Department of Clinical Psychology, University of Bergen , Bergen, Norway.
Solli District Psychiatric Centre (DPS) , Nesttun, Norway.
Int J Qual Stud Health Well-being. 2020 Jan 1;15(1):1776094. doi: 10.1080/17482631.2020.1776094.
To explore experiences of change among participants in a randomized clinical trial of mindfulness-based stress reduction (MBSR) for anxiety disorders.
Semi-structured interviews were conducted to explore the subjective experiences of change for individuals with anxiety disorders after a course in MBSR. Interviews were analysed employing hermeneutic-phenomenological thematic analysis.
Five main themes were identified: 1) Something useful to do when anxiety appears, 2) Feeling more at ease, 3) Doing things my anxiety wouldn't let me, 4) Meeting what is there, and 5) Better-but not there yet. Most participants used what they had learned for instrumental purposes, and described relief from anxiety and an increased sense of personal agency. A few reported more radical acceptance of anxiety, as well as increased self-compassion.
Participants of MBSR both describe mindfulness as a tool to "fix" anxiety and as bringing about more fundamental change towards acceptance of their anxiety. The complexity of reported change corresponds with better handling of areas representing known transdiagnostic features of anxiety disorder, such as dysfunctional cognitive processes (including attentional biases), emotional dysregulation, avoidance behaviours, and maladaptive self-relatedness. This supports MBSR as a transdiagnostic approach to the treatment of anxiety disorders.
探索正念减压（MBSR）治疗焦虑障碍的随机临床试验中参与者的变化体验。
采用半结构化访谈，对 MBSR 课程结束后患有焦虑障碍的个体的主观变化体验进行探索。采用阐释现象学主题分析对访谈进行分析。
确定了 5 个主要主题：1）出现焦虑时有用的事情，2）感到更轻松，3）做焦虑不让我做的事情，4）面对现实，5）更好——但还没有。大多数参与者将所学内容用于工具目的，并描述了缓解焦虑和增强个人能动性的感觉。一些人报告说，他们对焦虑的接受程度更高，自我同情也更多。
MBSR 的参与者既将正念描述为“修复”焦虑的工具，也描述为接受他们的焦虑带来更根本的变化。报告的变化的复杂性与更好地处理代表焦虑障碍的已知跨诊断特征的区域相对应，例如功能失调的认知过程（包括注意偏差）、情绪调节障碍、回避行为和适应不良的自我相关性。这支持 MBSR 作为一种治疗焦虑障碍的跨诊断方法。
