基于正念的干预措施所涉及的与情绪相关的构念：一项系统综述和荟萃分析。
Emotion-related constructs engaged by mindfulness-based interventions: A systematic review and meta-analysis.
作者信息
Hoge Elizabeth A, Acabchuk Rebecca L, Kimmel Hannah, Moitra Ethan, Britton Willoughby B, Dumais Travis, Ferrer Rebecca A, Lazar Sara W, Vago David, Lipsky Jonah, Schuman-Olivier Zev, Cheaito Aya, Sager Lauren, Peters Sarah, Rahrig Hadley, Acero Pamela, Scharf Jodi, Loucks Eric B, Fulwiler Carl
机构信息
Department of Psychiatry, Georgetown University School of Medicine, 2115 Wisconsin Ave NW Suite 200, Washington, DC 20007, USA.
Department of Psychological Sciences, University of Connecticut, Storrs, Connecticut, 06269, USA.
出版信息
Mindfulness (N Y). 2021 May;12(5):1041-1062. doi: 10.1007/s12671-020-01561-w. Epub 2020 Nov 26.
OBJECTIVES
Mindfulness-based interventions (MBIs) have been widely implemented to improve self-regulation behaviors, often by targeting emotion-related constructs to facilitate change. Yet the degree to which MBIs engage specific measures of emotion-related constructs has not been systematically examined.
METHODS
Using advanced meta-analytic techniques, this review examines construct and measurement engagement in trials of adults that used standardized applications of the two most established MBIs: Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), or modified variations of these interventions that met defined criteria.
RESULTS
Seventy-two studies (=7,378) were included (MBSR =47, MBCT = 21, Modified =4). MBIs led to significant improvement in emotion-related processing overall, compared to inactive controls (=0.58; =36), and in all constructs assessed: depression (=0.66; =26), anxiety ( =0.63; =19), combined mental health ( =0.75; =7 ) and stress ( =0.44; =11). Reactions to pain, mood states, emotion regulation, and biological measures lacked sufficient data for analysis. MBIs did not outperform active controls in any analyses. Measurement tool and population-type did not moderate results, but MBI-type did, in that MBCT showed stronger effects than MBSR, although these effects were driven by a small number of studies.
CONCLUSIONS
This review is the first to examine the full scope of emotion-related measures relevant to self-regulation, to determine which measures are most influenced by MBCT/MBSR. Compared to extant reviews, which typically focused on MBI outcomes, this work examined mechanistic processes based on measurement domains and tools. While effect sizes were similar among measurement tools, this review also includes a descriptive evaluation of measures and points of caution, providing guidance to MBI researchers and clinicians for selection of emotion-related measurement tools.
目标
基于正念的干预措施（MBIs）已被广泛应用于改善自我调节行为，通常是通过针对与情绪相关的结构来促进改变。然而，MBIs在多大程度上涉及与情绪相关结构的具体测量方法尚未得到系统研究。
方法
本综述采用先进的元分析技术，考察了使用两种最成熟的MBIs（基于正念的减压疗法（MBSR）和基于正念的认知疗法（MBCT））的标准化应用或符合既定标准的这些干预措施的改良变体的成人试验中的结构和测量参与情况。
结果
纳入了72项研究（n = 7378）（MBSR = 47，MBCT = 21，改良版 = 4）。与非活性对照相比，MBIs总体上导致与情绪相关的加工有显著改善（g = 0.58；k = 36），并且在所有评估的结构中：抑郁（g = 0.66；k = 26）、焦虑（g = 0.63；k = 19）、综合心理健康（g = 0.75；k = ）和压力（g = 0.44；k = 11）。对疼痛、情绪状态、情绪调节和生物学测量的反应缺乏足够的数据进行分析。在任何分析中，MBIs均未优于活性对照。测量工具和人群类型未调节结果，但MBI类型调节了结果，即MBCT显示出比MBSR更强的效果，尽管这些效果是由少数研究驱动的。
结论
本综述首次全面考察了与自我调节相关的与情绪相关测量的范围，以确定哪些测量受MBCT/MBSR影响最大。与通常关注MBI结果的现有综述相比，本研究基于测量领域和工具考察了作用机制过程。虽然测量工具之间的效应大小相似，但本综述还包括对测量方法的描述性评估和注意事项，为MBI研究人员和临床医生选择与情绪相关的测量工具提供指导。
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