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Multidimensional Analysis of Twin Sets During an Intensive Week-Long Meditation Retreat: A Pilot Study. 在为期一周的密集冥想静修中对双胞胎组的多维分析:一项试点研究。
IF 3.1 2区 心理学 Q2 PSYCHIATRY Pub Date : 2025-01-01 Epub Date: 2025-05-07 DOI: 10.1007/s12671-025-02584-x
Juan P Zuniga-Hertz, Sierra Simpson, Ramamurthy Chitetti, Chang Francis Hsu, Han-Ping Huang, Alex Jinich-Diamant, Andrei V Chernov, Julie A Onton, Raphael Cuomo, Joe Dispenza, Dylan Davis, Leonardo Christov-Moore, Nicco Reggente, Wanjun Gu, Mitchell Kong, Jacqueline A Bonds, Jacqueline Maree, Tatum S Simonson, Andrew C Ahn, Michelle A Poirier, Tobias Moeller-Bertram, Hemal H Patel

Objectives: Meditation has long been known to promote health. We utilized a multidisciplinary approach to investigate the impact of mind-body interventions on the body in a twin cohort during a week-long meditation retreat.

Method: This study was designed to address individual changes controlling for intersubject trait variation and explore the role of genetic background on multi-omic factors during meditation. Transcriptomic analysis was carried out from whole blood samples, while metabolomic and biochemical studies were carried out in blood plasma. Quantitative electroencephalography studies, coupled with biometric analysis and molecular studies at multiple time points, were carried out in twins meditating together and in twins separated and simultaneously either meditating or listening to a documentary.

Results: Changes in gene expression, metabolites, and cytokines in blood plasma associated with specific meditative states showed patterns of change relative to the time point being assessed. Twin sets were similar in multiple domains before the start of the retreat, showed considerable divergence at the mid-point, and looked more similar by the end of the retreat. Twin pairs showed significant spectral power correlations in separate rooms and when only one twin meditated. These similarities were not observed in mismatched twin pairs. Heart rate dynamics assessments showed alignment among twin pairs, absent between unmatched pairs.

Conclusions: To our knowledge, this pilot study is novel within the twin research paradigm and is a first step toward exploring the effects of meditation in twins.

Preregistration: This study was not preregistered and was carried out under IRB protocol MED02#20211477.

Supplementary information: The online version contains supplementary material available at 10.1007/s12671-025-02584-x.

目的:长期以来,人们都知道冥想可以促进健康。在为期一周的冥想静修期间,我们利用多学科方法调查身心干预对双胞胎队列身体的影响。方法:本研究旨在探讨冥想过程中个体变化对主体间性状变异的控制,并探讨遗传背景对多组学因素的影响。全血样本进行转录组学分析,血浆进行代谢组学和生化研究。定量脑电图研究,结合多个时间点的生物特征分析和分子研究,对一起冥想的双胞胎和分开的双胞胎进行了研究,同时冥想或听纪录片。结果:与特定冥想状态相关的血浆中基因表达、代谢物和细胞因子的变化显示出相对于被评估时间点的变化模式。在撤退开始之前,双胞胎组在多个领域是相似的,在中间点显示出相当大的分歧,在撤退结束时看起来更加相似。双胞胎在单独的房间和只有一个双胞胎冥想时显示出显著的光谱功率相关性。在不匹配的双胞胎中没有观察到这些相似性。心率动态评估显示双胞胎之间的一致性,而不匹配的双胞胎之间没有。结论:据我们所知,这项初步研究在双胞胎研究范式中是新颖的,是探索冥想对双胞胎影响的第一步。预注册:本研究未预注册,并根据IRB协议MED02#20211477进行。补充信息:在线版本包含补充资料,提供地址为10.1007/s12671-025-02584-x。
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引用次数: 0
Sleep-Based Brain Age Is Reduced in Advanced Inner Engineering Meditators. 高级内在工程冥想者减少了基于睡眠的大脑衰老。
IF 3.1 2区 心理学 Q2 PSYCHIATRY Pub Date : 2025-01-01 Epub Date: 2025-05-16 DOI: 10.1007/s12671-025-02583-y
Jayme C Banks, Sepideh Hariri, Kestutis Kveraga, An Ouyang, Kaileigh Gallagher, Syed A Quadri, Ryan A Tesh, Preeti Upadhyay Reed, Robert J Thomas, M Brandon Westover, Haoqi Sun, Balachundhar Subramaniam

Objectives: We aimed to quantify the effects of advanced meditation on brain electrical activity during sleep. This investigation addresses the need for objective neurophysiological measures of meditation's potential impact on brain aging and health.

Method: This study was a single-site, prospective cohort study (conducted August 25, 2021, through September 26, 2021) of meditators attending the "Samyama Sadhana" retreat (September 1-5, 2021). Two healthy comparison groups and four comparison groups with varying degrees of age-related brain pathology are included. Using overnight electroencephalography, physiological measures of brain age were derived and subtracted from chronological age, measuring the deviation of apparent brain age from chronological age.

Results: Thirty-four participants completed the study (average age = 38 years; 36% female). Estimated brain age index after adjustment by matching: meditators (n = 34), - 5.9 years (SE = 0.94 years, t-test p < 0.001); Dreem healthy controls (n = 1077), - 0.24 (0.61, p < 0.001); Massachusetts General Hospital (MGH) healthy controls (n = 112), 0.55 (0.92, p < 0.05); MGH "no dementia" (n = 7618), 2.4 (0.094, reference cohort for t-test); MGH "symptomatic" (n = 697), 2.0 (0.33, p > 0.05); MGH "mild cognitive impairment (MCI)"(n = 205), 8.8 (2.8, p < 0.05); and MGH "dementia" (n = 153), 10.5 (2.8, p < 0.01).

Conclusions: Long-term meditators exhibit lower brain age relative to matched control groups. This study suggests that advanced meditation enhances brain health.

Preregistration: This study was not preregistered.

Supplementary information: The online version contains supplementary material available at 10.1007/s12671-025-02583-y.

目的:我们旨在量化高级冥想对睡眠期间脑电活动的影响。这项研究解决了冥想对大脑衰老和健康的潜在影响的客观神经生理学测量的需要。方法:本研究是一项单地点、前瞻性队列研究(于2021年8月25日至2021年9月26日进行),参与者为参加“三山修行”闭关(2021年9月1日至5日)的禅修者。包括两个健康对照组和四个不同程度的年龄相关脑病理对照组。利用夜间脑电图,得出脑年龄的生理指标,并从实足年龄中减去,测量表观脑年龄与实足年龄的偏差。结果:34名参与者完成了研究(平均年龄= 38岁;36%的女性)。经匹配调整后估计脑年龄指数:冥想者(n = 34)、- 5.9岁(SE = 0.94 years, t检验p n = 1077)、- 0.24 (0.61,p n = 112)、0.55 (0.92,p n = 7618)、2.4(0.094,参考队列t检验);MGH“症状”(n = 697), 2.0 (0.33, p > 0.05);MGH“轻度认知障碍(MCI)”(n = 205), 8.8 (2.8, p n = 153), 10.5 (2.8, p)。结论:长期冥想者的脑年龄低于对照组。这项研究表明,高级冥想可以促进大脑健康。预注册:本研究未进行预注册。补充资料:在线版本提供补充资料,网址为10.1007/s12671-025-02583-y。
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引用次数: 0
Trait Mindfulness and Anxiety Symptoms: The Role of Optimism and Hope. 特质正念与焦虑症状:乐观和希望的作用。
IF 3.5 2区 心理学 Q2 PSYCHIATRY Pub Date : 2025-01-01 Epub Date: 2024-12-16 DOI: 10.1007/s12671-024-02498-0
Morganne A Kraines, Adrienne E Kvaka, Lucas J A Kelberer, Tony T Wells

Objectives: Nearly one third of adults in the US experience at least one anxiety disorder over the course of their lifetime. Trait mindfulness is associated with fewer symptoms of anxiety. This study examined two such factors from positive psychology that may help to explain this relationship: hope and optimism.

Method: Two-hundred and nine participants completed self-report measures of anxiety symptoms, trait mindfulness, hope, and optimism at two timepoints.

Results: Trait mindfulness was negatively associated with anxiety symptoms at both baseline and follow-up. Bias-corrected bootstrapping mediation indicated that optimism, but not hope, mediated this relationship.

Conclusions: Trait mindfulness may reduce anxiety because it helps to cultivate one's general positive attitude about the future which may challenge the diffuse worry and anticipatory fear that are inherent to anxiety. Future research should seek to further explore how to harness optimism in mindfulness treatments.

Preregistration: This study is not preregistered.

目的:美国近三分之一的成年人在其一生中至少经历过一种焦虑症。特质正念与较少的焦虑症状有关。这项研究考察了积极心理学中可能有助于解释这种关系的两个因素:希望和乐观。方法:209名参与者在两个时间点完成焦虑症状、特质正念、希望和乐观的自我报告测量。结果:特质正念与焦虑症状在基线和随访时均呈负相关。偏差校正的自举中介表明,乐观,而不是希望,调解了这种关系。结论:特质正念可以减少焦虑,因为它有助于培养一个人对未来的总体积极态度,这可能会挑战焦虑固有的扩散担忧和预期恐惧。未来的研究应该寻求进一步探索如何在正念治疗中利用乐观。预注册:本研究未预注册。
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引用次数: 0
Toward a Unified Model of Advanced Meditation, Human Development, Meditation Maps, and Transtradition Metaphors: Facing Impermanence, Suffering, and Death. 迈向高级冥想、人类发展、冥想地图和传统隐喻的统一模式:面对无常、痛苦和死亡。
IF 3.5 2区 心理学 Q2 PSYCHIATRY Pub Date : 2025-01-01 Epub Date: 2025-07-29 DOI: 10.1007/s12671-025-02632-6
Terje Sparby, Matthew D Sacchet

While there exists a large body of research on the possibility of measuring certain aspects of human development, what might be called inner development has mostly been neglected, in particular as it pertains to advanced meditation. A central aspect of this kind of development, which we call meditative development, is associated with access to bliss, peace, wisdom, and the reduction of suffering, which have been regarded as highly desirable or even ultimate aims of human life. The potential for such development is currently being scientifically studied and developmentally mapped. While the use of maps to guide meditation during practice has been criticized, the conceptualization of a transformative process involving a metaphorical death and rebirth, or the dissolution of an old identity and the emergence of a new one, is common across various wisdom traditions. In the meditative traditions, some maps, such as the one described by Mahāsī Sayādaw, describe this process in a way that is both highly detailed and grounded in experience. Here, we propose an outline of the process of metaphorical "death and rebirth" in advanced meditation, which may form a foundation for the scientific investigation of meditative development and support a deeper understanding of what it means to be human.

虽然有大量关于衡量人类发展某些方面的可能性的研究,但所谓的内在发展在很大程度上被忽视了,特别是当它与高级冥想有关时。这种发展的一个核心方面,我们称之为冥想的发展,与获得幸福、和平、智慧和减少痛苦有关,这些一直被认为是人类生活的高度期望甚至是终极目标。目前正在对这种发展的潜力进行科学研究和发展规划。虽然在练习中使用地图来指导冥想一直受到批评,但概念化的变革过程涉及隐喻性的死亡和重生,或者旧身份的解体和新身份的出现,在各种智慧传统中都很常见。在冥想传统中,一些地图,如Mahāsī Sayādaw所描述的,以一种既非常详细又基于经验的方式描述了这个过程。在此,我们提出了高级冥想中隐喻性“死亡与重生”过程的概述,这可能为冥想发展的科学研究奠定基础,并支持对人类意义的更深入理解。
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引用次数: 0
Mindfulness Profiles and Substance Use Outcomes in University Students: The Role of Alcohol and Cannabis Use Motives. 大学生正念概况和物质使用结果:酒精和大麻使用动机的作用。
IF 3.1 2区 心理学 Q2 PSYCHIATRY Pub Date : 2025-01-01 Epub Date: 2025-02-28 DOI: 10.1007/s12671-025-02544-5
Folly Folivi, Adrian J Bravo, Matthew R Pearson

Objectives: The present study aimed to identify distinct profiles of mindfulness among a sample of university students in the USA who use alcohol and cannabis. Further, we examined whether these mindfulness profiles were indirectly associated with alcohol and cannabis-related outcomes via alcohol and cannabis use motives.

Method: Latent profile analysis (LPA) was used to determine the number of latent classes among 771 US university students (75.7% White, 66.8% female) who consumed alcohol and cannabis in the prior month. Additionally, parallel mediation analyses were conducted to determine whether mindfulness profiles were indirectly associated with alcohol- and cannabis-related outcomes via alcohol and cannabis use motives.

Results: LPA indicated a 4-class solution fit optimally. Further, the high mindfulness group was generally the most adaptive (lower scores) across alcohol and cannabis outcomes, whereas the judgmentally observing group was generally the most maladaptive (higher scores). Indirect effect analyses revealed that compared to the low mindfulness group, the high mindfulness group reported lower scores on alcohol- and cannabis-related outcomes via lower alcohol- and cannabis-related coping motives.

Conclusions: These findings can inform prevention and intervention efforts using mindfulness techniques and interventions among students who engage in problematic alcohol and cannabis use.

Preregistration: This study is not preregistered.

Supplementary information: The online version contains supplementary material available at 10.1007/s12671-025-02544-5.

目的:本研究的目的是在使用酒精和大麻的美国大学生样本中确定正念的不同特征。此外,我们研究了这些正念概况是否通过酒精和大麻使用动机与酒精和大麻相关的结果间接相关。方法:使用潜在特征分析(LPA)确定771名美国大学生(75.7%白人,66.8%女性)在前一个月饮酒和吸食大麻的潜在类别数量。此外,还进行了平行中介分析,以确定正念概况是否通过酒精和大麻使用动机与酒精和大麻相关的结果间接相关。结果:LPA显示4级溶液最适合。此外,在酒精和大麻的结果中,高正念组通常是最适应的(得分较低),而判断观察组通常是最不适应的(得分较高)。间接效应分析显示,与低正念组相比,高正念组报告的酒精和大麻相关结果得分较低,因为酒精和大麻相关的应对动机较低。结论:这些发现可以为使用正念技术和干预措施的学生提供预防和干预措施,这些学生使用酒精和大麻有问题。预注册:本研究未预注册。补充信息:在线版本包含补充资料,可在10.1007/s12671-025-02544-5获得。
{"title":"Mindfulness Profiles and Substance Use Outcomes in University Students: The Role of Alcohol and Cannabis Use Motives.","authors":"Folly Folivi, Adrian J Bravo, Matthew R Pearson","doi":"10.1007/s12671-025-02544-5","DOIUrl":"https://doi.org/10.1007/s12671-025-02544-5","url":null,"abstract":"<p><strong>Objectives: </strong>The present study aimed to identify distinct profiles of mindfulness among a sample of university students in the USA who use alcohol and cannabis. Further, we examined whether these mindfulness profiles were indirectly associated with alcohol and cannabis-related outcomes via alcohol and cannabis use motives.</p><p><strong>Method: </strong>Latent profile analysis (LPA) was used to determine the number of latent classes among 771 US university students (75.7% White, 66.8% female) who consumed alcohol and cannabis in the prior month. Additionally, parallel mediation analyses were conducted to determine whether mindfulness profiles were indirectly associated with alcohol- and cannabis-related outcomes via alcohol and cannabis use motives.</p><p><strong>Results: </strong>LPA indicated a 4-class solution fit optimally. Further, the high mindfulness group was generally the most adaptive (lower scores) across alcohol and cannabis outcomes, whereas the judgmentally observing group was generally the most maladaptive (higher scores). Indirect effect analyses revealed that compared to the low mindfulness group, the high mindfulness group reported lower scores on alcohol- and cannabis-related outcomes via lower alcohol- and cannabis-related coping motives.</p><p><strong>Conclusions: </strong>These findings can inform prevention and intervention efforts using mindfulness techniques and interventions among students who engage in problematic alcohol and cannabis use.</p><p><strong>Preregistration: </strong>This study is not preregistered.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12671-025-02544-5.</p>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"16 4","pages":"1046-1060"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11993505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Immediate Effects of Mindful Awareness in Body-Oriented Therapy as an Adjunct to Medication for Opioid Use Disorder. 正念意识在身体导向治疗中作为阿片类药物使用障碍的辅助药物的直接影响。
IF 3.1 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-11-01 Epub Date: 2024-11-19 DOI: 10.1007/s12671-024-02463-x
Cynthia J Price, Kenneth C Pike, Anna Treadway, Julia K Palmer, Joseph O Merrill

The need for improve medication for opioid use disorder (MOUD) treatment outcomes can be limited by co-occurring polysubstance use, mental health, and chronic pain conditions. Interoceptive training may facilitate well-being and support medication treatment for MOUD.

Objectives: While effective, medication for opioid use disorder (MOUD) treatment outcomes can be limited by co-occurring polysubstance use, mental health, and chronic pain conditions. Interoceptive training may facilitate well-being and support medication treatment for MOUD. This study examined the pre-post effects of the mindfulness-based intervention Mindful Awareness in Body-oriented Therapy (MABT) as an adjunct to MOUD. MABT teaches interoceptive awareness skills to promote self-care and emotion regulation.

Method: Participants stabilized on medication for opioid use disorder (OUD) (n = 303) from six community clinics in North-western United States were recruited and randomly assigned to MABT plus MOUD or MOUD only. In a mixed-methods study, we used an intent-to-treat approach (analyzing participants based on their assigned group, regardless of adherence) to examine the proportion of days abstinent from non-prescribed opioids, and other substance use (primary outcomes) at baseline and 3 months post-intervention. Secondary outcomes included symptoms of mental health distress, emotional regulation difficulties, pain and physical symptom indicators, interoceptive awareness, and mindfulness skills. Participant experience of MABT was collected through post-intervention surveys. Changes in outcomes were assessed using linear mixed models; content analysis was used to analyze the qualitative data.

Results: Levels of overall substance use were low and did not differ between groups. Significant improvements in PTSD symptoms, interoceptive awareness, pain severity, pain activity interference, and physical symptom frequency were found for those who received MABT compared to MOUD only.

Conclusions: In this stable MOUD population, substance use outcomes were not improved; however, MABT demonstrated significant positive changes across multiple health outcomes critical for improving MOUD treatment.

Preregistration: ClinicalTrials.gov identifer: NCT04082637.

改善阿片类药物使用障碍(mod)治疗结果的需要可能受到多物质使用、精神健康和慢性疼痛状况共同发生的限制。内感受性训练可以促进抑郁症患者的健康并支持药物治疗。目的:药物治疗阿片类药物使用障碍(mod)虽然有效,但其治疗结果可能受到多重药物使用、精神健康和慢性疼痛状况的限制。内感受性训练可以促进抑郁症患者的健康并支持药物治疗。本研究考察了正念干预在身体导向疗法(MABT)中作为mod辅助疗法的前后效果。MABT教授内感受意识技能,以促进自我照顾和情绪调节。方法:从美国西北部的六个社区诊所招募了服用阿片类药物使用障碍(OUD)药物稳定的参与者(n = 303),并随机分配到MABT加OUD或仅使用OUD。在一项混合方法的研究中,我们采用意向治疗方法(根据受试者的分组进行分析,不考虑依从性),在基线和干预后3个月检查非处方阿片类药物戒断天数和其他物质使用(主要结局)的比例。次要结局包括精神健康困扰症状、情绪调节困难、疼痛和身体症状指标、内感受性意识和正念技能。通过干预后问卷调查收集MABT参与者的经验。使用线性混合模型评估结果的变化;采用内容分析法对定性资料进行分析。结果:总体药物使用水平较低,各组间无差异。与仅接受mod治疗相比,接受MABT治疗的患者在PTSD症状、内感受性意识、疼痛严重程度、疼痛活动干扰和身体症状频率方面均有显著改善。结论:在这个稳定的mod人群中,物质使用结局没有改善;然而,MABT对改善mod治疗至关重要的多种健康结果显示出显著的积极变化。预注册:ClinicalTrials.gov标识符:NCT04082637。
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引用次数: 0
Exploring the Facilitating Environment for Mindfulness Meditation: Establishing a Framework through Analysis of Means and Exploratory Factor Analysis 探索正念冥想的促进环境:通过均值分析和探索性因子分析建立框架
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-09-19 DOI: 10.1007/s12671-024-02442-2
Anran Chen, Yue Tang

Objective

While mindfulness meditation is an established practice for improving well-being, the physical environment for this activity awaits further exploration. This research aimed to explore how the physical environment facilitates mindfulness meditation and to establish a framework through Analysis of Means (ANOM) and Exploratory Factor Analysis (EFA). The framework was intended to provide guidance for organisations and individuals to better design or modify physical space to support their mindfulness meditations.

Method

This study used methods to establish an initial research framework from the literature on mindfulness, architectural design, and environmental psychology. A survey of UK mindfulness practitioners was conducted in 2021–2022 to provide insights from a quantitative perspective. The data were analysed using ANOM and EFA to obtain a comprehensive framework based on the responses.

Results

Through a review of the literature and empirical study, nine physical factors with controllable elements were identified, ranked by their relative importance. Quietness, the use of supportive tools, and natural sounds were found to be the most important.

Conclusion

This research suggests the priority elements for groups and individuals to consider when adapting the physical environment for mindfulness meditation. The results revealed quietness as the most beneficial controllable element for its facilitation. Additionally, the use of supportive meditation tools was also important. Considering these top elements first could support practitioners' mindfulness meditation more effectively and efficiently.

Preregistration

This study was not preregistered.

目的虽然正念冥想是一种改善身心健康的成熟做法,但这种活动的物理环境还有待于进一步探索。本研究旨在探索物理环境如何促进正念冥想,并通过均值分析(ANOM)和探索性因子分析(EFA)建立一个框架。该框架旨在为组织和个人提供指导,以便更好地设计或改造物理空间,支持他们的正念冥想。2021-2022 年对英国正念练习者进行了调查,从定量角度提供见解。结果通过回顾文献和实证研究,确定了九个具有可控要素的物理因素,并按其相对重要性进行了排序。结论这项研究提出了团体和个人在调整正念冥想的物理环境时应优先考虑的因素。研究结果表明,安静是促进正念冥想最有利的可控因素。此外,使用支持性冥想工具也很重要。首先考虑这些首要因素可以更有效、更高效地支持练习者进行正念冥想。
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引用次数: 0
A Systematic Review on the State of the Art of Culturally Adapted Mindfulness-Based Interventions for First Nations Peoples: Cultural Adaptation, Effectiveness, and Feasibility 对原住民文化适应性正念干预技术现状的系统回顾:文化适应性、有效性和可行性
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-09-18 DOI: 10.1007/s12671-024-02440-4
Wendy Wen Li, Rebecca McIntyre, Christopher Reid, Marc Chao

Objectives

Mindfulness-based interventions (MBIs) have demonstrated efficacy in psychological and physiological domains. However, there is a limited body of research on MBIs specifically for First Nations peoples. The current review aimed to systematically evaluate the status of culturally adapted MBIs, examining their effectiveness and feasibility when applied to First Nations peoples.

Method

A systematic review was performed to synthesise the data from 10 reports of nine studies, with a combined sample size of 125 participants.

Results

The MBIs demonstrated adherence to elements of cultural adaptation, encompassing the aspects of persons, metaphors, content, goals, and concepts in all included studies. Overall, the quantitative evidence measuring the effectiveness of the adapted interventions showed improvements in psychological, physiological, and mindfulness aspects, as well as cultural elements and satisfaction with the programmes. However, there were minor mixed results observed in psychological outcomes and mindfulness measures. The qualitative findings highlighted that MBIs, by aligning with First Nations’ holistic spiritual beliefs, facilitated a means to reconnect with cultural and social identity. The maximum number of participants in the programmes ranged from 1 to 34. Participants were recruited through local community organisations, youth correctional facilities, long-term care facilities, Indigenous educational institutes, schools, universities, and word-of-mouth promotion. The pooled retention rate was relatively high at 85.2%, indicating that participants generally remained engaged throughout the programmes.

Conclusions

MBIs appear adaptable, effective, and feasible for First Nations peoples, with consistently positive outcomes. Based on the findings of the current review, a model of culturally adapted MBIs is proposed.

Preregistration

PROSPERO (Reg, CRD42023413826).

目标正念干预(MBIs)已在心理和生理领域显示出功效。然而,专门针对原住民的正念干预研究却很有限。本综述旨在系统评估适应文化的 MBI 的现状,研究其应用于原住民时的有效性和可行性。方法对九项研究的 10 份报告中的数据进行了系统综述,样本量合计为 125 名参与者。总体而言,衡量适应性干预效果的定量证据显示,心理、生理和正念方面以及文化因素和对方案的满意度都有所改善。不过,在心理结果和正念测量方面,观察到的结果略有不同。定性研究结果突出表明,通过与原住民的整体精神信仰保持一致,正念疗法促进了与文化和社会身份的重新联系。这些计划的最大参与者人数从 1 人到 34 人不等。参与者是通过当地社区组织、青少年管教所、长期护理机构、土著教育机构、学校、大学和口碑宣传招募的。综合保留率相对较高,为 85.2%,这表明参与者在整个项目中一般都能保持参与。根据目前的综述结果,提出了一种适应文化的 MBI 模式。
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引用次数: 0
Mindfulness Training Has Long-Term Therapeutic Benefits in Women With Irritable Bowel Syndrome 正念训练对患有肠易激综合征的女性有长期治疗效果
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-09-16 DOI: 10.1007/s12671-024-02435-1
Susan A. Gaylord, Olafur S. Palsson, Eric L. Garland, John Douglas Mann, Karen Bluth, William Whitehead, Keturah R. Faurot

Objectives

Mindfulness training (MT) has been shown to have substantial therapeutic effects on irritable bowel syndrome (IBS) symptom severity, health-related quality of life, and psychological symptoms at 3 months following an 8-week group MT intervention. This study reports a secondary analysis to examine the long-term trajectory of change in these IBS symptoms.

Methods

This study analyzed 6- and 12-month follow-up data collected in a randomized controlled pilot study involving 75 adult women meeting Rome II criteria for IBS assigned to 8 weekly 2-hr sessions plus one half-day intensive of either a group mindfulness training (MT) or a validated IBS support group (SG). Outcome measures included the IBS Symptom Severity Scale (IBS-SSS), the IBS-Quality of Life (IBS-QOL) and Visceral Sensitivity Index (VSI) questionnaires, and the Brief Symptom Inventory-18 psychological distress measure. Measures were mailed to all participants who attended at least one treatment session. Analysis included mixed effects models comparing the trajectory of change over time between groups.

Results

At 6-month follow-up, MT patients had significantly lower mean IBS-SSS scores compared to SG patients (− 123.79 vs. − 51.82, respectively, p = 0.004). At 12-month follow-up, effects were attenuated, with IBS-SSS scores of − 88.93 (p = 0.001) for MT and − 33.63 (p = 0.158) for SG participants, with a clinically important between-group difference of 61 points (p = 0.107). VSI scores significantly improved at both 6- and 12-month follow-up compared to baseline, for the MT group only. Anxiety and depression significantly improved at 6 months, in the MT group only.

Conclusions

Beneficial effects of an 8-week MT program tailored for IBS persist for up to 12 months after the training.

Preregistration

ClinicalTrials.gov identifier: NCT00680693.

目的在接受为期 8 周的正念训练(MT)小组干预 3 个月后,正念训练对肠易激综合征(IBS)症状严重程度、与健康相关的生活质量和心理症状具有显著的治疗效果。本研究对一项随机对照试验研究中收集的 6 个月和 12 个月的随访数据进行了二次分析,该研究涉及 75 名符合罗马 II 肠易激综合征标准的成年女性,她们被分配参加了每周 8 次每次 2 小时的正念训练(MT)小组或经验证的肠易激综合征支持小组(SG)的半天强化训练。结果测量包括肠易激综合征症状严重程度量表(IBS-SSS)、肠易激综合征生活质量(IBS-QOL)和内脏敏感指数(VSI)问卷,以及症状简明量表-18 心理压力测量。所有参加过至少一次治疗的参与者都收到了邮寄的问卷。结果6个月随访时,MT患者的IBS-SSS平均得分明显低于SG患者(分别为-123.79 vs. -51.82,p = 0.004)。在 12 个月的随访中,效果有所减弱,MT 患者的 IBS-SSS 评分为 - 88.93(p = 0.001),SG 患者的 IBS-SSS 评分为 - 33.63(p = 0.158),组间差异为 61 分(p = 0.107),具有重要的临床意义。与基线相比,仅 MT 组在 6 个月和 12 个月的随访中 VSI 分数均有明显改善。结论针对肠易激综合征量身定制的 8 周 MT 课程的益处在训练后的 12 个月内持续存在:NCT00680693。
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引用次数: 0
Brain–Heart Interactions in Novice Meditation Practitioners During Breath Focus and an Arithmetic Task 冥想新手在呼吸专注和算术任务中的脑心交互作用
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-09-16 DOI: 10.1007/s12671-024-02431-5
Javier R. Soriano, Julio Rodriguez-Larios, Carolina Varon, Nazareth Castellanos, Kaat Alaerts

Objectives

Self-regulation practices, such as meditation, have been shown to influence neural and cardiac activities, which are critical for managing stress and emotions. However, most research focuses on these physiological subsystems independently, overlooking their interactions. This study sought to address this gap by investigating the relationship between brain and heart dynamics during meditation and cognitive tasks in novice meditators, providing insights that could guide future interventions for emotion and stress regulation

Method

Using recordings of electroencephalography (EEG) and electrocardiography (ECG), we assessed transient relationships between the alpha neural band and heart rate during an arithmetic task and a breath-focused meditation in a sample of 20 young participants (10 women, age range 20–29 years) with no prior experience in meditation practices

Results

In terms of the relationship between alpha frequency and heart rate, the arithmetic task exhibited cross-frequency ratios of smaller magnitude compared to the breath-focused meditation. Furthermore, during the arithmetic task, a higher incidence of the specific 8:1 cross-frequency relationship was evident, which is proposed to enable cross-frequency coupling among neural and cardiac rhythms during a state of heightened cognitive effort. Heart rate and alpha frequency were also significantly higher during the arithmetic task, compared to the breath-focused meditation condition. The changes in cross-frequency relationships were primarily driven by changes in heart rate between the two tasks, as indicated through surrogate data analyses.

Conclusions

Our results provide novel evidence that stress responses and physiological changes during meditation practices can be better characterized by integrating physiological markers and, more crucially, their interactions. Together, this physiologically integrative approach can aid in guiding interventions such as physiological modulation protocols (biofeedback and neurofeedback) for regulation of emotion and stress.

Preregistration

This study is not preregistered.

研究目的冥想等自我调节方法已被证明能够影响神经和心脏活动,而这些活动对于管理压力和情绪至关重要。然而,大多数研究都是单独研究这些生理子系统,忽略了它们之间的相互作用。本研究试图通过调查冥想新手在冥想和认知任务期间大脑和心脏动态之间的关系来填补这一空白,从而为未来情绪和压力调节干预提供指导、结果 在阿尔法频率与心率的关系方面,与专注于呼吸的冥想相比,算术任务表现出较小幅度的交叉频率比。此外,在算术任务中,8:1 的特定交叉频率关系的发生率较高,这被认为是在认知努力增强的状态下神经和心律之间的交叉频率耦合。与专注于呼吸的冥想状态相比,算术任务期间的心率和阿尔法频率也明显更高。结论我们的研究结果提供了新的证据,证明冥想练习过程中的应激反应和生理变化可以通过整合生理指标,更重要的是通过整合它们之间的相互作用来更好地描述。这种生理综合方法有助于指导干预措施,如调节情绪和压力的生理调节方案(生物反馈和神经反馈)。
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引用次数: 0
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Mindfulness
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