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正念觉知及其与累积逆境、自主反应性和当前功能的关联。

Mindful awareness and its association with cumulative adversity, autonomic reactivity, and current functioning.

作者信息

Dana Audrey N, Pennella Jenna L, Goelz Donnalea Van Vleet, Duner Britney N, Ventura Allison B, Giraldo Sara M, Cuffe Steven P, Porges Stephen W, Dale Lourdes P

机构信息

Department of Psychiatry, College of Medicine-Jacksonville, University of Florida, Jacksonville, FL, United States.

Department of Psychology, Florida State University, Tallahassee, FL, United States.

出版信息

Front Psychol. 2025 Jul 23;16:1630101. doi: 10.3389/fpsyg.2025.1630101. eCollection 2025.

DOI:10.3389/fpsyg.2025.1630101
PMID:40771330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12325308/
Abstract

BACKGROUND

Prior adversity may retune autonomic regulation and impede the ability to access a calm physiological state that would support mindful awareness, which is the facet of mindfulness focused on being present and accepting of the current moment. We investigated (1) how mindful awareness relates to cumulative adversity, autonomic reactivity, and current functioning; and (2) whether mindful awareness ameliorates the negative impact of cumulative adversity and autonomic reactivity on current functioning.

METHODS

Participants ( = 1,542; ages 18-88) reported living in the United States and experiencing at least one adversity. They completed online measures assessing their mindful awareness, cumulative adversity, autonomic reactivity, dysfunctional coping strategies, emotional distress, and PTSD symptoms.

RESULTS

Regression analyses revealed that the strongest predictor of greater mindful awareness was lower autonomic reactivity, which minimized the impact of cumulative adversity. Mediational analyses suggested that autonomic reactivity may mediate the relationship between cumulative adversity and mindful awareness. Regression analysis suggested higher autonomic reactivity remained the strongest predictor of poorer current functioning.

CONCLUSION

Our research suggests that individuals with adversity histories may need to address both their mindful awareness and autonomic dysregulation to improve their current functioning.

摘要

背景

既往的逆境可能会重新调整自主调节功能,并阻碍进入一种能支持正念觉知的平静生理状态的能力,正念觉知是正念的一个方面,专注于当下和接纳当前时刻。我们研究了:(1)正念觉知与累积逆境、自主反应性和当前功能之间的关系;(2)正念觉知是否能减轻累积逆境和自主反应性对当前功能的负面影响。

方法

参与者(n = 1542;年龄18 - 88岁)报告居住在美国且经历过至少一次逆境。他们完成了在线测量,评估其正念觉知、累积逆境、自主反应性、功能失调的应对策略、情绪困扰和创伤后应激障碍症状。

结果

回归分析显示,更高的正念觉知的最强预测因素是更低的自主反应性,这最小化了累积逆境的影响。中介分析表明,自主反应性可能介导累积逆境与正念觉知之间的关系。回归分析表明,更高的自主反应性仍然是当前功能较差的最强预测因素。

结论

我们的研究表明,有逆境经历的个体可能需要同时解决他们的正念觉知和自主调节功能障碍问题,以改善他们当前的功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3575/12325308/2966e0991c3e/fpsyg-16-1630101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3575/12325308/2966e0991c3e/fpsyg-16-1630101-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3575/12325308/2966e0991c3e/fpsyg-16-1630101-g001.jpg

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