正念作为童年不良经历与抑郁关系中的中介和调节因素。
Mindfulness as a mediator and moderator in the relationship between adverse childhood experiences and depression.
作者信息
McKeen Haley, Hook Megan, Podduturi Purnaja, Beitzell Emily, Jones Amelia, Liss Miriam
机构信息
Department of Psychological Science, University of Mary Washington, 1301 College Avenue, Fredericksburg, VA 22401 USA.
出版信息
Curr Psychol. 2023;42(8):6576-6586. doi: 10.1007/s12144-021-02003-z. Epub 2021 Jun 21.
Adverse childhood experiences (ACEs) have been associated with a variety of negative physical and psychological health outcomes. The mechanisms by which this occurs and potential protective factors present in this relationship are understudied. Mindfulness is a cognitive resource that may protect individuals against symptoms of psychological distress. It has five core facets and encourages a nonjudgmental acceptance of the present moment. The purpose of this study was to explore the role of mindfulness in the relationship between ACEs and depression, both as a mediator and as a moderator, or protective factor. We hypothesized that the aware, describe, and non-judgement facets of mindfulness would be key factors in both sets of analyses. Participants at a university ( = 279) were given the Five Factor Mindfulness Questionnaire (FFMQ), the Adverse Childhood Experiences Scale (ACES), and the Patient Health Questionnaire (PHQ-8) to measure depression. Results indicated that the describe CI [.02, .11], aware CI [.05, .17], and non-judgement CI [.06, .18] facets of mindfulness significantly mediated the relationship between ACEs and depression. Additionally, the aware facet of mindfulness was also a significant moderator in this relationship, [ (interaction) = -3.22, < 0.01], such that individuals with a high level of awareness had no increase in depression even as the number of ACEs increased. Negative cognitions associated with ACEs may harm one's ability to effectively describe their feelings and to be fully aware of the present moment, which may contribute to symptoms of depression. Implications for mindfulness-based interventions (MBIs) are discussed.
童年不良经历(ACEs)与多种负面的身心健康结果相关联。这种关联产生的机制以及这种关系中存在的潜在保护因素尚未得到充分研究。正念是一种认知资源,可能会保护个体免受心理困扰症状的影响。它有五个核心方面,并鼓励对当下时刻进行无评判的接纳。本研究的目的是探讨正念在ACEs与抑郁关系中的作用,既是作为中介变量,也是作为调节变量或保护因素。我们假设正念的觉察、描述和无评判方面在两组分析中都是关键因素。一所大学的279名参与者接受了五因素正念问卷(FFMQ)、童年不良经历量表(ACES)和患者健康问卷(PHQ - 8)以测量抑郁。结果表明,正念的描述维度置信区间[.02,.11]、觉察维度置信区间[.05,.17]和无评判维度置信区间[.06,.18]显著中介了ACEs与抑郁之间的关系。此外,正念的觉察维度在这种关系中也是一个显著的调节变量,[(交互作用)=-3.22,<0.01],即即使ACEs的数量增加,觉察水平高的个体抑郁水平也不会增加。与ACEs相关的消极认知可能会损害一个人有效描述自己感受和充分觉察当下时刻的能力,这可能会导致抑郁症状。本文还讨论了基于正念的干预措施(MBIs)的意义。
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