Centre for Mental Health, Swinburne University of Technology, Melbourne, VIC, Australia; Monash Alfred Psychiatry Research Centre (MAPrc), Central Clinical School, Monash University and The Alfred Hospital, Melbourne, VIC, Australia.
Centre for Mental Health, Swinburne University of Technology, Melbourne, VIC, Australia; Monash Alfred Psychiatry Research Centre (MAPrc), Central Clinical School, Monash University and The Alfred Hospital, Melbourne, VIC, Australia; Psychiatry, St Vincent's Hospital, Melbourne, VIC Australia.
Psychiatry Res. 2018 Dec;270:329-334. doi: 10.1016/j.psychres.2018.09.013. Epub 2018 Sep 11.
Mindfulness-based interventions show promise in the treatment of psychotic symptoms. From a theoretical perspective, there may be several benefits of mindfulness for individuals who experience hearing voices. Related cross-sectional findings suggest mindfulness may protect against distress, disruption, negative beliefs, dysfunctional relational style and responding, and mood symptoms for individuals who hear voices. To extend on previous findings, this study aimed to identify whether mindful relating to voices predicted voice-related negative impacts (distress, disruption and resistance), when the influence of voice-topography and mood symptoms were controlled for. Overall, 62 participants with a psychotic disorder who had experienced hearing voices in the previous week were given the Southampton Mindfulness of Voices Questionnaire, Psychotic Symptom Rating Scales, Beliefs About Voices Questionnaire, Beck Depression Inventory-II, and Beck Anxiety Inventory. As predicted, greater mindfulness of voices predicted less voice-related distress and lower resistance to voices. Regression analyses revealed that when associated voice topography and mood symptoms were controlled for, mindful relating to voices explained a significant proportion of variance in voice-related distress and resistance. Conversely, mindfulness of voices did not significantly predict voice-related disruption. In the context of existing literature, these findings suggest further mindfulness-based protocols for persistent voices should be developed and trialled.
正念干预在治疗精神病症状方面显示出前景。从理论角度来看，对于经历幻听的个体，正念可能有多种益处。相关的横断面研究结果表明，正念可能有助于预防个体的幻听相关困扰、障碍、消极信念、功能失调的人际关系模式和反应以及情绪症状。为了扩展之前的研究结果，本研究旨在确定在控制幻听特征和情绪症状的影响时，正念与幻听的关系是否可以预测幻听相关的负面影响（困扰、障碍和抗拒）。总的来说，该研究对 62 名患有精神障碍并在过去一周内经历过幻听的参与者进行了南安普顿幻听正念问卷、精神病症状评定量表、幻听信念问卷、贝克抑郁量表第二版和贝克焦虑量表的评估。正如预测的那样，对幻听的正念程度越高，与幻听相关的困扰和抗拒程度越低。回归分析表明，当控制与幻听相关的特征和情绪症状时，正念与幻听的关系可以解释与幻听相关的困扰和抗拒的很大一部分差异。相反，正念与幻听并不显著预测幻听相关的障碍。在现有文献的背景下，这些发现表明，应该开发和试验针对持续幻听的进一步基于正念的方案。
