School of Psychology, Australian Catholic University, Strathfield Campus, 25A Barker Road, Strathfield, NSW 2135, Australia.
School of Psychology, Australian Catholic University, Strathfield Campus, 25A Barker Road, Strathfield, NSW 2135, Australia.
J Affect Disord. 2018 Aug 1;235:265-276. doi: 10.1016/j.jad.2018.04.018. Epub 2018 Apr 5.
An inability to identify or describe internal emotional experience has been linked to a range of affective disorders. Despite burgeoning research on mindfulness-based interventions and their possible effects on emotion regulation, the effects of such interventions on emotional clarity is unclear. This review examines the evidence for the effect of mindfulness-based interventions on self-reported emotional clarity.
Published studies indexed by PsycINFO, PubMed and Scopus, as available in April 2017, were systematically reviewed. Interventions that included mindfulness practice or philosophy, and reported a suitable measure of emotional clarity at pre- and post-intervention were selected. A random-effects meta-analysis was performed. Subgroup comparisons were also conducted to test for differences between clinical and non-clinical samples, between specific and approximate measures of emotional clarity, and between controlled and uncontrolled trials.
Seventeen studies met the criteria for inclusion. The overall estimated effect size for pre- to post-intervention was small to moderate, Hedges' g = 0.42, 95% CI [0.25, 0.59] and for between groups results was small to large, Hedges' g = 0.52, 95% CI [0.15, 0.90].
Studies varied substantially in design quality and study characteristics. Furthermore, while interventions in the reviewed studies all had mindfulness components, many had other components in addition to mindfulness. Consequently, this review is limited by the heterogeneity of studies and results should be interpreted with caution.
There is preliminary evidence to suggest that mindfulness-based interventions may increase emotional clarity. However, more homogenous and targeted experiments are required to confirm these initial findings.
无法识别或描述内部情感体验与一系列情感障碍有关。尽管基于正念的干预措施及其对情绪调节的可能影响的研究正在蓬勃发展，但此类干预措施对情绪清晰度的影响尚不清楚。本综述考察了基于正念的干预措施对自我报告的情绪清晰度的影响的证据。
系统检索了 2017 年 4 月可在 PsycINFO、PubMed 和 Scopus 中获得的已发表研究。选择了包括正念实践或哲学并报告了在干预前后适当的情绪清晰度测量的干预措施。进行了随机效应荟萃分析。还进行了亚组比较，以测试临床和非临床样本之间、情绪清晰度的特定和近似测量之间以及对照和非对照试验之间的差异。
有 17 项研究符合纳入标准。从干预前到干预后的总体估计效果大小为小到中等，Hedges' g=0.42，95%CI [0.25, 0.59]，组间结果的估计效果大小为小到大，Hedges' g=0.52，95%CI [0.15, 0.90]。
研究在设计质量和研究特征上存在很大差异。此外，虽然综述中研究的干预措施都有正念成分，但许多干预措施除了正念之外还有其他成分。因此，本综述受到研究和结果异质性的限制，应谨慎解释这些结果。
有初步证据表明，基于正念的干预措施可能会提高情绪清晰度。然而，需要更同质和有针对性的实验来证实这些初步发现。
