University of Georgia.
University of Georgia.
Behav Ther. 2024 Jan;55(1):55-67. doi: 10.1016/j.beth.2023.05.004. Epub 2023 May 24.
Mindfulness-based treatments are efficacious for psychotic disorders (PD). However, which components of mindfulness (i.e., attentive monitoring and nonjudgmental acceptance) are most relevant treatment targets is unclear. Further, there is a dearth of literature examining clinical correlates of mindfulness in people with PD. The present study aimed to examine group differences and clinical correlates of mindfulness in people with PD. We hypothesized that PD would report lower monitoring and acceptance than CN and that mindfulness components would be associated with symptoms including dysfunctional beliefs, alexithymia, neurocognitive ability, positive symptoms, and mood symptoms. Groups included individuals with PD (n = 54) and nonpsychiatric controls (n = 55). Participants completed self-report measures of mindfulness and related constructs and clinical interviews of symptoms. Results of ANOVA models indicated that global mindfulness was lower in PD relative to CN, with greatest differences evident for acceptance in the affective psychosis group. Regression models found that greater monitoring was associated with improved neurocognitive performance, while acceptance was associated with lower defeatist beliefs, alexithymia, and depression/anxiety symptoms. Results highlight the importance of targeting acceptance in the psychosocial treatment of PDs, especially for those with mood symptoms.
正念疗法对精神病性障碍（PD）有效。然而，正念的哪些组成部分（即专注的监测和非评判性的接纳）是最相关的治疗靶点尚不清楚。此外，关于正念在 PD 患者中的临床相关性的文献也很少。本研究旨在检查 PD 患者的正念的组间差异和临床相关性。我们假设 PD 患者的监测和接纳能力低于 CN 组，并且正念的组成部分与包括功能失调信念、述情障碍、神经认知能力、阳性症状和情绪症状在内的症状相关。研究对象包括 PD 患者（n=54）和非精神病对照组（n=55）。参与者完成了正念及其相关结构的自我报告量表以及症状的临床访谈。方差分析模型的结果表明，PD 患者的整体正念水平低于 CN 组，而在情感精神病组中，接纳的差异最为明显。回归模型发现，更高的监测与更好的神经认知表现相关，而接纳与更低的失败主义信念、述情障碍和抑郁/焦虑症状相关。结果强调了在 PD 的心理社会治疗中关注接纳的重要性，尤其是对于那些有情绪症状的患者。
