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针对精神病群体的正念训练;在常规社区护理中对压力及症状相关痛苦的即时影响

Mindfulness for Psychosis Groups; Within-Session Effects on Stress and Symptom-Related Distress in Routine Community Care.

作者信息

Jacobsen Pamela, Richardson Matthew, Harding Emma, Chadwick Paul

机构信息

King's College London,Institute of Psychiatry, Psychology and Neuroscience (IoPPN),Department of Psychology,London,UK.

South London and Maudsley NHS Foundation Trust,London,UK.

出版信息

Behav Cogn Psychother. 2019 Jul;47(4):421-430. doi: 10.1017/S1352465818000723. Epub 2019 Jan 18.

Abstract

BACKGROUND

There is an emerging evidence base that mindfulness for psychosis is a safe and effective intervention. However, empirical data on the within-session effects of mindfulness meditation was hitherto lacking.

AIMS

The aim of the study was to assess the impact of taking part in a mindfulness for psychosis group, using a within-session self-report measure of general stress, and symptom-related distress.

METHOD

Users of a secondary mental health service (n = 34), who experienced enduring psychotic symptoms, took part in an 8-week mindfulness for psychosis group in a community setting. Mindfulness meditations were limited to 10 minutes and included explicit reference to psychotic experience arising during the practice. Participants self-rated general stress, and symptom-related distress, before and after each group session using a visual analogue scale.

RESULTS

Average ratings of general stress and symptom-related distress decreased from pre- to post-session for all eight sessions, although not all differences were statistically significant. There was no increase in general stress, or symptom-related distress across any session.

CONCLUSIONS

There was evidence of positive effects and no evidence of any harmful effects arising from people with psychotic symptoms taking part in a mindfulness for psychosis session.

摘要

背景

越来越多的证据表明,针对精神病患者的正念训练是一种安全有效的干预措施。然而,此前缺乏关于正念冥想在单次训练中的效果的实证数据。

目的

本研究旨在通过使用单次训练中关于一般压力和症状相关痛苦的自我报告测量方法,评估参与针对精神病患者的正念训练组的影响。

方法

34名有持久性精神病症状的二级心理健康服务使用者,在社区环境中参加了为期8周的针对精神病患者的正念训练组。正念冥想限制在10分钟,包括明确提及训练过程中出现的精神病体验。参与者在每组训练前后使用视觉模拟量表对一般压力和症状相关痛苦进行自我评分。

结果

在所有八次训练中,一般压力和症状相关痛苦的平均评分从训练前到训练后均有所下降,尽管并非所有差异都具有统计学意义。在任何一次训练中,一般压力或症状相关痛苦均未增加。

结论

有证据表明,有精神病症状的人参加针对精神病患者的正念训练会产生积极效果,且没有证据表明会有任何有害影响。

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