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基线正念分数对基于正念的干预结果的影响:迈向个性化心理健康干预

The Impact of Baseline Mindfulness Scores on Mindfulness-Based Intervention Outcomes: Toward Personalized Mental Health Interventions.

作者信息

Vergara Rodrigo C, Baquedano Constanza, Lorca-Ponce Enrique, Steinebach Christoph, Langer Álvaro I

机构信息

Departamento de Kinesiología, Facultad de Artes y Educación Física, Universidad Metropolitana de Ciencias de la Educación, Santiago, Chile.

Centro Nacional de Inteligencia Artificial, Santiago, Chile.

出版信息

Front Psychol. 2022 Jul 11;13:934614. doi: 10.3389/fpsyg.2022.934614. eCollection 2022.

Abstract

A growing body of evidence has portrayed mindfulness as a useful tool for dealing with a broad range of psychological problems and disorders. This has created the impression that mindfulness-based interventions (MBIs) can be used to treat nearly all psychological difficulties, in all cases. Nonetheless, little research has been done on how individual differences may contribute to intervention outcomes. The goal of this study was to evaluate the role of baseline mindfulness on participants' outcomes by examining three prior Randomized Controlled Trials that addressed the impact of MBIs on mental health and mindfulness measures. The participants were 164 people, aged between 12 and 45, from both clinical and non-clinical samples. Our findings indicate that at least two thirds of the change produced by these interventions in terms of mindfulness scores can be predicted by the baseline scores of the same variables. We also found that many trajectories are not only strongly influenced by the initial status of the participants, but also by the intervention performed, as attested to by the significant interactions found. These results stress the need to continue doing research in a way that considers the diversity of participants' trajectories, increasing the room for intervention improvements aligned with a more personalized health care model.

摘要

越来越多的证据表明,正念是应对广泛心理问题和障碍的有用工具。这给人一种印象,即基于正念的干预措施(MBIs)在所有情况下都可用于治疗几乎所有心理困难。然而,关于个体差异如何影响干预效果的研究却很少。本研究的目的是通过考察三项先前的随机对照试验来评估基线正念对参与者结果的作用,这些试验探讨了MBIs对心理健康和正念测量的影响。参与者为164人,年龄在12至45岁之间,来自临床和非临床样本。我们的研究结果表明,这些干预措施在正念分数方面产生的变化中,至少三分之二可以由相同变量的基线分数预测。我们还发现,许多轨迹不仅受到参与者初始状态的强烈影响,还受到所实施干预的影响,这一点从发现的显著交互作用中得到证明。这些结果强调了继续开展研究的必要性,研究方式应考虑参与者轨迹的多样性,为与更个性化医疗模式相一致的干预改进提供更多空间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0343/9309782/aaaffb797cf1/fpsyg-13-934614-g001.jpg

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