正念在青少年解离性障碍中的作用。
Role of mindfulness in dissociative disorders among adolescents.
作者信息
Sharma Tanya, Sinha Vinod K, Sayeed Neha
机构信息
Department of Clinical Psychology, Central Institute of Psychiatry, Ranchi, Jharkhand, India.
Department of Psychiatry, Central Institute of Psychiatry, Ranchi, Jharkhand, India.
出版信息
Indian J Psychiatry. 2016 Jul-Sep;58(3):326-328. doi: 10.4103/0019-5545.192013.
CONTEXT
Dissociation is understood as maladaptive coping and is common in children and adolescents. Treatment outcome studies show improvement in comorbid conditions suggesting the need to implement programs that target dissociative pathology.
AIM
To study the effect of practicing mindfulness among adolescents diagnosed with dissociative disorders.
SETTINGS AND DESIGN
It was a hospital-based repeated measures design.
MATERIALS AND METHODS
7 adolescents participated in a mindfulness-based therapeutic program for 6 weeks.
STATISTICAL ANALYSIS
Scores were expressed as mean ± standard deviation. Friedman test was used to assess significance of the difference in scores at various assessment phases. Wilcoxon signed rank test was used for post hoc analysis.
RESULTS
Participants were mostly female adolescents from rural, Eastern India. There was a significant reduction in dissociative experiences and significant improvement in mindfulness.
CONCLUSIONS
Incorporating mindfulness in clinical practice may prove effective in reducing dissociation and promoting adaptive functioning.
背景
解离被理解为适应不良的应对方式，在儿童和青少年中很常见。治疗结果研究表明，共病情况有所改善，这表明有必要实施针对解离性病理的项目。
目的
研究对被诊断为解离性障碍的青少年进行正念练习的效果。
设置与设计
这是一项基于医院的重复测量设计。
材料与方法
7名青少年参加了为期6周的正念治疗项目。
统计分析
分数以均值±标准差表示。Friedman检验用于评估不同评估阶段分数差异的显著性。Wilcoxon符号秩检验用于事后分析。
结果
参与者大多是来自印度东部农村的女性青少年。解离体验显著减少，正念有显著改善。
结论
将正念纳入临床实践可能在减少解离和促进适应性功能方面证明是有效的。
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