Ryerson University, Department of Psychology, 350 Victoria Street, Toronto, Ontario, M5B 2K3, Canada.
Centre for Addiction and Mental Health, Canada; University of Toronto, Department of Psychiatry, Canada.
Behav Res Ther. 2018 May;104:44-50. doi: 10.1016/j.brat.2018.02.006. Epub 2018 Mar 1.
The current research tested whether four dimensions of mindfulness - acceptance without judgment, observing, describing and acting with awareness - predicted frequency of nonsuicidal self-injury (NSSI) and mediate the relationship with NSSI outcomes during 20-weeks of Dialectical Behaviour Therapy (DBT) skills training for borderline personality disorder (BPD). Eighty-four self-harming individuals with BPD were randomized to either DBT skills training or to a waitlist control group. A series of regressions revealed no relationship between dimensions of mindfulness and NSSI at baseline. There was a significant effect of DBT skills training on NSSI. As well, mediation analysis indicated that acceptance without judgment, specifically, mediated the relation between DBT skills training and change in frequency of NSSI.
当前研究旨在检验正念的四个维度——接纳而非评判、观察、描述和有意识地行动——是否可以预测非自杀性自伤（NSSI）的频率，并在 20 周的边缘型人格障碍（BPD）辩证行为治疗（DBT）技能训练中，对 NSSI 结果的关系起到中介作用。84 名有自伤行为的 BPD 个体被随机分配到 DBT 技能训练组或等待名单对照组。一系列回归分析显示，在基线时，正念的维度与 NSSI 之间没有关系。DBT 技能训练对 NSSI 有显著影响。此外，中介分析表明，接纳而非评判，特别是，中介了 DBT 技能训练与 NSSI 频率变化之间的关系。
