Greeson Jeffrey M, Zarrin Haley, Smoski Moria J, Brantley Jeffrey G, Lynch Thomas R, Webber Daniel M, Hall Martica H, Suarez Edward C, Wolever Ruth Q
Department of Psychology, College of Science and Mathematics, Rowan University, 201 Mullica Hill Road, Glassboro, NJ 08028, USA.
Thomas Jefferson University, 130 S. 9th Street, Philadelphia, PA 19107, USA.
Evid Based Complement Alternat Med. 2018 May 13;2018:4505191. doi: 10.1155/2018/4505191. eCollection 2018.
Mindfulness-Based Stress Reduction (MBSR) is an 8-week meditation program known to improve anxiety, depression, and psychological well-being. Other health-related effects, such as sleep quality, are less well established, as are the psychological processes associated with therapeutic change. This prospective, observational study ( = 213) aimed to determine whether perseverative cognition, indicated by rumination and intrusive thoughts, and emotion regulation, measured by avoidance, thought suppression, emotion suppression, and cognitive reappraisal, partly accounted for the hypothesized relationship between changes in mindfulness and two health-related outcomes: sleep quality and stress-related physical symptoms. As expected, increased mindfulness following the MBSR program was directly correlated with decreased sleep disturbance ( = -0.21, = 0.004) and decreased stress-related physical symptoms ( = -0.38, < 0.001). Partial correlations revealed that pre-post changes in rumination, unwanted intrusive thoughts, thought suppression, experiential avoidance, emotion suppression, and cognitive reappraisal each uniquely accounted for up to 32% of the correlation between the change in mindfulness and change in sleep disturbance and up to 30% of the correlation between the change in mindfulness and change in stress-related physical symptoms. Results suggest that the stress-reducing effects of MBSR are due, in part, to improvements in perseverative cognition and emotion regulation, two "transdiagnostic" mental processes that cut across stress-related disorders.
基于正念的减压疗法（MBSR）是一个为期8周的冥想项目，已知该项目可改善焦虑、抑郁和心理健康状况。其他与健康相关的影响，如睡眠质量，以及与治疗性改变相关的心理过程，目前还不太明确。这项前瞻性观察研究（n = 213）旨在确定由反刍思维和侵入性思维所表明的执着性认知，以及通过回避、思维抑制、情绪抑制和认知重评来衡量的情绪调节，是否部分解释了正念变化与两个与健康相关的结果之间的假设关系：睡眠质量和与压力相关的身体症状。正如预期的那样，MBSR项目实施后正念的增加与睡眠障碍的减少（r = -0.21，p = 0.004）以及与压力相关的身体症状的减少（r = -0.38，p < 0.001）直接相关。偏相关分析显示，反刍思维、不必要的侵入性思维、思维抑制、经验回避、情绪抑制和认知重评的前后变化，分别独特地解释了正念变化与睡眠障碍变化之间高达32%的相关性，以及正念变化与与压力相关的身体症状变化之间高达30%的相关性。结果表明，MBSR的减压效果部分归因于执着性认知和情绪调节的改善，这是两种跨越与压力相关障碍的“跨诊断”心理过程。
