University of Liverpool, Doctorate in Clinical Psychology, School of Psychology, University of Liverpool, Ground Floor, Whelan Building, Brownlow Hill, Liverpool, L69 3GB, UK.
University of Liverpool, School of Psychology, Elanor Rathbone Building, University of Liverpool, Bedford St S, University of Liverpool, Liverpool, L69 3BX, UK.
J Psychiatr Res. 2022 Aug;152:233-241. doi: 10.1016/j.jpsychires.2022.05.027. Epub 2022 May 26.
Mindfulness is characterized by skills such as heightened awareness and acceptance of internal experiences, which may be helpful for people who have experienced trauma. The consistency and strength of the relationship between trait mindfulness and PTSD symptomology, however, is unknown. Studies were included in this review if they were published in an English language peer-reviewed journal, reported on a correlational relationship between validated measures of mindfulness and PTSD, and all participants were over the age of 18. A random effects meta-analysis showed that there was a robust, pooled relationship between total mindfulness and PTSD (r = -0.39, 95% CI [-0.47 to -0.30]), based on 35 datasets with 13,370 participants, with low risk of publication bias. Sixteen articles reported on facets of mindfulness and PTSD symptomology [5,206 to 5,600 participants]: the strongest associations were with Act with Awareness (r = -0.37) and Non-judge (r = -0.37), followed by Describe (r = -0.22) and Non-react (r = -0.21). Observe was not significantly associated with PTSD symptoms. Results from this analysis suggest that people who are more mindful also report fewer symptoms of PTSD ; the strength of the relationship varies across mindfulness facets. There was high heterogeneity across studies.
正念的特点是具有提高意识和接受内部体验的技能，这对于经历过创伤的人可能会有所帮助。然而，特质正念与 PTSD 症状之间的关系的一致性和强度尚不清楚。如果研究发表在英语同行评审期刊上，报告了正念和 PTSD 的验证测量之间的相关性，并且所有参与者的年龄都超过 18 岁，则将其纳入本综述。基于 35 个数据集和 13370 名参与者的随机效应荟萃分析显示，正念与 PTSD 之间存在稳健的、总体的关系（r=-0.39，95%CI[-0.47 至-0.30]），且发表偏倚的风险较低。有 16 篇文章报告了正念和 PTSD 症状的各个方面[5206 至 5600 名参与者]：与 PTSD 症状关联最强的是觉察行动（r=-0.37）和不评判（r=-0.37），其次是描述（r=-0.22）和不反应（r=-0.21）。观察与 PTSD 症状没有显著关联。这项分析的结果表明，正念程度较高的人报告的 PTSD 症状也较少；这种关系的强度因正念的各个方面而异。研究之间存在高度异质性。
