxiety symptoms if a certain minimum amount (3 times a week or more) was practiced weekly throughout the 8-week MBCT program.
本研究旨在探讨正念冥想练习的数量对双相情感障碍患者接受正念认知疗法（MBCT）后精神症状的影响。MBCT 项目在每次治疗开始时都会收集冥想作业，以评估冥想练习的数量。在治疗前、治疗后和 12 个月随访时，采用临床医生管理的轻躁狂/躁狂和抑郁量表以及自我报告的焦虑、抑郁和压力症状问卷进行评估。研究发现，在 8 周的试验中，冥想的天数与 12 个月随访时蒙哥马利-阿斯伯格抑郁评定量表上的临床医生评定的抑郁评分之间存在显著相关性。在治疗后和 12 个月随访时，每周冥想 3 天或以上的患者与每周冥想次数较少的患者在特质焦虑和临床医生评定的抑郁方面存在显著差异，而在自我报告的抑郁方面则存在趋势。在 8 周的 MBCT 项目中，冥想的天数越多，在 12 个月随访时的抑郁评分越低，有证据表明，如果在整个 8 周的 MBCT 项目中每周至少练习 3 次（每周 3 次或更多），正念冥想练习与抑郁和焦虑症状的改善有关。
