社交焦虑障碍中的正念冥想训练与自我参照加工：行为和神经效应
Mindfulness Meditation Training and Self-Referential Processing in Social Anxiety Disorder: Behavioral and Neural Effects.
作者信息
Goldin Philippe, Ramel Wiveka, Gross James
机构信息
Stanford University.
出版信息
J Cogn Psychother. 2009 Aug;23(3):242-257. doi: 10.1891/0889-8391.23.3.242.
Abstract
This study examined the effects of mindfulness-based stress reduction (MBSR) on the brain-behavior mechanisms of self-referential processing in patients with social anxiety disorder (SAD). Sixteen patients underwent functional magnetic resonance imaging while encoding self-referential, valence, and orthographic features of social trait adjectives. Post-MBSR, 14 patients completed neuroimaging. Compared to baseline, MBSR completers showed (a) increased self-esteem and decreased anxiety, (b) increased positive and decreased negative self-endorsement, (c) increased activity in a brain network related to attention regulation, and (d) reduced activity in brain systems implicated in conceptual-linguistic self-view. MBSR-related changes in maladaptive or distorted social self-view in adults diagnosed with SAD may be related to modulation of conceptual self-processing and attention regulation. Self-referential processing may serve as a functional biobehavioral target to measure the effects of mindfulness training.
摘要
本研究考察了基于正念的减压疗法（MBSR）对社交焦虑障碍（SAD）患者自我参照加工的脑行为机制的影响。16名患者在对社交特质形容词的自我参照、效价和正字法特征进行编码时接受了功能磁共振成像。MBSR治疗后，14名患者完成了神经影像学检查。与基线相比，完成MBSR治疗的患者表现出：（a）自尊增强、焦虑减轻；（b）积极的自我认同增加、消极的自我认同减少；（c）与注意力调节相关的脑网络活动增加；（d）涉及概念性语言自我观的脑系统活动减少。在被诊断为SAD的成年人中，与MBSR相关的适应不良或扭曲的社交自我观变化可能与概念性自我加工和注意力调节的调节有关。自我参照加工可能作为一个功能性生物行为靶点来衡量正念训练的效果。
相似文献
1
Mindfulness Meditation Training and Self-Referential Processing in Social Anxiety Disorder: Behavioral and Neural Effects.社交焦虑障碍中的正念冥想训练与自我参照加工：行为和神经效应
J Cogn Psychother. 2009 Aug;23(3):242-257. doi: 10.1891/0889-8391.23.3.242.
2
Randomized controlled trial of mindfulness-based stress reduction versus aerobic exercise: effects on the self-referential brain network in social anxiety disorder.正念减压疗法与有氧运动对照随机临床试验：对社交焦虑障碍中自我参照脑网络的影响。
Front Hum Neurosci. 2012 Nov 5;6:295. doi: 10.3389/fnhum.2012.00295. eCollection 2012.
3
Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder.正念减压疗法（MBSR）对社交焦虑障碍情绪调节的影响。
Emotion. 2010 Feb;10(1):83-91. doi: 10.1037/a0018441.
4
Self-views in social anxiety disorder: The impact of CBT versus MBSR.社交焦虑障碍中的自我认知：认知行为疗法与正念减压疗法的影响对比
J Anxiety Disord. 2017 Apr;47:83-90. doi: 10.1016/j.janxdis.2017.01.001. Epub 2017 Jan 10.
5
Evaluation of Cognitive Behavioral Therapy vs Mindfulness Meditation in Brain Changes During Reappraisal and Acceptance Among Patients With Social Anxiety Disorder: A Randomized Clinical Trial.评价认知行为疗法与正念冥想在社交焦虑障碍患者再评价和接受过程中大脑变化的比较：一项随机临床试验。
JAMA Psychiatry. 2021 Oct 1;78(10):1134-1142. doi: 10.1001/jamapsychiatry.2021.1862.
6
The Effects of Mindfulness-Based Stress Reduction on Negative Self-Representations in Social Anxiety Disorder-A Randomized Wait-List Controlled Trial.基于正念减压疗法对社交焦虑障碍中消极自我表征的影响——一项随机等待列表对照试验
Front Psychiatry. 2021 May 12;12:582333. doi: 10.3389/fpsyt.2021.582333. eCollection 2021.
7
MBSR vs aerobic exercise in social anxiety: fMRI of emotion regulation of negative self-beliefs.正念减压疗法与有氧运动治疗社交焦虑：负性自我信念的情绪调节的 fMRI 研究。
Soc Cogn Affect Neurosci. 2013 Jan;8(1):65-72. doi: 10.1093/scan/nss054. Epub 2012 May 13.
8
An open trial of mindfulness-based stress reduction for young adults with social anxiety disorder.一项针对患有社交焦虑症的年轻人的基于正念减压疗法的开放性试验。
Scand J Psychol. 2017 Feb;58(1):80-90. doi: 10.1111/sjop.12342. Epub 2016 Dec 8.
9
Virtual Reality-Based Psychotherapy in Social Anxiety Disorder: fMRI Study Using a Self-Referential Task.基于虚拟现实的社交焦虑障碍心理治疗：使用自我参照任务的功能磁共振成像研究
JMIR Ment Health. 2021 Apr 14;8(4):e25731. doi: 10.2196/25731.
10
Relationship of mindful awareness to neural processing of angry faces and impact of mindfulness training: A pilot investigation.正念觉察与愤怒面孔神经加工的关系及正念训练的影响：一项初步研究。
Psychiatry Res Neuroimaging. 2017 Jun 30;264:22-28. doi: 10.1016/j.pscychresns.2017.03.016. Epub 2017 Apr 8.
引用本文的文献
1
Inducing a meditative state by artificial perturbations: A mechanistic understanding of brain dynamics underlying meditation.通过人为干扰诱导冥想状态：对冥想背后大脑动力学的机制性理解。
Netw Neurosci. 2024 Jul 1;8(2):517-540. doi: 10.1162/netn_a_00366. eCollection 2024.
2
A systematic review and activation likelihood estimation meta-analysis of fMRI studies on arousing or wake-promoting effects in Buddhist meditation.一项关于佛教冥想中唤醒或促醒作用的功能磁共振成像（fMRI）研究的系统评价与激活可能性估计元分析。
Front Psychol. 2023 Oct 27;14:1136983. doi: 10.3389/fpsyg.2023.1136983. eCollection 2023.
3
Mindfulness as an early intervention for hazardous alcohol use among non-treatment seeking Latine emerging adults: A mini-review.正念作为一种早期干预措施，用于治疗非治疗寻求者拉丁裔青年中危险的酒精使用：小型综述。
Addict Behav. 2023 Oct;145:107759. doi: 10.1016/j.addbeh.2023.107759. Epub 2023 May 29.
4
Nonlinear brain correlates of trait self-boundarylessness.特质自我无边界性的非线性大脑关联。
Neurosci Conscious. 2023 Apr 25;2023(1):niad006. doi: 10.1093/nc/niad006. eCollection 2023.
5
Neural correlates of psychodynamic and non-psychodynamic therapies in different clinical populations through fMRI: A meta-analysis and systematic review.通过功能磁共振成像（fMRI）研究不同临床人群中精神动力学疗法和非精神动力学疗法的神经关联：一项荟萃分析和系统评价。
Front Hum Neurosci. 2022 Dec 20;16:1029256. doi: 10.3389/fnhum.2022.1029256. eCollection 2022.
6
Beyond the veil of duality-topographic reorganization model of meditation.超越二元性的面纱——冥想的拓扑重组模型
Neurosci Conscious. 2022 Oct 11;2022(1):niac013. doi: 10.1093/nc/niac013. eCollection 2022.
7
Exploring the relationship between dispositional mindfulness and hoarding behavior: A moderated multi-mediation model.探索特质正念与囤积行为之间的关系：一个有调节的多重中介模型。
Front Psychol. 2022 Aug 12;13:935897. doi: 10.3389/fpsyg.2022.935897. eCollection 2022.
8
"Hidden gains"? Measuring the impact of mindfulness-based interventions for people with mild traumatic brain injury: a scoping review.“隐性收益”？测量基于正念的干预对轻度创伤性脑损伤患者的影响：范围综述。
Brain Inj. 2022 Jul 29;36(9):1059-1070. doi: 10.1080/02699052.2022.2109745. Epub 2022 Aug 24.
9
From Self-Esteem to Selflessness: An Evidence (Gap) Map of Self-Related Processes as Mechanisms of Mindfulness-Based Interventions.从自尊到无私：作为正念干预机制的自我相关过程的证据（差距）图谱
Front Psychol. 2021 Nov 22;12:730972. doi: 10.3389/fpsyg.2021.730972. eCollection 2021.
10
Frontoparietal and Default Mode Network Contributions to Self-Referential Processing in Social Anxiety Disorder.额顶叶和默认模式网络对社交焦虑障碍中自我参照加工的作用
Cogn Affect Behav Neurosci. 2022 Feb;22(1):187-198. doi: 10.3758/s13415-021-00933-6. Epub 2021 Aug 2.
本文引用的文献
1
A power primer.强力底漆。
Psychol Bull. 1992 Jul;112(1):155-9. doi: 10.1037//0033-2909.112.1.155.
2
Attending to the present: mindfulness meditation reveals distinct neural modes of self-reference.关注当下：正念冥想揭示了自我参照的独特神经模式。
Soc Cogn Affect Neurosci. 2007 Dec;2(4):313-22. doi: 10.1093/scan/nsm030.
3
Randomized trial of a meditation-based stress reduction program and cognitive behavior therapy in generalized social anxiety disorder.基于冥想的减压计划与认知行为疗法治疗广泛性社交焦虑障碍的随机试验
Behav Res Ther. 2007 Oct;45(10):2518-26. doi: 10.1016/j.brat.2007.04.011. Epub 2007 May 3.
4
Distinct regions of the medial prefrontal cortex are associated with self-referential processing and perspective taking.内侧前额叶皮质的不同区域与自我参照加工和观点采择有关。
J Cogn Neurosci. 2007 Jun;19(6):935-44. doi: 10.1162/jocn.2007.19.6.935.
5
Exploring the relationship between fear of positive evaluation and social anxiety.探索对积极评价的恐惧与社交焦虑之间的关系。
J Anxiety Disord. 2008;22(3):386-400. doi: 10.1016/j.janxdis.2007.04.009. Epub 2007 May 1.
6
Beyond a single area: motor control and language within a neural architecture encompassing Broca's area.超越单一区域：包含布洛卡区的神经结构中的运动控制与语言
Cortex. 2006 May;42(4):503-6. doi: 10.1016/s0010-9452(08)70387-3.
7
Mindfulness-based psychotherapies: a review of conceptual foundations, empirical evidence and practical considerations.基于正念的心理疗法：概念基础、实证证据及实践考量综述
Aust N Z J Psychiatry. 2006 Apr;40(4):285-94. doi: 10.1080/j.1440-1614.2006.01794.x.
8
Self-referential processing in our brain--a meta-analysis of imaging studies on the self.我们大脑中的自我参照加工——关于自我的成像研究的荟萃分析。
Neuroimage. 2006 May 15;31(1):440-57. doi: 10.1016/j.neuroimage.2005.12.002. Epub 2006 Feb 7.
9
The activation of attentional networks.注意网络的激活。
Neuroimage. 2005 Jun;26(2):471-9. doi: 10.1016/j.neuroimage.2005.02.004. Epub 2005 Mar 19.
10
Attention processes in the maintenance and treatment of social phobia: hypervigilance, avoidance and self-focused attention.社交恐惧症维持与治疗中的注意过程：过度警觉、回避及自我关注。
Clin Psychol Rev. 2004 Nov;24(7):827-56. doi: 10.1016/j.cpr.2004.06.005.
Zotero 插件