Departamento de Psicobiología, Universidad de Murcia, 30001 Murcia, Spain.
Departamento de Psicología, Universidad de Extremadura, 10071 Cáceres, Spain.
Int J Environ Res Public Health. 2019 Nov 25;16(23):4687. doi: 10.3390/ijerph16234687.
Nowadays, mindfulness-based interventions (MBI) have experienced a remarkable development of studies among childhood and adolescent interventions. For this reason, dispositional mindfulness (DM) measures for children and adolescents have been developed to determine the effectiveness of MBI at this age stage. However, little is known about how key elements of DM (for example, cognitive de/fusion or experiential avoidance that both confirm psychological inflexibility) are involved in the mechanisms of the children and adolescents' mental health outcomes. This research examined the mediating effect of cognitive fusion between DM and anxiety and other negative emotional states in a sample of 318 Spanish primary-school students (aged between 8 and 16 years, = 11.24, = 2.19, 50.8% males). Participants completed the AFQ-Y (Avoidance and Fusion Questionnaire for youth), which is a measure of psychological inflexibility that encompasses cognitive defusion and experiential avoidance; CAMM (DM for children and adolescents), PANAS-N (positive and negative affect measure for children, Spanish version of PANASC), and STAIC (an anxiety measure for children). The study accomplished ethical standards. As MBI relevant literature has suggested, cognitive defusion was a significant mediator between DM and symptoms of both negative emotions and anxiety in children and adolescents. However, experiential avoidance did not show any significant mediating relationship. Probably, an improvement of the assessment of experiential avoidance is needed. MBI programs for children and adolescents may include more activities for reducing effects of the cognitive defusion on their emotional distress.
如今,基于正念的干预(MBI)在儿童和青少年干预措施方面的研究得到了显著发展。出于这个原因,已经为儿童和青少年开发了特质正念(DM)测量方法,以确定在这个年龄段 MBI 的有效性。然而,对于 DM 的关键要素(例如,认知融合或经验性回避,两者都确认心理灵活性)如何参与儿童和青少年心理健康结果的机制,人们知之甚少。这项研究在一个由 318 名西班牙小学生组成的样本中(年龄在 8 至 16 岁之间, = 11.24, = 2.19,50.8%为男性),检验了 DM 与焦虑和其他负面情绪状态之间的认知融合的中介效应。参与者完成了 AFQ-Y(青年回避和融合问卷),这是一种衡量心理灵活性的方法,包括认知去融合和经验性回避;CAMM(儿童和青少年 DM)、PANAS-N(儿童积极和消极情绪量表,PANASC 的西班牙语版本)和 STAIC(儿童焦虑量表)。这项研究符合伦理标准。正如 MBI 相关文献所表明的那样,认知去融合是 DM 与儿童和青少年的负面情绪和焦虑症状之间的重要中介。然而,经验性回避并没有显示出任何显著的中介关系。可能需要改进经验性回避的评估。儿童和青少年的 MBI 计划可能包括更多减少认知去融合对他们情绪困扰影响的活动。