Lang Ariel J, Casmar Pollyanna, Hurst Samantha, Harrison Timothy, Golshan Shahrokh, Good Raquel, Essex Michael, Negi Lobsang
1VA San Diego Healthcare System Center of Excellence for Stress and Mental Health, 3350 La Jolla Village Dr. (MC 111N1), San Diego, CA 92131 USA.
2UCSD Department of Psychiatry, 9500 Gilman Dr. #9151A, La Jolla, CA 92093 USA.
Mindfulness (N Y). 2020;11(1):63-74. doi: 10.1007/s12671-017-0866-z. Epub 2017 Dec 22.
Compassion meditation (CM) is a contemplative practice that is intended to cultivate the ability to extend and sustain compassion toward self and others. Although research documents the benefits of CM in healthy populations, its use in the context of psychopathology is largely unexamined. The purpose of this study was to refine and initially evaluate a CM protocol, Cognitively Based Compassion Training (CBCT®), for use with Veterans with PTSD. To this end, our research team developed and refined a manualized protocol, CBCT-Vet, over 4 sets of groups involving 36 Veterans. This protocol was delivered in 8-10 sessions, each lasting 90-120 min and led by a CBCT®-trained clinical psychologist. Quantitative and qualitative data were used to identify areas to be improved and to assess change that occurred during the treatment period. Based on pooled data from this series of groups, CM appears to be acceptable to Veterans with PTSD. Group participation was associated with reduced symptoms of PTSD (partial eta squared = .27) and depression (partial eta squared = .19), but causality should not be inferred given the nonrandomized design. No change was observed in additional outcomes, including positive emotion and social connectedness. The results of this open trial support additional exploration of CM as part of the recovery process for Veterans with PTSD.
慈悲冥想(CM)是一种冥想练习,旨在培养对自己和他人表达并维持慈悲心的能力。尽管研究记录了CM对健康人群的益处,但其在精神病理学背景下的应用在很大程度上尚未得到研究。本研究的目的是完善并初步评估一种用于创伤后应激障碍(PTSD)退伍军人的CM方案,即基于认知的慈悲训练(CBCT®)。为此,我们的研究团队在涉及36名退伍军人的4组训练中开发并完善了一份手册化方案CBCT-Vet。该方案分8至10节课程进行,每节课程持续90至120分钟,由一名接受过CBCT®培训的临床心理学家授课。定量和定性数据用于确定需要改进的领域,并评估治疗期间发生的变化。根据这一系列训练的汇总数据,CM似乎为患有PTSD的退伍军人所接受。参与训练与PTSD症状(偏 eta 平方 = 0.27)和抑郁症状(偏 eta 平方 = 0.19)的减轻相关,但鉴于非随机设计,不应推断因果关系。在包括积极情绪和社会联系在内的其他结果方面未观察到变化。这项开放试验的结果支持将CM作为PTSD退伍军人康复过程的一部分进行进一步探索。