Whitesman Simon L, Hoogenhout Michelle, Kantor Linda, Leinberger Katherine J, Gevers Anik
Institute for Mindfulness South Africa, Cape Town Division of Family Medicine & Primary Care, Faculty of Medicine and Health Sciences, University of Stellenbosch.
Afr J Prim Health Care Fam Med. 2018 Jun 18;10(1):e1-e5. doi: 10.4102/phcfm.v10i1.1614.
Mindfulness-based stress reduction (MBSR) has been found to have significant health benefits in studies conducted in the global North.
This study examined the effects of MBSR on stress, mood states and medical symptoms among urban South Africans to inform future research and clinical directions of MBSR in local settings.
Participants completed an 8-week MBSR programme based in central Cape Town.
A retrospective analysis of 276 clinical records was conducted. Mindfulness, stress, negative and positive mood, medical symptoms and psychological symptoms were assessed before and after the intervention using self-report questionnaires. We compared pre and postintervention scores and examined the relationship between changes in mindfulness and changes in stress, mood and medical symptoms.
Mindfulness scores were significantly higher after intervention, both on the Kentucky Inventory of Mindfulness Skills (KIMS) and the Mindful Attention Awareness Scale (MAAS). Changes on the KIMS were associated with reductions in stress, negative mood, psychological symptoms and total medical symptoms, and improvement in positive mood. Changes in mindfulness, as measured by the MAAS, were significantly correlated only with reduced total number of medical symptoms.
This study provides preliminary evidence for the positive health impact of MBSR on urban South Africans, and in turn acceptability and feasibility evidence for MBSR in South Africa and supports the case for larger trials in different local settings.
在全球北方地区开展的研究发现，基于正念的减压疗法（MBSR）对健康有显著益处。
本研究探讨MBSR对南非城市居民的压力、情绪状态和医学症状的影响，为MBSR在当地环境中的未来研究和临床指导提供依据。
参与者在开普敦市中心完成了为期8周的MBSR项目。
对276份临床记录进行回顾性分析。使用自我报告问卷在干预前后评估正念、压力、消极和积极情绪、医学症状及心理症状。我们比较了干预前后的得分，并研究了正念变化与压力、情绪和医学症状变化之间的关系。
干预后，在肯塔基正念技能量表（KIMS）和正念注意觉知量表（MAAS）上，正念得分均显著更高。KIMS量表上的变化与压力、消极情绪、心理症状及总医学症状的减轻以及积极情绪的改善相关。MAAS量表所测的正念变化仅与医学症状总数的减少显著相关。
本研究为MBSR对南非城市居民的积极健康影响提供了初步证据，进而为MBSR在南非的可接受性和可行性提供了证据，并支持在不同当地环境中开展更大规模试验的理由。
