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关于沉思性和正念性自我聚焦在非临床偏执狂中作用的实验研究。

An experimental investigation into the role of ruminative and mindful self-focus in non-clinical paranoia.

作者信息

McKie Ashley, Askew Kristina, Dudley Robert

机构信息

School of Psychology, Newcastle University, Newcastle Upon Tyne, UK; The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.

The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK.

出版信息

J Behav Ther Exp Psychiatry. 2017 Mar;54:170-177. doi: 10.1016/j.jbtep.2016.07.014. Epub 2016 Jul 30.

Abstract

BACKGROUND & OBJECTIVES: Ruminative self-focus is a maladaptive form of emotional processing and is linked to distress, whereas mindful self-focus is adaptive and linked to low distress. However, the effects of these different modes of self-focus have not yet been examined in symptoms associated with psychotic disorders, such as paranoid ideation. This study aimed to explore whether inducing ruminative self-focus maintains paranoid ideation whilst inducing mindful self-focus reduces paranoid ideation.

METHOD

Thirty-two non-clinical participants engaged in a paranoia induction prime and then took part in an eight-minute ruminative self-focus induction and an eight-minute mindful self-focus induction.

RESULTS

Following an induction of paranoia, mindful self-focus significantly decreased levels of paranoia, whereas ruminative self-focus had no significant impact on levels of paranoia, and therefore was interpreted as having maintained paranoia.

LIMITATIONS

The study used non clinical participants and the level of paranoid ideation experienced was fairly mild, which limits generalisation to clinical levels of distress. Additionally, the mechanism by which rumination and mindful self-focus have their effects was not examined.

CONCLUSIONS

The results add to the growing body of evidence that there are two distinct modes of self-focus that have differential effects on emotional processing. These findings also demonstrate the potential benefit of interventions targeting rumination in paranoid ideation with mindful self-focus.

摘要

背景与目的

反复思考自我关注是一种适应不良的情绪处理方式,与痛苦相关,而正念自我关注是适应性的,与低痛苦相关。然而,这些不同的自我关注模式对与精神障碍相关症状(如偏执观念)的影响尚未得到研究。本研究旨在探讨诱发反复思考自我关注是否会维持偏执观念,而诱发正念自我关注是否会减少偏执观念。

方法

32名非临床参与者先进行偏执诱导启动,然后参与8分钟的反复思考自我关注诱导和8分钟的正念自我关注诱导。

结果

在诱发偏执后,正念自我关注显著降低了偏执水平,而反复思考自我关注对偏执水平没有显著影响,因此被解释为维持了偏执。

局限性

该研究使用的是非临床参与者,且经历的偏执观念水平相当轻微,这限制了研究结果向临床痛苦水平的推广。此外,未考察反复思考和正念自我关注产生影响的机制。

结论

这些结果进一步证明,存在两种不同的自我关注模式,它们对情绪处理有不同影响。这些发现还表明,以正念自我关注针对偏执观念中的反复思考进行干预具有潜在益处。

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