Studi Cognitivi, Modena, Italy; Division of Psychology, School of Applied Sciences, London South Bank University, London, UK; Sigmund Freud University, Milan, Italy.
Studi Cognitivi, Modena, Italy.
Psychiatry Res. 2016 Oct 30;244:57-61. doi: 10.1016/j.psychres.2016.07.029. Epub 2016 Jul 19.
Metacognitive therapy is designed to impact directly on cognitive monitoring and control processes such that individuals can develop alternative ways of experiencing and regulating thoughts. One technique used for this purpose is 'detached mindfulness' which promotes a decentred perspective to thoughts and decouples repetitive thinking and coping from their occurrence. This study set out to test the effects of detached mindfulness against a control condition, a brief exposure to alcohol-related thoughts. Eight patients diagnosed with alcohol use disorder in an abstinence regime were exposed to detached mindfulness versus brief exposure in a counterbalanced repeated-measures design. Results showed that detached mindfulness led to significantly greater decreases in meta-appraisal and metacognitive beliefs about alcohol-related thoughts compared to a brief exposure. Significantly greater decreases in distress and urge to use alcohol were also observed in detached mindfulness. The clinical implications are discussed.
元认知疗法旨在直接影响认知监测和控制过程，使个体能够发展出体验和调节思维的替代方式。为此目的而使用的一种技术是“超脱正念”，它促进了对思维的去中心化视角，并将重复性思维和应对与其发生过程解耦。本研究旨在测试超脱正念对控制条件（短暂接触与酒精相关的想法）的影响。在一项戒酒计划中，8 名被诊断患有酒精使用障碍的患者以平衡重复测量设计的方式接受了超脱正念和短暂接触。结果表明，与短暂接触相比，超脱正念导致对与酒精相关的想法的元评估和元认知信念显著降低。在超脱正念中还观察到对痛苦和饮酒欲望的显著降低。讨论了其临床意义。
