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简短正念干预对大学生饮酒者负性情绪和饮酒欲望的影响。

Effects of a brief mindfulness intervention on negative affect and urge to drink among college student drinkers.

机构信息

University of Mississippi Medical Center, USA; G.V. (Sonny) Montgomery Veterans Affairs Medical Center, USA; Louisiana State University, USA.

Louisiana State University, USA.

出版信息

Behav Res Ther. 2014 Aug;59:82-93. doi: 10.1016/j.brat.2014.05.012. Epub 2014 Jun 9.

Abstract

Several theories have proposed that negative affect (NA) plays a large role in the maintenance of substance use behaviors - a phenomenon supported in laboratory-based and clinical studies. It has been demonstrated that mindfulness meditation can improve the regulation of NA, suggesting that mindfulness may be very beneficial in treating problematic substance use behavior. The current study tested whether a brief mindfulness meditation would lower levels of NA, increase willingness to experience NA, lower urges to drink, and increase time to next alcoholic drink in a sample of at-risk college student drinkers (N = 207). Participants were randomized to one of three brief interventions (mindfulness, relaxation, or control) followed by an affect manipulation (negative or neutral stimuli). Affect and urge were measured prior to intervention (Time 1 [T1]), after intervention but prior to affect manipulation (Time 2 [T2]), and immediately after the affect manipulation (Time 3 [T3]). Levels of mindfulness and relaxation were assessed from T1-T3. The additional measures of willingness to continue watching NA images and time to next alcoholic drink were examined at T3. Results indicated that the mindfulness intervention increased state mindfulness and relaxation, and decreased NA immediately following the mindfulness intervention. However, the mindfulness intervention did not influence responses to NA induction on any of the outcome variables at T3. One potential explanation is that the mindfulness intervention was not robust enough to maintain the initial gains made immediately following the intervention.

摘要

有几种理论提出,负性情绪(NA)在维持物质使用行为中起着重要作用——这一现象在基于实验室和临床的研究中得到了支持。研究表明,正念冥想可以改善 NA 的调节,这表明正念可能对治疗有问题的物质使用行为非常有益。本研究在有风险的大学生饮酒者样本中测试了短暂的正念冥想是否会降低 NA 水平、增加体验 NA 的意愿、降低饮酒欲望,并增加下一次饮酒的时间(N=207)。参与者被随机分配到三种简短干预措施(正念、放松或对照)之一,然后进行情绪操作(负面或中性刺激)。在干预之前(时间 1[T1])、干预后但在情绪操作之前(时间 2[T2])和情绪操作后立即(时间 3[T3])测量情绪和冲动。在 T1-T3 期间评估正念和放松的水平。在 T3 时还检查了继续观看 NA 图像的意愿和下一次饮酒的时间的额外测量。结果表明,正念干预立即增加了状态正念和放松,降低了 NA。然而,正念干预并没有影响 T3 时任何结果变量对 NA 诱导的反应。一种可能的解释是,正念干预不够有力,无法维持干预后立即获得的最初收益。

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