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儿童精神科环境中的正念养育训练:提升父母的正念可减少父母和儿童的精神病理学症状。

Mindful Parenting Training in Child Psychiatric Settings: Heightened Parental Mindfulness Reduces Parents' and Children's Psychopathology.

作者信息

Meppelink Renée, de Bruin Esther I, Wanders-Mulder Femy H, Vennik Corinne J, Bögels Susan M

机构信息

Research Institute of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, Amsterdam, 1018 WS The Netherlands ; Research Priority Area Yield, University of Amsterdam, Amsterdam, The Netherlands.

Accare, Center for Child and Adolescent Psychiatry, Groningen, The Netherlands.

出版信息

Mindfulness (N Y). 2016;7:680-689. doi: 10.1007/s12671-016-0504-1. Epub 2016 Mar 15.

Abstract

Mindful parenting training is an application of mindfulness-based interventions that allows parents to perceive their children with unbiased and open attention without prejudgment and become more attentive and less reactive in their parenting. This study examined the effectiveness of mindful parenting training in a clinical setting on child and parental psychopathology and of mindfulness as a predictor of these outcomes. Seventy parents of 70 children (mean age = 8.7) who were referred to a mental health care clinic because of their children's psychopathology participated in an 8-week mindful parenting training. Parents completed questionnaires at pre-test, post-test and 8-week follow-up. A significant decrease was found in children's and parents' psychopathology and a significant increase in mindful parenting and in general mindful awareness. Improvement in general mindful awareness, but not mindful parenting, was found to predict a reduction in parental psychopathology, whereas improvement in mindful parenting, but not general mindful awareness, predicted the reduction of child psychopathology. This study adds to the emerging body of evidence indicating that mindful parenting training is effective for parents themselves and, indirectly, for their children suffering from psychopathology. As parents' increased mindful parenting, but not increased general mindfulness, is found to predict child psychopathology, mindful parenting training rather than general mindfulness training appears to be the training of choice. However, RCTs comparing mindful parenting to general mindfulness training and to parent management training are needed in order to shed more light on the effects of mindful parenting and mechanisms of change.

摘要

正念养育训练是基于正念的干预措施的一种应用,它使父母能够以无偏见且开放的注意力去感知自己的孩子,不预先评判,并且在养育过程中更加专注,减少反应性。本研究考察了在临床环境中正念养育训练对儿童和父母心理病理学的有效性,以及正念作为这些结果的预测指标的情况。70名因孩子心理病理学问题而被转介到心理健康诊所的儿童(平均年龄 = 8.7岁)的70名父母参加了为期8周的正念养育训练。父母在预测试、后测试和8周随访时完成问卷。结果发现,儿童和父母的心理病理学显著降低,正念养育和总体正念意识显著提高。研究发现,总体正念意识的提高而非正念养育的提高可预测父母心理病理学的减轻,而正念养育的提高而非总体正念意识的提高可预测儿童心理病理学的减轻。这项研究增加了新出现的证据,表明正念养育训练对父母自身有效,并且间接地对患有心理病理学问题的孩子也有效。由于发现父母正念养育的提高而非总体正念的提高可预测儿童心理病理学,正念养育训练而非总体正念训练似乎是首选的训练方式。然而,需要进行随机对照试验,将正念养育与总体正念训练以及父母管理训练进行比较,以便更清楚地了解正念养育的效果和改变机制。

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