Cebolla Ausiàs, Demarzo Marcelo, Martins Patricia, Soler Joaquim, Garcia-Campayo Javier
Universitat de València, València, Spain.
CIBER de la Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain.
PLoS One. 2017 Sep 5;12(9):e0183137. doi: 10.1371/journal.pone.0183137. eCollection 2017.
Despite the long-term use and evidence-based efficacy of meditation and mindfulness-based interventions, there is still a lack of data about the possible unwanted effects (UEs) of these practices. The aim of this study was to evaluate the occurrence of UEs among meditation practitioners, considering moderating factors such as the type, frequency, and lifetime duration of the meditation practices.
An online survey was developed and disseminated through several websites, such as Spanish-, English- and Portuguese-language scientific research portals related to mindfulness and meditation. After excluding people who did not answer the survey correctly or completely and those who had less than two months of meditation experience, a total of 342 people participated in the study. However, only 87 reported information about UEs.
The majority of the practitioners were women from Spain who were married and had a University education level. Practices were more frequently informal, performed on a daily basis, and followed by focused attention (FA). Among the participants, 25.4% reported UEs, showing that severity varies considerably. The information requested indicated that most of the UEs were transitory and did not lead to discontinuing meditation practice or the need for medical assistance. They were more frequently reported in relation to individual practice, during focused attention meditation, and when practising for more than 20 minutes and alone. The practice of body awareness was associated with UEs to a lesser extent, whereas focused attention was associated more with UEs.
This is the first large-scale, multi-cultural study on the UEs of meditation. Despite its limitations, this study suggests that UEs are prevalent and transitory and should be further studied. We recommend the use of standardized questionnaires to assess the UEs of meditation practices.
尽管冥想和基于正念的干预措施已被长期使用且有循证疗效,但关于这些练习可能产生的不良影响的数据仍然匮乏。本研究的目的是评估冥想练习者中不良影响的发生情况,同时考虑诸如冥想练习的类型、频率和终生时长等调节因素。
设计了一项在线调查,并通过多个网站进行传播,如与正念和冥想相关的西班牙语、英语和葡萄牙语科学研究门户网站。在排除未正确或完整回答调查问卷的人以及冥想经验少于两个月的人之后,共有342人参与了本研究。然而,只有87人报告了有关不良影响的信息。
大多数练习者是来自西班牙的已婚女性,具有大学学历。练习方式更常见的是非正式的,每天进行,且以专注注意力(FA)为主。在参与者中,25.4%报告了不良影响,表明严重程度差异很大。所要求提供的信息表明,大多数不良影响是暂时的,并未导致停止冥想练习或需要医疗救助。这些不良影响在个人练习、专注注意力冥想期间以及练习超过20分钟且独自进行时更常被报告。身体觉知练习与不良影响的关联程度较小,而专注注意力与不良影响的关联更大。
这是第一项关于冥想不良影响的大规模、多文化研究。尽管存在局限性,但本研究表明不良影响普遍且短暂,应进一步研究。我们建议使用标准化问卷来评估冥想练习的不良影响。