University of Haifa, Department of Psychology, Mount Carmel, Haifa, 31905, Israel.
University of Haifa, Department of Psychology, Mount Carmel, Haifa, 31905, Israel.
J Anxiety Disord. 2015 Dec;36:25-32. doi: 10.1016/j.janxdis.2015.07.008. Epub 2015 Sep 10.
This study examined the protective properties and candidate mediating processes (cognitive fusion and cognitive suppression) linking dispositional mindfulness to distal risk factors (negative affect, anxiety sensitivity, rumination) and psychopathology symptom outcomes (depression and posttraumatic stress symptoms) following trauma exposure. To do so, a community-based sample of adults was longitudinally studied in the six-months following exposure--within 30-days (T1), 3-months (T2), and 6-months (T3)--to a shared disaster-related potentially traumatic event (PTE). Specifically, we found that cognitive fusion predicted, and mediated, the effect of mindfulness on outcomes related to distress post-trauma including negative affect, depression and posttraumatic stress symptoms. Complementary to these effects, we found that cognitive suppression predicted, and mediated, the effect of mindfulness on distal risk factors linked to negative self-referential processes including rumination and anxiety sensitivity. Findings are discussed with respect to their theoretical and clinical implications for the potential role and mechanisms of mindfulness in recovery following trauma.
本研究考察了特质正念与远距离风险因素（负性情绪、焦虑敏感性、反刍思维）和创伤后精神病理学症状结果（抑郁和创伤后应激症状）之间的保护特性和候选中介过程（认知融合和认知抑制）之间的联系。为此，在创伤暴露后的六个月内，对基于社区的成年样本进行了纵向研究——在 30 天内（T1）、3 个月（T2）和 6 个月（T3）——经历了一次共同的与灾难相关的潜在创伤性事件（PTE）。具体而言，我们发现认知融合预测并中介了正念对创伤后与痛苦相关的结果的影响，包括负性情绪、抑郁和创伤后应激症状。与这些影响互补的是，我们发现认知抑制预测并中介了正念对与负性自我参照过程（包括反刍思维和焦虑敏感性）相关的远距离风险因素的影响。研究结果讨论了其对创伤后恢复中正念的潜在作用和机制的理论和临床意义。
