Ottavi Paolo, Passarella Tiziana, Pasinetti Manuela, MacBeth Angus, Velotti Patrizia, Velotti Anna, Bandiera Aldea, Popolo Raffaele, Salvatore Giampaolo, Dimaggio Giancarlo
Center for Metacognitive Interpersonal Therapy, Rome, Italy.
University of Edinburgh, School of Health in Social Science, Old Medical Quad, Edinburgh, Scotland, United Kingdom.
J Nerv Ment Dis. 2019 Nov;207(11):944-950. doi: 10.1097/NMD.0000000000001054.
Individuals with personality disorders experience worry and repetitive thoughts regarding interpersonal scenarios. Mainstream mindfulness-based approaches may be insufficient to soothe these individual's distress due to difficulties in letting thoughts go and refocusing attention to the present moment. For this reason, we devised an adapted form of mindfulness-based program called Metacognitive Interpersonal Mindfulness-Based Training (MIMBT) for personality disorders. In this pilot study, 28 individuals attended nine weekly sessions to evaluate the feasibility and acceptability, and to establish preliminary outcomes. All individuals completed the program. Attendance was very high (96%). Significant changes were observed on the primary outcome of reduction in repetitive thinking, measured using the Metacognition Questionnaire-30. We also observed a decrease in depression severity. Despite important limitations, this pilot study suggests that MIMBT has the potential to be a viable and well-accepted option for increasing positive outcomes in the treatment of personality disorders. Clinical considerations and directions for future research are discussed.
患有个性障碍的个体在人际关系场景中会经历担忧和反复思考。由于难以放下思绪并将注意力重新聚焦于当下时刻，主流的基于正念的方法可能不足以缓解这些个体的痛苦。因此，我们为个性障碍设计了一种经过改编的基于正念的项目，称为元认知人际正念训练（MIMBT）。在这项试点研究中，28名个体参加了为期九周的课程，以评估其可行性和可接受性，并确定初步结果。所有个体均完成了该项目。出勤率非常高（96%）。使用元认知问卷-30测量，在重复思考减少这一主要结果上观察到了显著变化。我们还观察到抑郁严重程度有所降低。尽管存在重要局限性，但这项试点研究表明，MIMBT有可能成为在个性障碍治疗中增加积极结果的可行且广受接受的选择。本文讨论了临床考量和未来研究方向。
