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运用接纳与承诺疗法提升自我同情:一项随机对照试验。

Using Acceptance and Commitment Therapy to Increase Self-Compassion: A Randomized Controlled Trial.

作者信息

Yadavaia James E, Hayes Steven C, Vilardaga Roger

机构信息

Department of Psychology/296 University of Nevada, Reno Reno, NV 89557-0062.

Department of Psychology/298 University of Nevada, Reno Reno, NV 89557-0062.

出版信息

J Contextual Behav Sci. 2014 Oct 1;3(4):248-257. doi: 10.1016/j.jcbs.2014.09.002.

Abstract

Self-compassion has been shown to be related to several types of psychopathology, including traumatic stress, and has been shown to improve in response to various kinds of interventions. Current conceptualizations of self-compassion fit well with the psychological flexibility model, which underlies acceptance and commitment therapy (ACT). However, there has been no research on ACT interventions specifically aimed at self-compassion. This randomized trial therefore compared a 6-hour ACT-based workshop targeting self-compassion to a wait-list control. From pretreatment to 2-month follow-up, ACT was significantly superior to the control condition in self-compassion, general psychological distress, and anxiety. Process analyses revealed psychological flexibility to be a significant mediator of changes in self-compassion, general psychological distress, depression, anxiety, and stress. Exploratory moderation analyses revealed the intervention to be of more benefit in terms of depression, anxiety, and stress to those with greater trauma history.

摘要

自我同情已被证明与多种心理病理学类型有关,包括创伤应激,并且已被证明在接受各种干预后会有所改善。目前对自我同情的概念化与心理灵活性模型非常契合,该模型是接纳与承诺疗法(ACT)的基础。然而,尚未有专门针对自我同情的ACT干预研究。因此,这项随机试验将一个针对自我同情的6小时ACT工作坊与等待名单对照组进行了比较。从预处理到2个月的随访,ACT在自我同情、一般心理困扰和焦虑方面显著优于对照组。过程分析表明,心理灵活性是自我同情、一般心理困扰、抑郁、焦虑和压力变化的重要中介。探索性调节分析表明,对于有更多创伤史的人,该干预在抑郁、焦虑和压力方面更有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d50/4260406/b42d1fb1a507/nihms636856f1.jpg

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