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正念应对侵入性思维。

A mindful approach to controlling intrusive thoughts.

机构信息

Department of Neuropsychology and Psychopharmacology, Maastricht University, Maastricht, The Netherlands.

出版信息

Sci Rep. 2023 Jul 6;13(1):10966. doi: 10.1038/s41598-023-37447-9.

Abstract

Intrusive thoughts of negative experiences can pose a threat to our well-being. To some extent, unwanted memories can be intentionally controlled via an executive control mechanism that downregulates the occurrence of intrusions. Mindfulness training can improve executive control. It is not known whether mindfulness training can be used as an intervention to improve intentional memory control and reduce intrusions. To this end, 148 healthy participants completed a 10-day app-based mindfulness training or an active control task. At baseline, inhibitory control and working memory were assessed as measures of executive functioning. Post-mindfulness training, intrusions were assessed via the Think/No-Think task. It was expected that mindfulness training would reduce intrusions. Furthermore, we hypothesised that this would be moderated by baseline executive functioning. Results revealed that, contrary to our hypothesis, both groups increased equally in dispositional mindfulness between baseline and post-test. As such, our exploratory analysis revealed that higher dispositional mindfulness across both groups resulted in fewer intrusions and enhanced the ability to downregulate intrusions over time. Furthermore, this effect was moderated by inhibitory control at baseline. These results provide insight into factors that can improve the ability to control unwanted memories, which could have considerable implications for treatments in psychopathologies characterized by the frequent occurrence of intrusive thoughts. PROTOCOL REGISTRATION: The stage 1 protocol for this Registered Report was accepted in principle on 11th March, 2022. The protocol, as accepted by the journal, can be found at: https://doi.org/10.17605/OSF.IO/U8SJN .

摘要

侵入性的消极体验想法会威胁到我们的幸福。在某种程度上,通过抑制控制机制,可以有意控制不需要的记忆,从而抑制侵入。正念训练可以改善执行控制。目前尚不清楚正念训练是否可以作为一种干预措施,以改善有意记忆控制并减少侵入。为此,148 名健康参与者完成了为期 10 天的基于应用程序的正念训练或主动控制任务。在基线时,评估抑制控制和工作记忆作为执行功能的测量。在正念训练后,通过思维/不思维任务评估侵入。预计正念训练会减少侵入。此外,我们假设这会受到基线执行功能的调节。结果表明,与我们的假设相反,两组在正念训练前后的特质正念都同等增加。因此,我们的探索性分析表明,两组的特质正念越高,侵入性思维越少,并且随着时间的推移,调节侵入性思维的能力增强。此外,这种效应受到基线抑制控制的调节。这些结果为提高控制不需要的记忆的能力提供了一些见解,这对于以侵入性思维频繁发生为特征的精神病理学的治疗可能具有重要意义。方案注册:该注册报告的第 1 阶段方案于 2022 年 3 月 11 日原则上被接受。该方案被期刊接受的版本可在以下网址找到:https://doi.org/10.17605/OSF.IO/U8SJN。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3983/10326059/fdb51f57558e/41598_2023_37447_Fig1_HTML.jpg

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