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简短正念训练对压力耐受力和应激反应的影响。

The Effect of a Brief Mindfulness Training on Distress Tolerance and Stress Reactivity.

机构信息

Boston University.

Boston University; Massachusetts General Hospital.

出版信息

Behav Ther. 2019 May;50(3):630-645. doi: 10.1016/j.beth.2018.10.003. Epub 2018 Oct 9.

Abstract

Poor distress tolerance (DT) is considered an underlying facet of anxiety, depression, and a number of other psychological disorders. Mindfulness may help to increase DT by fostering an attitude of acceptance or nonjudgment toward distressing experiences. Accordingly, the present study examined the effects of a brief mindfulness training on tolerance of different types of distress, and tested whether trait mindfulness moderates the effect of such training. Undergraduates (n = 107) naïve to mindfulness completed a measure of trait mindfulness and underwent a series of stress tasks (cold pressor, hyperventilation challenge, neutralization task) before and after completing a 15-minute mindfulness training or a no-instruction control in which participants listened to relaxing music. Participants in the mindfulness condition demonstrated greater task persistence on the hyperventilation task compared to the control group, as well as a decreased urge to neutralize the effects of writing an upsetting sentence. No effect on distress ratings during the tasks were found. Overall trait mindfulness did not significantly moderate task persistence, but those with lower scores on the act with awareness facet of mindfulness demonstrated greater relative benefit of mindfulness training on the hyperventilation challenge. Mediation analyses revealed significant indirect effects of mindfulness training on cold pressor task persistence and urges to neutralize through the use of the nonjudge and nonreact facets of mindfulness. These results suggest that a brief mindfulness training can increase DT without affecting the subjective experience of distress.

摘要

较差的耐受力(DT)被认为是焦虑、抑郁和许多其他心理障碍的一个潜在特征。正念可能通过培养对痛苦体验的接受或非评判态度来帮助提高 DT。因此,本研究考察了简短的正念训练对不同类型的痛苦容忍度的影响,并测试了特质正念是否调节了这种训练的效果。对正念一无所知的大学生(n = 107)在完成正念训练或无指导控制(参与者听放松音乐)之前和之后,完成了一项特质正念测量和一系列压力任务(冷水压迫、过度换气挑战、中和任务)。与对照组相比,正念组在过度换气任务上表现出更高的任务坚持性,以及减少中和写令人不安的句子的效果的冲动。在任务中没有发现痛苦评分的影响。总体特质正念并没有显著调节任务坚持性,但在正念觉察方面得分较低的人,在过度换气挑战中,正念训练的相对益处更大。中介分析表明,正念训练通过使用非评判和非反应的正念方面对冷水压迫任务坚持性和中和冲动产生了显著的间接影响。这些结果表明,简短的正念训练可以提高 DT,而不会影响痛苦的主观体验。

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