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The Impact of Blended Mindfulness Intervention (BMI) on University Students’ Sustained Attention, Working Memory, Academic Achievement, and Electroencephalogram (EEG) Asymmetry 混合式正念干预(BMI)对大学生持续注意力、工作记忆、学习成绩和脑电图(EEG)不对称性的影响
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-02-29 DOI: 10.1007/s12671-024-02317-6
Ghasem Sadeghi Bajestani, Afsaneh Ghanizadeh, Fatemeh Makhloughi, Fatemeh Hosseinpour Kharrazi, Akram Hosseini, Mehran Beiraghi Toosi

Objectives

The current study devised a mindfulness intervention program, integrating face-to-face and group training with individualized technology-accessible practices. It aimed at investigating the role of Blended Mindfulness Intervention (BMI), which combines mainstream mindfulness practices with digital tools, in university students’ sustained attention, working memory, academic achievement, and electroencephalogram (EEG) asymmetry.

Method

Sixty junior university students, selected from a pool of 72 candidates, were randomly assigned into two groups. Mindfulness training (MT) was incorporated into class activities of experimental group in a course of eight sessions. The participants of experimental group were also assigned to do some weekly follow-up activities offered via a smartphone-based mindfulness meditation application (Smiling Mind). The homogeneity of the two groups was ascertained prior the study on mindfulness, working memory (determined via Automated Operation Span [AOSPAN] task), and sustained attention. The tripartite mindfulness instruction encompassed these activities: (1) in-class general MT practices, (2) in-class educational-inspired practices, and (3) at-home practices via Smiling Mind.

Results

The results of statistical analysis via independent samples t-tests verified the efficiency of BMI in enhancing university students’ sustained attention, working memory, and academic achievement. The analysis of EEG measurements via a 19-channel device demonstrated reduction in the theta/beta ratio (TBR) values in all brain regions, including frontal, parietal, occipital, and central in posttest. The ratio is a measure often used in EEG studies to assess brain activity.

Conclusions

This study substantiated that promoting state mindfulness in MT programs develops trait mindfulness, which brings about a host of cognitive, emotional, social, and metacognitive benefits. It also demonstrated that supplementing face-to-face and group interventions with individualized and easily accessible and affordable ones seem to cater for all styles and preferences and ultimately augment the efficiency of these programs.

Preregistration

This study is not preregistered.

目的:本研究设计了一个正念干预项目,将面对面培训、小组培训与可通过技术获取的个性化练习相结合。方法从72名候选人中挑选出60名大三学生,将他们随机分为两组。实验组在课堂活动中加入正念训练(MT),共八节课。实验组的参与者还被安排每周通过基于智能手机的正念冥想应用程序(Smiling Mind)进行一些后续活动。在对正念、工作记忆(通过自动操作跨度[AOSPAN]任务确定)和持续注意力进行研究之前,确定了两组的同质性。三方正念教学包括以下活动:(1)课上一般 MT 练习;(2)课上教育启发练习;(3)通过 Smiling Mind 进行的居家练习。结果通过独立样本 t 检验进行的统计分析结果验证了 BMI 在提高大学生持续注意力、工作记忆和学业成绩方面的效率。通过 19 个通道的脑电图测量分析表明,在测试后,包括额叶、顶叶、枕叶和中央在内的所有脑区的θ/β比率(TBR)值都有所下降。该比率是脑电图研究中常用的一种评估大脑活动的指标。结论这项研究证实,在 MT 课程中促进状态正念可以培养特质正念,从而带来一系列认知、情感、社交和元认知方面的益处。研究还表明,以个性化的、容易获得的和负担得起的干预措施来补充面对面的和集体的干预措施,似乎可以满足所有的风格和偏好,并最终提高这些计划的效率。
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引用次数: 0
Validation and Confirmation of the Equanimity Scale-16 in India and its Relationship with Well-Being 印度平等量表-16 的验证和确认及其与幸福感的关系
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-02-29 DOI: 10.1007/s12671-024-02318-5

Abstract

Objectives

The present study explored the psychometric properties of the Equanimity Scale-16 (ES-16) in the Indian population. It also investigated the parallel connections between equanimity and spiritual well-being, recognizing equanimity as one of the qualities of highly spiritual beings.

Method

Three independent studies, with diverse sets of participants, were conducted using structured and established questionnaires. The first study evaluated the factorial structure of the ES-16 scale through exploratory (EFA) and confirmatory factor analysis (CFA) using a sample of 648 Indian adults. The second study evaluated the reliability of the ES-16 with the help of Cronbach’s alpha and composite reliability values based on a sample of 379 respondents. The convergent validity and discriminant validity were examined using average variance explained (AVE) values. The construct validity was examined through correlation analysis of the ES-16 scale with psychological distress, as well as a gratitude scale, given the traditional association of equanimity with spiritual well-being. The third study explored test–retest reliability of the scale based on a sample of 151 participants.

Results

The EFA yielded a 2-factor solution like the original ES-16 scale. The 2 factors—experiential acceptance and non-reactivity—could explain 61.12% of the total variance. The CFA confirmed the adequate factorial structure of the ES-16 scale. The acceptable Cronbach’s alpha and composite reliability values (greater than 0.70) confirmed the reliability of the ES-16 scale. The convergent validity and discriminant validity were also confirmed in the second study. The results also reported a statistically significant positive association between equanimity and spiritual well-being.

Conclusions

The present study concluded that both factors of equanimity are necessary to experience equanimity, and absence of one renders the other difficult. It confirmed the psychometric properties of the ES-16 in the Indian population. The results hold considerable promise for advancing research in the field of mindfulness and well-being, as well as guiding the development of interventions aimed at promoting equanimity and fostering positive mental health outcomes in the Indian context.

Preregistration

This study or any work of the study is not preregistered.

摘要 目的 本研究探讨了印度人的 "平和心态量表-16"(ES-16)的心理测量特性。本研究还探讨了平和心态与精神幸福之间的平行联系,认为平和心态是高度精神存在的品质之一。 方法 使用结构化的既定问卷,对不同参与者进行了三项独立研究。第一项研究以 648 名印度成年人为样本,通过探索性因子分析(EFA)和确认性因子分析(CFA)评估了 ES-16 量表的因子结构。第二项研究以 379 名受访者为样本,通过 Cronbach's alpha 和综合信度值评估了 ES-16 的信度。利用平均方差解释值(AVE)检验了收敛效度和区分效度。鉴于平和心态与精神健康的传统联系,研究人员通过 ES-16 量表与心理困扰以及感恩量表的相关性分析,检验了 ES-16 量表的建构效度。第三项研究以 151 名参与者为样本,探讨了量表的重测可靠性。 结果 EFA 得出了与最初的 ES-16 量表一样的 2 因子解决方案。经验性接受和非反应性这两个因子可以解释总方差的 61.12%。CFA证实了ES-16量表具有适当的因子结构。可接受的 Cronbach's alpha 和综合信度值(大于 0.70)证实了 ES-16 量表的信度。第二次研究还证实了收敛效度和区分效度。研究结果还显示,在统计学上,平和心态与精神幸福感之间存在显著的正相关。 结论 本研究得出结论,要体验到心平气和,必须同时具备心平气和的两个因素,缺少其中一个因素就很难体验到心平气和。研究证实了 ES-16 在印度人群中的心理测量特性。研究结果为推动正念和幸福感领域的研究以及指导开发干预措施带来了巨大希望,这些干预措施旨在促进印度人的平和心态,并促进积极的心理健康结果。 预先登记 本研究或本研究的任何作品未经预先登记。
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引用次数: 0
Silence Practice Modulates the Resting State Functional Connectivity of Language Network with Default Mode and Dorsal Attention Networks in Long-Term Meditators 静默练习调节长期冥想者语言网络与默认模式和背侧注意网络的静息状态功能连接性
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-02-29 DOI: 10.1007/s12671-024-02316-7
Vaibhav Tripathi, Kathryn J. Devaney, Sara W. Lazar, David C. Somers

Objectives

The practice of silence is integral to some meditation traditions. Research is lacking on how silence practice affects brain connectivity. We hypothesized that silent, retreat-based meditation practice would reduce the connection between the language network from core cognitive networks such as the dorsal attention network (DAN) and default mode network (DMN).

Method

In a retrospective study, we analyzed resting state functional MRI (rsfMRI) data in 13 long-term Vipassana meditators (LTM) (~ 11,000 average hours of lifetime meditation experience) and healthy controls (n = 34) with no experience in meditation. We also compared our results with a large-scale dataset—Human Connectome Project (n = 169) (HCP). We compared the within and across functional connectivity among the three networks and correlated meditation experience and days spent in silence with the network connectivities.

Results

We found that the meditators have decoupled functional connectivity strengths (F(2,204) = 10.27, p < 0.01) between the DMN and language network (M = − 0.05, SD = 0.19) as compared to HCP controls (M = 0.14, SD = 0.14). The DAN had a negatively correlated connectivity strength with the language network in meditators (r = − 0.20) as compared to both control groups (r = 0.02) and a strong inverse relation (r = − 0.54) was found between DAN-language connectivity and the number of days spent in silent retreat.

Conclusions

Our study finds a potential role of silence training in changing the connectivities of three cognitive networks, DMN, DAN, and language network, resulting in reduced thoughts during meditation and a deeper experience of meditation.

Preregistration

This study is not preregistered.

目标静默练习是某些冥想传统中不可或缺的一部分。关于静默练习如何影响大脑连通性的研究还很缺乏。方法在一项回顾性研究中,我们分析了 13 名长期唯识禅修者(LTM)(一生平均禅修时间约为 11,000 小时)和无禅修经验的健康对照组(n = 34)的静息状态功能磁共振成像(rsfMRI)数据。我们还将我们的结果与大规模数据集--人类连接组计划(n = 169)(HCP)进行了比较。结果我们发现,与 HCP 对照组(M = 0.14,SD = 0.14)相比,冥想者的 DMN 和语言网络(M = - 0.05,SD = 0.19)之间的功能连接强度脱钩(F(2,204) = 10.27,p <0.01)。与两个对照组(r = 0.02)相比,冥想者的DAN与语言网络的连接强度呈负相关(r = - 0.20),并且在DAN-语言连接与静坐天数之间发现了强烈的反向关系(r = - 0.54)。结论我们的研究发现,静默训练在改变三个认知网络(DMN、DAN 和语言网络)的连通性方面具有潜在作用,从而减少了冥想时的想法,并加深了冥想体验。
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引用次数: 0
How Exposure to Personal Distress With and Without Self-compassion Affects Distress Tolerance: Results from a Two-Sample Randomized Trial 有自怜和无自怜的个人压力暴露如何影响压力耐受性:双样本随机试验的结果
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-02-28 DOI: 10.1007/s12671-024-02312-x
Jenessa L. Shaw, Allison C. Kelly

Objectives

Self-compassion is a caring way of relating to personal distress that has known soothing physiological effects characterized by feelings of safeness. Individuals low in distress tolerance feel threatened by negative emotions and believe that they are unable to tolerate them. We tested the theory that for this population, experiencing negative emotions with self-compassion, as compared to without self-compassion, would allow individuals to feel safer and more soothed, thereby increasing their distress tolerance, our primary outcome.

Method

We tested this hypothesis in a randomized controlled trial involving Canadian undergraduate students (n = 150) and international community adults (n = 298) with below-average distress tolerance levels. In an online session, participants brought to mind a distressing situation and then completed one of three interventions: writing about their negative emotions (pure exposure); writing about their negative emotions from a compassionate perspective (self-compassionate exposure); writing about a neutral topic (placebo control).

Results

In both samples, self-compassionate exposure yielded higher self-reported post-intervention distress tolerance than pure exposure (d = 0.37–0.55, p < 0.05) but not compared to placebo control (d = 0.10–0.34, p > 0.05). The relative effect of self-compassionate exposure over pure exposure occurred indirectly via greater levels of self-reported soothing affect during the intervention (proportion mediated, 0.53–0.67). Between-condition differences were absent at 1-week follow-up.

Conclusions

Findings suggest that exposure to negative emotions with self-compassion, as compared to without, may be a more effective way to momentarily increase distress tolerance due to its effects on soothing affect.

Preregistration

US Clinical Trials Registry #NCT05284578

目标自我同情是一种与个人痛苦相关的关爱方式,具有已知的舒缓生理效应,其特点是安全感。痛苦耐受力低的人感到负面情绪的威胁,认为自己无法忍受负面情绪。我们通过一项随机对照试验验证了这一假设,该试验的参与者包括加拿大本科生(n = 150)和国际社区成年人(n = 298),他们的苦恼耐受水平低于平均水平。在一个在线环节中,参与者回忆起一个令人痛苦的情境,然后完成三种干预中的一种:写下自己的负面情绪(纯粹暴露);从同情的角度写下自己的负面情绪(自我同情暴露);写下一个中性主题(安慰剂对照)。结果在两个样本中,自我同情暴露的自我报告干预后痛苦耐受度均高于纯暴露(d = 0.37-0.55, p <0.05),但不高于安慰剂对照(d = 0.10-0.34, p >0.05)。在干预过程中,自我同情暴露比单纯暴露的相对效果是通过更高水平的自我报告舒缓情绪间接产生的(比例介导,0.53-0.67)。结论研究结果表明,与不进行自我同情的暴露相比,进行自我同情的负面情绪暴露可能是一种更有效的方法,可以通过其对舒缓情绪的影响来暂时提高对痛苦的耐受力。
{"title":"How Exposure to Personal Distress With and Without Self-compassion Affects Distress Tolerance: Results from a Two-Sample Randomized Trial","authors":"Jenessa L. Shaw, Allison C. Kelly","doi":"10.1007/s12671-024-02312-x","DOIUrl":"https://doi.org/10.1007/s12671-024-02312-x","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>Self-compassion is a caring way of relating to personal distress that has known soothing physiological effects characterized by feelings of safeness. Individuals low in distress tolerance feel threatened by negative emotions and believe that they are unable to tolerate them. We tested the theory that for this population, experiencing negative emotions with self-compassion, as compared to without self-compassion, would allow individuals to feel safer and more soothed, thereby increasing their distress tolerance, our primary outcome.</p><h3 data-test=\"abstract-sub-heading\">Method</h3><p>We tested this hypothesis in a randomized controlled trial involving Canadian undergraduate students (<i>n</i> = 150) and international community adults (<i>n</i> = 298) with below-average distress tolerance levels. In an online session, participants brought to mind a distressing situation and then completed one of three interventions: writing about their negative emotions (pure exposure); writing about their negative emotions from a compassionate perspective (self-compassionate exposure); writing about a neutral topic (placebo control).</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>In both samples, self-compassionate exposure yielded higher self-reported post-intervention distress tolerance than pure exposure (<i>d</i> = 0.37–0.55, <i>p</i> &lt; 0.05) but not compared to placebo control (<i>d</i> = 0.10–0.34, <i>p</i> &gt; 0.05). The relative effect of self-compassionate exposure over pure exposure occurred indirectly via greater levels of self-reported soothing affect during the intervention (proportion mediated, 0.53–0.67). Between-condition differences were absent at 1-week follow-up.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Findings suggest that exposure to negative emotions with self-compassion, as compared to without, may be a more effective way to momentarily increase distress tolerance due to its effects on soothing affect.</p><h3 data-test=\"abstract-sub-heading\">Preregistration</h3><p>US Clinical Trials Registry #NCT05284578</p>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"50 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140003611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing Virtual Reality, Video, and Audio-Guided Meditations in Fostering Positive Attitudes toward Meditation 比较虚拟现实、视频和音频引导冥想在培养积极冥想态度方面的作用
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-02-28 DOI: 10.1007/s12671-024-02311-y
Douglas A. Gentile, El-Lim Kim

Objectives

The present study aimed to test the effectiveness of virtual reality (VR) technology to promote positive attitudes toward mindfulness and to enhance motivation to practice mindfulness.

Method

Participants (n = 409) were randomly assigned to one of four conditions: (1) VR-based meditation, (2) video-based meditation, (3) audio-based meditation, and (4) magazine article reading about meditation as a control group. All three of the meditation conditions featured the same script and audio.

Results

Participants in each of the three mindfulness conditions reported an increase in state mindfulness and positive affect, and a decrease in negative affect. Compared to participants who meditated using video or audio clips, participants who meditated using VR reported mindfulness meditation to be more interesting, fun, enjoyable, and less boring. There were no differences in whether participants were distracted, mind wandering, or were absorbed in the meditation across the groups. Participants' self-reported intention to practice mindfulness meditation in the next month and their actual behavior did not differ across the groups.

Conclusions

VR meditation could be useful in fostering positive mood and attitudes in regard to mindfulness practice compared to other technology-assisted meditations, but these changes are not necessarily accompanied by stronger intention to meditate in the future.

本研究旨在测试虚拟现实(VR)技术在促进正念的积极态度和提高正念练习动机方面的有效性。方法将参与者(n = 409)随机分配到四个条件之一:(1)基于 VR 的冥想;(2)基于视频的冥想;(3)基于音频的冥想;(4)作为对照组的杂志文章阅读冥想。所有三种冥想条件都采用相同的脚本和音频。结果三种正念条件中的每一种条件下的参与者都报告说状态正念和积极情绪有所增加,而消极情绪有所减少。与使用视频或音频片段进行冥想的参与者相比,使用 VR 进行冥想的参与者表示正念冥想更有趣、更好玩、更令人愉快,而且不那么无聊。各组参与者在冥想过程中是否分心、思想游离或全神贯注方面没有差异。结论与其他技术辅助的冥想相比,VR 冥想可能有助于培养正念练习的积极情绪和态度,但这些变化并不一定伴随着未来更强烈的冥想意愿。
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引用次数: 0
Mastery of Behavioral Parent Training Skills by Parents with Low Income: The Role of Mindful Attention 低收入家长掌握行为家长培训技巧:全神贯注的作用
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-02-28 DOI: 10.1007/s12671-024-02322-9
Grace H. Cain, Yexinyu Yang, Laura G. McKee, Justin Parent, Deborah J. Jones

Objectives

Behavioral parent training (BPT) is considered the standard of care for early-onset behavior disorders which disproportionately affect children from low-income households. However, BPT does not work equally well for all families, highlighting the importance of better understanding predictors of treatment progress and outcomes. Parent mindfulness has been discussed as one such construct that may improve treatment response, and researchers have adapted BPT to target mindfulness with mixed results. Past research has not examined parent dispositional mindfulness as a predictor of BPT skill mastery.

Method

This study explored the link between parents’ baseline self-report of mindful attention, an aspect of dispositional mindfulness, and observed parent skill mastery at post-treatment and follow-up in a sample of 101 families with low income during a mastery-based BPT program validated for young children, Helping the Noncompliant Child.

Results

Results of a spline growth model suggest that parents with greater mindful attention achieved higher levels of skill mastery than those with lower mindful attention. However, this varied by aspect of skill mastery and assessment timepoint.

Conclusions

Parent mindful attention was associated with parental use of BPT skills. Findings support continued examination of the potential benefits of mindfulness-adapted BPT and have the potential to inform tailored BPT programs consistent with a precision medicine approach. Clinical implications and future directions are discussed.

Preregistration

This study is not preregistered.

目标行为父母训练(BPT)被认为是治疗早发性行为障碍的标准方法,这种方法对低收入家庭的儿童影响极大。然而,BPT 并非对所有家庭都同样有效,这凸显了更好地了解治疗进展和结果的预测因素的重要性。家长的正念被认为是可以改善治疗反应的因素之一,研究人员对 BPT 进行了调整,以正念为目标,但结果喜忧参半。本研究以 101 个低收入家庭为样本,探讨了家长对正念注意的基线自我报告(正念注意的一个方面)与治疗后和随访期间观察到的家长技能掌握情况之间的联系,这些家庭参加的是经过验证的针对幼儿的以掌握为基础的 BPT 项目 "帮助不听话的孩子"。结果曲线增长模型的结果表明,与注意力不集中的家长相比,注意力集中程度较高的家长掌握技能的水平较高。结论家长的注意力集中程度与家长使用 BPT 技能有关。研究结果支持继续研究正念适应BPT的潜在益处,并有可能为符合精准医疗方法的定制BPT计划提供信息。本研究未进行预先注册。
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引用次数: 0
Ultra-Brief Breath Counting (Mindfulness) Training Abolishes Negative Affect–Induced Alcohol Motivation in Hazardous Community Drinkers 超简短呼吸计数(正念)训练可消除有害社区饮酒者的负性情绪诱发的饮酒动机
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-02-27 DOI: 10.1007/s12671-024-02315-8
Alexandra Elissavet Bakou, Lorna Hardy, Ruichong Shuai, Kim Wright, Lee Hogarth

Objectives

Mindfulness therapy improves drinking outcomes arguably by attenuating negative mood–induced drinking, but this mechanism has not been demonstrated in hazardous community drinkers. To address this, three studies tested whether a key ingredient of mindfulness, breath counting, would attenuate the increase in motivation for alcohol produced by experimentally induced negative mood, in hazardous community drinkers.

Method

In three studies, hazardous community drinkers were randomized to receive either a 6-min breath counting training or listen to a recited extract from a popular science book, before all participants received a negative mood induction. Motivation for alcohol was measured before and after listening to either the breath counting training or the control audio files, with a craving questionnaire in two online studies (n = 122 and n = 111), or an alcohol versus food picture choice task in a pub context in one in-person study (n = 62).

Results

In Study 1, breath counting reduced alcohol craving. However, since the mood induction protocol did not increase craving, the effect of breath counting in reversing such increase could not be demonstrated. Online breath counting eliminated the increase in alcohol craving induced by negative mood (Study 2) and eliminated the stress-induced increase in alcohol picture choice in the pub environment (Study 3).

Conclusions

Briefly trained breath counting attenuated negative mood–induced alcohol motivation in hazardous community drinkers. These results suggest that breath counting is a reliable and practical method for reducing the impact of negative emotional triggers on alcohol motivation.

Preregistration

These studies are not preregistered.

目的正念疗法可以通过减轻负面情绪诱发的饮酒来改善饮酒结果,但这一机制尚未在危险的社区饮酒者身上得到证实。在三项研究中,危险社区饮酒者被随机分配接受6分钟的数息训练,或在所有参与者接受负面情绪诱导之前聆听科普读物的朗诵摘录。在两项在线研究(人数分别为122人和111人)中,通过渴望程度调查问卷,或在一项现场研究(人数为62人)中,通过酒吧环境下的酒精与食物图片选择任务,对参加者在聆听数呼吸训练或对照音频文件前后的饮酒动机进行了测量。然而,由于情绪诱导方案并未增加渴求度,因此无法证明呼气次数在逆转渴求度增加方面的作用。在线数息消除了负面情绪引起的酒精渴求增加(研究 2),并消除了压力引起的酒吧环境中酒精图片选择的增加(研究 3)。这些结果表明,数呼吸是一种可靠而实用的方法,可减少负面情绪诱因对饮酒动机的影响。
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引用次数: 0
Applying Participatory Research in the Development of Clinical Practice Recommendations for Incorporating Mindfulness into Mental Health Treatment with Youth at Risk for Psychosis 应用参与式研究制定临床实践建议,将正念纳入对有精神病风险的青少年的心理健康治疗中
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-02-21 DOI: 10.1007/s12671-024-02313-w
Melissa O’Shea, Daniel Reich, Subhadra Evans

Mindfulness is a promising adjunct strategy that clinicians can use with individuals at risk for psychosis to help manage their distressing symptoms and difficulties with daily functioning. This article explores how mental health clinicians can support young people to safely engage with mindfulness practices as part of their overall recovery through the development of specific guidance for the implementation of mindfulness programs within routine clinical care. A collaborative approach was taken to the development of the recommendations through the adoption of participatory research principles across three phases. The first two phases were published elsewhere. In Phase 3, initial recommendations were formulated, in consideration of the findings of Phases 1 (evidence mapping) and 2 (qualitative analysis of the perspectives of practitioners with experience working with young people at risk for psychosis, and youth at risk for psychosis, regarding the use of mindfulness as an adjunct to usual treatment) and existing mindfulness intervention protocols for psychosis. Initial recommendations were fed back to the practitioner group used in Phase 2 in a validation cycle to ensure recommendations matched their views and for final endorsement. Eight key recommendation areas with corresponding clinical practice points were endorsed, highlighting the practical utility of the recommendations. Recommendations included the benefit of youth-relevant mindfulness content and adapting mindfulness to young people’s needs, the importance of trauma-informed principles, the utility of compassion-based practices, and key ways to address barriers to mindfulness uptake for youth at risk for psychosis. It is anticipated that through the implementation of these recommendations, safe and effective implementation of mindfulness interventions within early intervention practice will improve outcomes for young people experiencing attenuated psychotic symptoms and associated morbidity.

正念是一种很有前景的辅助策略,临床医生可将其用于有精神病风险的人群,帮助他们控制痛苦症状和日常功能障碍。本文通过制定在常规临床护理中实施正念计划的具体指导,探讨了心理健康临床医生如何支持年轻人安全地进行正念练习,并将其作为整体康复的一部分。在制定建议的过程中,采用了参与式研究原则,分三个阶段进行合作。前两个阶段的成果已在其他地方发表。在第 3 阶段,考虑到第 1 阶段(证据图谱)和第 2 阶段(对与有精神病风险的青少年和有精神病风险的青少年有合作经验的从业者的观点进行定性分析,了解正念作为常规治疗的辅助手段的使用情况)的研究结果以及现有的精神病正念干预方案,制定了初步建议。在验证周期中,初步建议被反馈给第二阶段中使用的从业者小组,以确保建议符合他们的观点,并获得最终认可。八个关键建议领域及相应的临床实践要点得到了认可,突出了这些建议的实用性。建议包括与青少年相关的正念内容的益处、根据青少年的需求调整正念、创伤知情原则的重要性、基于同情心的实践的实用性,以及解决有精神病风险的青少年正念吸收障碍的关键方法。预计通过实施这些建议,在早期干预实践中安全、有效地实施正念干预措施,将能改善出现减轻的精神病症状和相关发病率的青少年的治疗效果。
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引用次数: 0
Correction To: A Comprehensive Descriptive Analysis of Out-of-Session Meditation in a Residential Treatment Setting: Duration, Frequency, and Type of Practice 更正为住院治疗环境中疗程外冥想的综合描述性分析:持续时间、频率和练习类型
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-02-20 DOI: 10.1007/s12671-024-02309-6
Diana Zhang, David S. Black
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引用次数: 0
Evaluation of a Mindfulness-Based Early-Childhood Behavioral Parenting Program that Promotes Parent and Child Well-Being in High-Risk Contexts 评估基于正念的幼儿行为养育计划,该计划可在高风险环境中促进父母和儿童的福祉
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-02-15 DOI: 10.1007/s12671-024-02307-8
Liliana J. Lengua, Michele R. Smith, Autumn Eo, Ana Funes Gonzalez, Erika Ruberry

Objectives

Two studies were conducted to evaluate the effectiveness of a brief (6-week) mindfulness-based behavioral parenting program offered in community settings to parents of preschool-age children living in low-income or high-adversity contexts.

Method

Study 1 was a quasi-experimental, waitlist control study conducted with 53 parents whose children were enrolled in Head-Start or similar early childhood program. Study 2 evaluated the program when it was delivered synchronously online with 28 parents living in transitional housing or who were unhoused and whose children attended an early learning program. Assessments included parent-reported mindfulness problems, mental health symptoms, parenting and child social competence, and internalizing and externalizing problems. Study 1 also included observational ratings of parenting behaviors.

Results

Study 1 treatment group (n = 27) showed significant improvements or positive trends in mindfulness, parental warmth, scaffolding, acceptance, anxiety symptoms, parent-reported rejection, and child internalizing and externalizing problems when compared to waitlist participants (n = 26). Study 2 participants (n = 28) reported increases in consistent limit setting, child social competence, decreases in internalizing, and a tendency toward reduced parental anxiety symptoms from pretest to post-test, and treatment effects were maintained at follow-up. Parents’ satisfaction with the program was high, and attendance improved when the program was delivered online.

Conclusions

Preliminary results suggest that this brief mindfulness-based behavioral parenting program may improve parental anxiety and parenting behaviors, as well as children’s adjustment. The program is acceptable to parents who participated and feasibly implemented both in person and online in community settings with parents living in low-income contexts.

Preregistration

This study is not preregistered.

目标我们开展了两项研究,以评估在社区环境中为生活在低收入或高逆反环境中的学龄前儿童家长提供的基于正念的简短(6 周)行为养育计划的有效性。方法研究 1 是一项准实验性的候选名单对照研究,研究对象为 53 名子女参加了启蒙计划或类似早期儿童计划的家长。研究 2 对该项目进行了评估,评估对象为 28 名居住在过渡性住房或无住房且子女参加了早期学习项目的家长。评估内容包括家长报告的正念问题、心理健康症状、养育子女的社交能力以及内化和外化问题。研究1还包括对父母养育行为的观察评分。结果研究1治疗组(n = 27)与候补名单参与者(n = 26)相比,在正念、父母温暖、支架、接纳、焦虑症状、父母报告的排斥以及儿童内化和外化问题方面均有显著改善或积极趋势。研究 2 的参与者(n = 28)报告称,从测试前到测试后,一致的限制设置和儿童社交能力均有所提高,内化问题有所减少,家长的焦虑症状也有减少的趋势,而且治疗效果在随访中得以保持。结论初步研究结果表明,这个基于正念的简短行为养育项目可以改善父母的焦虑和养育行为,并提高儿童的适应能力。参与该计划的家长可以接受该计划,而且该计划可以在社区环境中与生活在低收入环境中的家长共同实施。
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引用次数: 0
期刊
Mindfulness
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