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评估正念在哮喘患者的哮喘相关结局以及抑郁和焦虑症状方面的作用。

Evaluating the role of mindfulness in terms of asthma-related outcomes and depression and anxiety symptoms among individuals with asthma.

机构信息

a Department of Psychology , University of Cincinnati , Cincinnati , OH , USA.

b Division of General Medicine and Primary Care, Section for Research , Beth Israel Deaconess Medical Center/Harvard Medical School , Boston , MA , USA.

出版信息

Psychol Health Med. 2019 Feb;24(2):155-166. doi: 10.1080/13548506.2018.1529326. Epub 2018 Oct 4.

Abstract

The aim of the current study was to examine the unique role of mindfulness skills in terms of: (1) asthma-related outcomes (i.e., asthma control, asthma quality of life); (2) depression symptoms; and (3) anxiety symptomatology (i.e., anxiety sensitivity, panic symptoms, global anxiety) among non-smoking adults with current asthma. Participants were 61 (61.9% female; M = 34.72 years, SD = 13.58, range = 18-65) non-smoking adults with current asthma who completed a battery of self-report measures. Results indicated that, after controlling for the effects of race and age, greater ability to describe present moment experiences was significantly associated with better asthma-related quality of life and lower levels of anxiety symptoms. Though mindfulness skills together were associated with lower levels of panic symptoms, there were no significant individual associations between specific skills and panic symptoms. Greater nonjudgment of present moment experiences was associated with lower levels of anxiety and anxiety sensitivity. Greater nonreactivity was significantly associated with lower levels of depression symptoms and anxiety sensitivity. Lastly, a greater ability to observe present moment experiences was associated with lower levels of anxiety sensitivity. Mindfulness was not significantly associated with asthma control. These findings suggest that it may be useful to target the mindfulness skills of describing, nonjudgment, and nonreactivity among individuals with asthma, particularly those with elevated levels of anxiety and depression, in order to improve psychological and asthma-related outcomes.

摘要

本研究的目的是考察正念技能在以下方面的独特作用

(1)哮喘相关结局(即哮喘控制、哮喘生活质量);(2)抑郁症状;(3)非吸烟成年人当前哮喘的焦虑症状(即焦虑敏感性、惊恐症状、总体焦虑)。参与者为 61 名(61.9%为女性;M=34.72 岁,SD=13.58,范围为 18-65 岁)非吸烟成年人当前患有哮喘,他们完成了一系列自我报告的测量。结果表明,在控制种族和年龄的影响后,更好地描述当前体验的能力与更好的哮喘相关生活质量和更低水平的焦虑症状显著相关。尽管正念技能共同与更低水平的惊恐症状相关,但特定技能与惊恐症状之间没有显著的个体关联。对当前体验的更少评判与更低水平的焦虑和焦虑敏感性相关。对当前体验的更少反应与更低水平的抑郁症状和焦虑敏感性显著相关。最后,更好地观察当前体验的能力与更低水平的焦虑敏感性相关。正念与哮喘控制没有显著关联。这些发现表明,针对哮喘患者的描述、不评判和不反应的正念技能可能有助于改善心理和哮喘相关结局,特别是对焦虑和抑郁水平较高的患者。

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本文引用的文献

1
The role of trait mindfulness in quality of life and asthma control among adolescents with asthma.
J Psychosom Res. 2017 Aug;99:143-148. doi: 10.1016/j.jpsychores.2017.06.014. Epub 2017 Jun 15.
2
Mindfulness and asthma symptoms: A study among college students.正念与哮喘症状:一项针对大学生的研究。
J Asthma. 2018 Jan;55(1):101-105. doi: 10.1080/02770903.2017.1306545. Epub 2017 May 1.
7
Effects of mindfulness on psychological health: a review of empirical studies.正念对心理健康的影响:实证研究综述。
Clin Psychol Rev. 2011 Aug;31(6):1041-56. doi: 10.1016/j.cpr.2011.04.006. Epub 2011 May 13.

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