测试基于接纳和注意力的心理干预对侵入性思维和担忧的差异影响。
Testing the differential effects of acceptance and attention-based psychological interventions on intrusive thoughts and worry.
作者信息
Ainsworth B, Bolderston H, Garner M
机构信息
Psychology. Faculty of Social, Human & Mathematical Sciences, University of Southampton, UK; Primary Care and Population Sciences, Faculty of Medicine, University of Southampton, UK.
Research Centre for Behaviour Change, Department of Psychology, Bournemouth University, UK.
出版信息
Behav Res Ther. 2017 Apr;91:72-77. doi: 10.1016/j.brat.2017.01.012. Epub 2017 Jan 24.
BACKGROUND
Worry is a key component of anxiety and may be an effective target for therapeutic intervention. We compared two psychological processes (attention and acceptance) on the frequency of intrusive worrying thoughts in an experimental worry task.
METHOD
77 participants were randomised across three groups and completed either a 10 min attention or acceptance-based psychological exercise, or progressive muscle relaxation control. We subsequently measured anxiety, and the content and frequency of intrusive thoughts before and after a 'worry induction task'.
RESULTS
Groups did not differ in baseline worry, anxiety or thought intrusions. Both attention and acceptance-based groups experienced fewer negative thought intrusions (post-worry) compared to the relaxation control group. The acceptance exercise had the largest effect, preventing 'worry induction'. Increases in negative intrusive thoughts predicted subjective anxiety.
DISCUSSION
We provide evidence that acceptance and attention psychological exercises may reduce anxiety by reducing the negative thought intrusions that characterise worry.
背景
担忧是焦虑的关键组成部分，可能是治疗干预的有效靶点。我们在一项实验性担忧任务中比较了两种心理过程（注意力和接纳）对侵入性担忧想法频率的影响。
方法
77名参与者被随机分为三组，分别完成10分钟基于注意力或接纳的心理练习，或渐进性肌肉松弛控制练习。随后，我们在“担忧诱导任务”前后测量了焦虑、侵入性想法的内容和频率。
结果
三组在基线担忧、焦虑或想法侵入方面没有差异。与放松控制组相比，基于注意力和接纳的两组在（担忧后）经历的负面想法侵入较少。接纳练习的效果最大，可防止“担忧诱导”。负面侵入性想法的增加预示着主观焦虑。
讨论
我们提供的证据表明，接纳和注意力心理练习可能通过减少构成担忧特征的负面想法侵入来减轻焦虑。
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