Joss Diane, Teicher Martin H
Developmental Biopsychiatry Research Program, McLean Hospital, Belmont, MA, USA. 115 Mill St, Belmont, MA, 02478.
Department of Psychiatry, Harvard Medical School, Boston, USA.
Curr Treat Options Psychiatry. 2021 Jun;8(2):31-46. doi: 10.1007/s40501-021-00240-4. Epub 2021 Mar 14.
Survivors of childhood maltreatment are at high risk for developing complex psychiatric disorders. Traditional treatments, including psychopharmacology, tend to be less efficacious for this population. This scoping review aimed to discuss existing empirical studies on the effects of mindfulness-based interventions for adult childhood trauma survivors, as well as the documented clinical challenges and adaptations for this population.
We reviewed 17 research articles that measured the effects of mindfulness-based interventions for adults with childhood maltreatment histories. These studies showed that mindfulness-based interventions can be beneficial for childhood maltreatment survivors to alleviate psychological symptoms including stress, anxiety, recurrent depression, substance use, and post-traumatic stress. Studies had a wide range of methodological quality and reported a broad range of effect sizes. The wide variety of outcome measures and control conditions made it difficult to compare across studies.
Mindfulness-based interventions can be beneficial for addressing psychopathology among adults with childhood maltreatment histories, although some adaptations can be necessary to address possible challenges this population are likely to encounter. More research is needed to specifically evaluate the clinical effects among childhood maltreatment survivors and to directly compare the effects among those with and without childhood maltreatment histories.
童年期受虐待的幸存者患复杂精神疾病的风险很高。包括心理药理学在内的传统治疗方法对这一人群往往效果较差。本综述旨在讨论关于正念干预对成年期童年创伤幸存者影响的现有实证研究,以及针对该人群记录的临床挑战和调整方法。
我们回顾了17篇研究文章,这些文章测量了正念干预对有童年虐待史成年人的影响。这些研究表明,正念干预对童年期受虐待的幸存者有益,可缓解包括压力、焦虑、复发性抑郁、物质使用和创伤后应激等心理症状。研究的方法学质量参差不齐,报告的效应大小范围广泛。结果测量和对照条件的多样性使得跨研究比较变得困难。
基于正念的干预措施可能有助于解决有童年虐待史成年人的精神病理学问题,尽管可能需要一些调整来应对这一人群可能遇到的挑战。需要更多研究来具体评估童年期受虐待幸存者的临床效果,并直接比较有和没有童年虐待史者之间的效果。