Nyklíček Ivan, Irrmischer Mona
Center of Research on Psychology in Somatic diseases (CoRPS), Department of Medical and Clinical Psychology, Tilburg University, P.O. Box: 90153, NL-5000 Tilburg, LE Netherlands.
Center for Neurogenomics and Cognitive Research, Department of Integrative Neurophysiology, Vrije University, Amsterdam, Netherlands.
Mindfulness (N Y). 2017;8(4):1106-1116. doi: 10.1007/s12671-017-0687-0. Epub 2017 Feb 15.
The aim of the present study was to examine potentially moderating effects of personality characteristics regarding changes in anxious and depressed mood associated with Mindfulness-Based Stress Reduction (MBSR), controlling for socio-demographic factors. Meditation-naïve participants from the general population self-presenting with psychological stress complaints ( = 167 participants, 70% women, mean age 45.8 ± 9.3 years) were assessed in a longitudinal investigation of change in mood before and after the intervention and at a 3-month follow-up. Participants initially scoring high on neuroticism showed stronger decreases in both anxious and depressed mood (both < 0.001). However, when controlled for baseline mood, only the time by neuroticism interaction effect on anxiety remained significant ( = 0.001), reflecting a smaller decrease in anxiety between pre- and post-intervention but a larger decrease in anxiety between post-intervention and follow-up in those with higher baseline neuroticism scores. Most personality factors did not show moderating effects, when controlled for baseline mood. Only neuroticism showed to be associated with delayed benefit. Results are discussed in the context of findings from similar research using more traditional cognitive-behavioral interventions.
本研究的目的是在控制社会人口学因素的情况下,考察人格特征对基于正念减压疗法(MBSR)的焦虑和抑郁情绪变化的潜在调节作用。从普通人群中招募的初次接触冥想、自述有心理压力问题的参与者(共167名,70%为女性,平均年龄45.8±9.3岁)在干预前后及3个月随访时接受了情绪变化的纵向调查。最初在神经质量表上得分较高的参与者在焦虑和抑郁情绪上的下降幅度更大(均p<0.001)。然而,在控制基线情绪后,只有神经质与时间的交互作用对焦虑的影响仍然显著(p = 0.001),这反映出基线神经质得分较高者在干预前到干预后的焦虑下降幅度较小,但在干预后到随访期间的焦虑下降幅度较大。在控制基线情绪后,大多数人格因素并未显示出调节作用。只有神经质与延迟获益有关。研究结果结合使用更传统认知行为干预的类似研究结果进行了讨论。