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On Freedom from Remorse (Avipratisāra/Avippaṭisāra): Its Place on the Well-Trodden Path from Moral Discipline to Samādhi Meditation 论免于悔恨(Avipratisāra/Avippaṭisāra):它在从道德约束到三摩地禅修的康庄大道上的位置
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-04-30 DOI: 10.1007/s12671-024-02354-1
Hao Sun

The primary objective of this study is to shed light on the role and significance of freedom from remorse (avipratisāra/avippaṭisāra) in the cultivation of Buddhist concentration (samādhi) meditation. The study delves into the progression from avipratisāra/avippaṭisāra to samādhi, examining how moral discipline influences an individual’s conscience and, consequently, meditation. We commence by examining the well-established path of cultivation leading toward samādhi. A comprehensive study was undertaken to understand the term avipratisāra/avippaṭisāra, its significance for Buddhist meditation, the context in which it originated, and the various English translations that have been provided for it. Furthermore, a comparison is made between avipratisāra/avippaṭisāra and a seemingly synonymous term, kaukṛtya/kukkucca, with areas being sought where one or the other tends to be (or is exclusively) used within the discourse about Buddhist ethics and meditation. From various Buddhist scriptures, it is suggested that a morally disciplined individual typically progresses through a series of states, starting with freedom from remorse and potentially leading to concentration (samādhi). Avipratisāra/avippaṭisāra is pivotal in fostering positive meditative states, serving as a catalyst that propels individuals from negative emotions to wholesome ones on the Buddhist path. By contrast, both vipratisāra/vippaṭisāra and kaukṛtya/kukkucca are identified as basically synonymous words for disturbing emotions with somewhat different contexts of use, the elimination of such emotions being necessary if individuals are to progress on their spiritual journey. Avipratisāra/avippaṭisāra plays a crucial intermediary role bridging Buddhist ethics and meditation. Moral discipline and the subsequent understanding and confession of any personal misconduct are integral to fostering freedom from remorse. Such freedom not only paves the way to deeper meditation but also fortifies one’s confidence in Buddhist teachings, and so provides a foundation for true spiritual progress.

本研究的主要目的是阐明免于悔恨(avipratisāra/avippaṭisāra)在培养佛教专注(三摩地)禅修中的作用和意义。本研究深入探讨了从毘婆奢那(avipratisāra)/毘婆提那(avippaṭisāra)到三摩地(samādhi)的渐进过程,考察了道德修养如何影响个人的良知,进而影响禅修。我们首先研究了通往三摩地的既定修炼路径。我们进行了一项全面的研究,以了解avipratisāra/avippaṭisāra一词、它对佛教禅修的意义、它的起源背景以及为它提供的各种英文翻译。此外,还对 avipratisāra/avippaṭisāra 和一个看似同义的术语 kaukṛtya/kukkucca 进行了比较,并寻找了在有关佛教伦理和禅修的论述中倾向于(或专门)使用其中一个术语的领域。从各种佛经中可以看出,一个道德自律的人通常会经历一系列境界,从无悔恨开始,进而可能达到专注(samādhi)。Avipratisāra/avippaṭisāra 在培养积极的冥想状态方面起着关键作用,是推动人们在佛教道路上从消极情绪走向健康情绪的催化剂。相比之下,vipratisāra/vippaṭisāra 和 kaukṛtya/kukkucca 基本上被认为是干扰情绪的同义词,但两者的使用背景略有不同。Avipratisāra/avippaṭisāra在佛教伦理和冥想之间起着重要的中介作用。道德约束以及随后对任何个人不当行为的理解和忏悔,对于培养免于悔恨的自由是不可或缺的。这种自由不仅为更深入的禅修铺平了道路,还增强了人们对佛教教义的信心,从而为真正的精神进步奠定了基础。
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引用次数: 0
The Twelve-Step Path? Mindfulness and Ethics in Buddhist Addiction Recovery Literature 十二步之路?佛教戒毒文献中的正念与伦理
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-04-29 DOI: 10.1007/s12671-024-02355-0
Catherine Hartmann

Buddhist recovery manuals, a genre that has emerged in the last 30 years, aim to use Buddhist ideas and practices to address the challenges of addiction. These books draw on classical Buddhist thought and Twelve-Step programs such as Alcoholics Anonymous. Both of these influences share the framework of a step-wise path of transformation from a state of maladaptive compulsion to a state of freedom. This article analyzes the paths laid out by these Buddhist recovery manuals and compares them to classical Buddhist and Twelve-Step paths. This comparison demonstrates that Buddhist recovery manuals creatively draw on classical Buddhism and Twelve-Step but also differ from them in important ways as they re-imagine a path from addiction to recovery. This article documents the growing genre of Buddhist recovery manuals, thus expanding our understanding of Anglophone Buddhism and providing substance abuse professionals with a knowledge of the Buddhist recovery landscape. The article also argues that Buddhist recovery manuals differ from classical Buddhism by emphasizing meditation at the beginning of the path, rather than placing it after training in giving and ethical discipline.

佛教戒毒手册是过去 30 年中出现的一种类型,旨在利用佛教思想和实践来应对成瘾的挑战。这些书籍借鉴了经典佛教思想和十二步骤计划,如匿名戒酒计划。这两种影响都有一个共同的框架,即从适应不良的强迫状态向自由状态转变的阶梯式路径。本文分析了这些佛教戒毒手册所阐述的路径,并将其与经典佛教路径和十二步骤路径进行了比较。比较结果表明,佛教戒毒手册创造性地借鉴了经典佛教和十二步骤戒毒法,但在重新构想从成瘾到戒毒的道路时,也在一些重要方面与经典佛教和十二步骤戒毒法有所不同。本文记录了佛教康复手册这一日益增长的流派,从而扩大了我们对英语佛教的了解,并为药物滥用专业人士提供了佛教康复领域的知识。文章还论证了佛教戒毒手册与经典佛教的不同之处,即在戒毒之路的开端强调禅修,而不是将其置于布施和道德修养培训之后。
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引用次数: 0
Seeing the Void: Experiencing Emptiness and Awareness with the Headless Way Technique 看见虚空用无头之道技巧体验空性与觉知
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-04-17 DOI: 10.1007/s12671-024-02341-6
Brentyn J. Ramm, Anna-Lena Lumma, Terje Sparby, Ulrich Weger

Objectives

Practitioners in contemplative traditions commonly report experiencing an awareness that is distinct from sensory objects, thoughts, and emotions (“awareness itself”). They also report experiences of a void or underlying silence that is closely associated with this awareness. Subjects who carry out the Headless Way exercises frequently report an experience of emptiness or void at the same time as other contents (void-like experiences). The goals of this study were to (1) assess the reliability of these methods in eliciting the recognition of awareness and void-like experiences in participants who had no prior exposure to these techniques, (2) investigate the prevalence of these experiences in these tasks, and (3) to differentiate these experiences from closely related and potential precursor experiences.

Method

Twenty adults participated in in-depth individual interviews in which they were guided through the Headless Way exercises. A thematic analysis was conducted on the interview transcripts.

Results

Twelve of the participants reported a void-like experience, and five participants reported an experience of awareness itself. These experiences were respectively categorized as subsets of the more general categories of perceptual absences and the sense of not being person-like. Another novel finding was the real-time reports of awareness and void-like experiences during the exercises.

Conclusions

Our findings provide preliminary evidence that the Headless Way exercises can effectively induce experiences of emptiness and awareness in participants without prior experience. The findings suggest that such experiences can be elicited outside of a traditional meditation context, including in non-meditators. Furthermore, the experience of not being person-like and of perceptual absences may be precursors and more general forms of recognizing awareness itself and the void-like nature of the mind.

Preregistration

This study is not preregistered.

目标沉思传统的实践者通常会说,他们体验到一种与感官对象、思想和情感("意识本身")截然不同的意识。他们还报告了与这种意识密切相关的空虚或潜在寂静的体验。进行 "无头之道 "练习的受试者经常报告说,他们在体验其他内容的同时,也体验到了空虚或虚无(类似虚无的体验)。本研究的目标是:(1)评估这些方法在激发以前从未接触过这些技术的参与者对觉知和类空体验的认识方面的可靠性;(2)调查这些体验在这些任务中的普遍程度;(3)将这些体验与密切相关的潜在前兆体验区分开来。结果12名参与者报告了类似虚空的体验,5名参与者报告了意识本身的体验。这些体验分别被归类为感知缺失和不像人的感觉这两个更广泛类别的子集。我们的研究结果提供了初步证据,证明 "无头路 "练习能有效地诱发参与者的空虚和觉知体验,而参与者事先并没有这方面的经验。研究结果表明,这种体验可以在传统冥想环境之外激发,包括非冥想者。此外,不似人的体验和知觉缺失的体验可能是认识觉知本身和心灵空性的前兆和更普遍的形式。
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引用次数: 0
Evaluating the Feasibility of a Guided Culturally Adapted Internet-Delivered Mindfulness Intervention for Indonesian University Students Experiencing Psychological Distress 评估针对印尼大学生心理困扰的文化适应性互联网指导正念干预的可行性
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-04-16 DOI: 10.1007/s12671-024-02346-1
Ratih Arruum Listiyandini, Annisa Andriani, Nyda Afsari, Prawestri Bayu Utari Krisnamurthi, Michelle L. Moulds, Alison E. J. Mahoney, Jill M. Newby

Objectives

Psychological distress is common among university students globally. A culturally relevant internet-based mindfulness intervention could be a potential solution for addressing students’ distress in low- and middle-income countries (LMICs), including Indonesia. However, internet-based mindfulness interventions are new in Indonesia. In this study, we evaluated the feasibility, acceptability, and mental health outcomes of a counsellor-guided, culturally adapted, internet-delivered mindfulness intervention for Indonesian university students experiencing psychological distress.

Method

This open pilot trial used a single-arm pre-post-test design. Indonesian university students with elevated distress (n = 40) enrolled in a 4-week counsellor-guided internet-delivered mindfulness intervention. Participants completed the Indonesian adaptation of the Depression Anxiety Stress Scales (DASS-21) at screening, baseline, and post-treatment. They also completed the Indonesian version of Kessler’s Psychological Distress Scale (K-10) prior to each lesson, Five Facet Mindfulness Questionnaire (FFMQ) and Indonesian Well-Being Scale (IWBS) at baseline and post-treatment, and questionnaires to evaluate the feasibility, acceptability, and treatment satisfaction.

Results

Results showed the feasibility and acceptability of our guided culturally adapted Indonesian internet-delivered mindfulness intervention, with good completion rates (70%). We also found large and significant improvements in distress, mindfulness, and well-being (Hedges’ g = 0.85–1.68) from pre- to post-treatment. Participants reported that the program was satisfactory.

Conclusions

This study suggested that a counsellor-guided culturally adapted internet-based mindfulness intervention was feasible, acceptable, and associated with improvements in psychological distress, well-being, and mindfulness among university students in Indonesia. A randomized controlled trial with follow-up is needed to evaluate the intervention’s effectiveness.

Preregistration

This trial was preregistered on the Australian New Zealand Clinical Trial Registry (ACTRN12620000135910).

目标全球大学生普遍存在心理困扰。在中低收入国家(LMIC),包括印度尼西亚,与文化相关的基于互联网的正念干预可能是解决学生心理困扰的一个潜在解决方案。然而,基于互联网的正念干预在印尼尚属新生事物。在这项研究中,我们评估了在辅导员指导下,针对印尼大学生的心理困扰进行文化调整、通过互联网提供正念干预的可行性、可接受性和心理健康结果。印尼大学生(n = 40)参加了为期 4 周、由辅导员指导的互联网正念干预。参与者在筛查、基线和治疗后完成了印尼版抑郁焦虑压力量表(DASS-21)。他们还在每节课前完成了印尼版凯斯勒心理压力量表(K-10),在基线和治疗后完成了五面正念问卷(FFMQ)和印尼幸福感量表(IWBS),以及评估可行性、可接受性和治疗满意度的问卷调查。结果结果表明,我们的指导性文化适应性印尼互联网正念干预具有良好的可行性和可接受性,完成率高达 70%。我们还发现,从治疗前到治疗后,患者在痛苦、正念和幸福感(Hedges' g = 0.85-1.68)方面都有显著改善。结论这项研究表明,在辅导员指导下进行的基于文化的互联网正念干预是可行的、可接受的,并能改善印度尼西亚大学生的心理困扰、幸福感和正念。为评估该干预措施的有效性,需要进行随机对照试验,并进行跟踪调查。本试验已在澳大利亚-新西兰临床试验注册中心进行了预先注册(ACRN12620000135910)。
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引用次数: 0
The Effects of a School-Based Mindfulness Programme (Paws b) on Empathy and Prosocial Behaviour: A Randomised Controlled Trial 校本正念计划(Paws b)对移情和亲社会行为的影响:随机对照试验
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-04-11 DOI: 10.1007/s12671-024-02345-2
Katie Crompton, Daphne Kaklamanou, Alessandra Fasulo, Eszter Somogyi

Objectives

The purpose of this study was to examine the effects of a school-based mindfulness programme (SBMP), “Paws b”, on empathy and prosocial behaviour among children aged 7 to 10 years in a school setting.

Method

This multi-informant design, randomised controlled trial compared an intervention group to a wait-list control group, involving 133 children aged 7- to 10 years from 10 classrooms. Outcome measures were taken at pre-intervention, post-intervention, and 3-month follow-up and included self-reports of mindfulness and empathy, a sharing task, teacher and peer reports of prosocial behaviours, and sociometry measures.

Results

Children in the intervention group were voted as significantly more (a) prosocial by teachers F(1, 127) = 7.35, p = 0.008, η2 = 0.055, (b) helpful by peers, F(1, 127) = 9.369, p < 0.003, η2 = 0.069, (c) popular by peers, F(1, 127) = 4.90, p = 0.028, η2 = 0.037, and (d) showed more reciprocal relationships, t(8) = 2.518, p = 0.036, compared to the wait-list control group. The intervention did not have an effect on mindfulness scores, empathy scores (affective, cognitive, or intention to comfort), or sharing task scores.

Conclusions

Findings suggest that, for 7–10-year-olds, the SBMP, Paws b, delivered by a mindfulness teacher, can increase some aspects of prosociality, as judged by peers and teachers, but has no effect on self-assessed empathy.

Preregistration

This study was preregistered on the Open Science Framework (https://osf.io/vm6tp/) on 31.10.2022.

本研究旨在考察校本正念计划(SBMP)"Paws b "对学校环境中 7 至 10 岁儿童移情和亲社会行为的影响。方法这项多信息设计随机对照试验比较了干预组和等待对照组,共有来自 10 个班级的 133 名 7 至 10 岁儿童参加。结果测量在干预前、干预后和 3 个月随访时进行,包括正念和移情的自我报告、分享任务、教师和同伴对亲社会行为的报告以及社会测量。35,p = 0.008,η2 = 0.055;(b) 更受同伴欢迎,F(1, 127) = 9.369,p < 0.003,η2 = 0.069;(c) 更受同伴欢迎,F(1, 127) = 4.90,p = 0.028,η2 = 0.037;(d) 表现出更多互惠关系,t(8) = 2.518,p = 0.036。结论研究结果表明,对于7-10岁的儿童来说,由正念教师提供的SBMP "Paws b "可以提高由同伴和教师评判的亲社会性的某些方面,但对自我评估的共情没有影响。
{"title":"The Effects of a School-Based Mindfulness Programme (Paws b) on Empathy and Prosocial Behaviour: A Randomised Controlled Trial","authors":"Katie Crompton, Daphne Kaklamanou, Alessandra Fasulo, Eszter Somogyi","doi":"10.1007/s12671-024-02345-2","DOIUrl":"https://doi.org/10.1007/s12671-024-02345-2","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Objectives</h3><p>The purpose of this study was to examine the effects of a school-based mindfulness programme (SBMP), “Paws b”, on empathy and prosocial behaviour among children aged 7 to 10 years in a school setting.</p><h3 data-test=\"abstract-sub-heading\">Method</h3><p>This multi-informant design, randomised controlled trial compared an intervention group to a wait-list control group, involving 133 children aged 7- to 10 years from 10 classrooms. Outcome measures were taken at pre-intervention, post-intervention, and 3-month follow-up and included self-reports of mindfulness and empathy, a sharing task, teacher and peer reports of prosocial behaviours, and sociometry measures.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Children in the intervention group were voted as significantly more (a) prosocial by teachers <i>F</i>(1, 127) = 7.35,<i> p</i> = 0.008,<i> η</i><sup><i>2</i></sup> = 0.055, (b) helpful by peers, <i>F</i>(1, 127) = 9.369, <i>p</i> &lt; 0.003, <i>η</i><sup><i>2</i></sup> = 0.069, (c) popular by peers, <i>F</i>(1, 127) = 4.90, <i>p</i> = 0.028, <i>η</i><sup><i>2</i></sup> = 0.037, and (d) showed more reciprocal relationships, <i>t</i>(8) = 2.518, <i>p</i> = 0.036, compared to the wait-list control group. The intervention did not have an effect on mindfulness scores, empathy scores (affective, cognitive, or intention to comfort), or sharing task scores.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Findings suggest that, for 7–10-year-olds, the SBMP, Paws b, delivered by a mindfulness teacher, can increase some aspects of prosociality, as judged by peers and teachers, but has no effect on self-assessed empathy.</p><h3 data-test=\"abstract-sub-heading\">Preregistration</h3><p>This study was preregistered on the Open Science Framework (https://osf.io/vm6tp/) on 31.10.2022.</p>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"94 1","pages":""},"PeriodicalIF":3.6,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140598575","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
Online Mindfulness-Based Intervention Program Improves Mental Health, Well-Being, and Productivity 基于正念的在线干预计划可改善心理健康、幸福感和工作效率
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-04-04 DOI: 10.1007/s12671-024-02344-3
Junya Ogino, Takashi Maruyama, Wakako Umene-Nakano, Takashi Maeno

Objectives

This study aimed to evaluate the effectiveness of the Intervention program of Mindfulness and Compassion against COVID-19 (IMACOCO), an online mindfulness-based intervention (MBI), in enhancing mindfulness, mental health, well-being, and productivity among working individuals during the COVID-19 pandemic. Additionally, the study examined the program’s efficacy in individuals directly impacted by the pandemic through a randomized controlled trial and pre-post program comparisons.

Method

Three hundred working adults, including office workers, educators, and medical welfare workers, were randomly allocated to the intervention or waiting control group. An 8-week online MBI program, with pre-, interim (4 weeks), and post-program (8 weeks) evaluations, was conducted via the Internet; standardized questionnaires were used to assess mindfulness, psychological distress, life satisfaction, and productivity. After the initial 8-week program, the waiting control group participated in the same program and evaluation surveys for pre-post comparisons.

Results

There were 99 participants in the intervention group and 111 in the control group. Significant increases in mindfulness (FFMQ) and life satisfaction (SWLS) as well as decrease in psychological distress (GHQ-12) were observed primarily in the intervention group (Cohen’s d = 0.18–0.52). Furthermore, the pre-post comparisons with 168 participants demonstrated significant improvements in productivity (Cohen’s d = 0.26), and stratified analysis revealed that participants affected by COVID-19 showed more pronounced benefits in mindfulness and life satisfaction than those who were unaffected.

Conclusions

Implementing an online MBI program (IMACOCO) can be a potent strategy to reduce mental stress and enhance overall well-being and resilience, in a disaster-prone world.

Preregistration

This study is not preregistered.

目标本研究旨在评估正念和同情对抗 COVID-19 的干预计划(IMACOCO)(一种基于正念的在线干预(MBI))在 COVID-19 大流行期间提高职业人士的正念、心理健康、幸福感和工作效率方面的效果。此外,该研究还通过随机对照试验和前后项目比较,考察了该项目对直接受大流行病影响的个人的疗效。方法将 300 名上班族(包括办公室工作人员、教育工作者和医疗福利工作者)随机分配到干预组或等待对照组。通过互联网开展为期 8 周的在线 MBI 项目,并进行项目前、中期(4 周)和项目后(8 周)评估;使用标准化问卷评估正念、心理困扰、生活满意度和工作效率。在最初的 8 周项目结束后,等待对照组参加了同样的项目和评估调查,以进行前后比较。结果干预组有 99 人参加,对照组有 111 人参加。主要在干预组观察到了正念(FFMQ)和生活满意度(SWLS)的显著提高以及心理困扰(GHQ-12)的下降(Cohen's d = 0.18-0.52)。此外,与 168 名参与者进行的前后比较显示,他们的工作效率显著提高(Cohen's d = 0.26),分层分析显示,受 COVID-19 影响的参与者比未受影响的参与者在正念和生活满意度方面表现出更明显的益处。结论在灾难频发的世界中,实施在线 MBI 计划(IMACOCO)是减少心理压力、提高整体健康和复原力的有效策略。
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引用次数: 0
The Effect of Mindfulness-Based Stress Reduction Program on Stress and Quality of Life in Family Caregivers of Patients with Cancer: Randomized Controlled Trial 正念减压计划对癌症患者家庭照顾者的压力和生活质量的影响:随机对照试验
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-04-04 DOI: 10.1007/s12671-024-02336-3
Nihan Türkoğlu, Esin Kavuran

Objectives

The study aimed to examine the effects of an online Mindfulness-Based Stress Reduction program on stress and quality of life levels of family caregivers of cancer patients.

Method

The study used a randomized controlled trial design with a pre-test (T1), follow-up (T2) and post-test (T3) which was conducted with 104 family caregivers of cancer patients. Data collection was conducted using the Caregiver and Patient Descriptive Information Form, Caregiver’s Stress Scale and The Caregiver Quality of Life Index Cancer Scale. T1 measurements were conducted for experimental (n = 50) and control groups (n = 54). After the 8-week online Mindfulness-Based Stress Reduction program of the experimental group, T2 measurements were taken for both groups. Four weeks later, the T3 measurement was collected for both experimental and control groups.

Results

A statistically significant difference over time was detected between the mean Caregiver’s Stress Scale scores of the experimental group in the T1, T2, and T3. There was no significant difference in the control group over time. A statistically significant difference was detected in the mean Caregiver Quality of Life Index Cancer Scale total score of the experimental group across T1, T2, and T3. When the scale pre-test mean scores were compared between the groups, no significant differences were detected for T1, but a statistically significant difference was found between the T2 and T3 scores.

Conclusion

In the study, it was determined that the online Mindfulness-Based Stress Reduction program had an effect on reducing stress and improving the quality of life.

Preregistration

The research was registered on http://clinicaltrials.gov (ID:NCT05831293).

方法 该研究采用随机对照试验设计,对 104 名癌症患者的家庭照顾者进行了前测(T1)、随访(T2)和后测(T3)。数据收集采用了照顾者和患者描述性信息表、照顾者压力量表和照顾者生活质量指数癌症量表。对实验组(50 人)和对照组(54 人)进行了 T1 测量。在实验组完成为期 8 周的在线正念减压计划后,对两组进行 T2 测量。结果发现,实验组在 T1、T2 和 T3 阶段的照顾者压力量表平均得分在统计学上有显著差异。对照组没有明显的时间差异。实验组照顾者生活质量指数癌症量表总分的平均值在 T1、T2 和 T3 中均有统计学差异。结论本研究确定,在线正念减压项目对减轻压力和提高生活质量有一定效果。研究已在 http://clinicaltrials.gov(ID:NCT05831293)上注册。
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引用次数: 0
Room to Improve: Predictors of Attendance and Outcomes Within Mindfulness-Enhanced Behavioral Parent Training 改进的空间:正念强化行为家长培训的出勤率和成果预测因素
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-04-03 DOI: 10.1007/s12671-024-02328-3

Abstract

Objectives

Parents across a broad sociodemographic spectrum struggle with their children’s difficult behaviors and need effective and engaging interventions. We developed a mindfulness-enhanced behavioral parent training group program (MeBPT) aiming to be more inclusive and enable positive outcomes. This study investigated whether MeBPT can meet diverse needs across child, parent, family, and program-delivery factors, and explored whether improvements in parent-rated child behavior are predicted by changes in mindful parenting, parenting approach, or both.

Method

Participants were 338 parents of 3- to 12-year-old children presenting with externalizing problems to a university clinic in regional Australia. Factors that significantly correlated with improvements in parent and child outcomes or attendance were included in regression analyses.

Results

Improved parent-rated child behavior was predicted by change in mindful parenting (p = 0.019) but not parenting approach (p = 0.305). Attendance was high across all factors, and particularly for older parents. Improvements in parent well-being, approach, mindfulness, and child behavior were similarly large for families across child and family characteristics. Low-income families exhibited less improvement in parental well-being (p = 0.012), although demonstrated similar improvements in child behavior, parenting approach, and mindful parenting. Families with more severe problems at baseline showed largest gains (p < 0.002). Parental self-awareness and acceptance were important change agents.

Conclusions

MeBPT appears effective across various sociodemographic backgrounds and is particularly beneficial for families presenting with more severe behavioral problems. Controlled research with ethnically diverse families is needed to confirm the benefits of MeBPT and to allow examination of mediators and moderators.

摘要 目的 不同社会人口背景的家长都在与子女的不良行为作斗争,他们需要有效而有吸引力的干预措施。我们开发了一个正念强化行为家长培训小组项目(MeBPT),旨在提高包容性并取得积极成果。本研究调查了 MeBPT 是否能满足儿童、家长、家庭和项目实施因素的不同需求,并探讨了家长评价儿童行为的改善是否会受到正念养育、养育方法或两者变化的影响。 方法 参与者是338名3至12岁儿童的家长,这些儿童曾在澳大利亚地区的一所大学诊所出现外化问题。回归分析中包括了与父母和儿童结果或出勤率改善明显相关的因素。 结果 家长评定的儿童行为改善可由正念养育的变化预测(p = 0.019),但不能由养育方法的变化预测(p = 0.305)。所有因素的出席率都很高,尤其是年长父母。不同儿童和家庭特征的家庭在父母幸福感、养育方法、正念和儿童行为方面的改善幅度相似。低收入家庭在父母幸福感方面的改善较小(p = 0.012),但在儿童行为、养育方法和用心养育方面的改善相似。基线期问题较严重的家庭的改善幅度最大(p = 0.002)。父母的自我意识和接纳是重要的改变因素。 结论 MeBPT 在不同的社会人口背景下似乎都很有效,尤其对出现较严重行为问题的家庭有益。需要对不同种族的家庭进行对照研究,以确认 MeBPT 的益处,并对中介因素和调节因素进行研究。
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引用次数: 0
The Ethical Dimensions of Mindfulness in Public Health 公共卫生中的正念伦理问题
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-04-01 DOI: 10.1007/s12671-024-02340-7
Kevin Berryman

This commentary on “Mindfulness for global public health: Critical analysis and agenda” seeks to add to the discussion by considering, what are the moral or ethical implications of introducing mindfulness-based interventions (MBIs) into public health? An open question should be asked: Do MBIs promote “moral health,” a type of mental well-being based on moral integrity? Currently, there is a lack of comprehensive understanding regarding the moral influences of MBIs on individuals, but more concerning is the complete absence of population or collective-based data. Moreover, the data on the moral influences of MBIs originate from neurotypical, socially advantaged, and homogeneous demographics, so caution is warranted regarding the potential impact on general public’s moral functioning before proceeding. This commentary briefly reviews the existing literature on the relationship between moral functioning and MBIs, then addresses why the unknown effects of moral functioning from mindfulness on a social level are a concern for public health. Following many of Oman’s proposed axes, it then raises questions about what MBIs could do to the moral functioning of certain populations with mental health issues, diverse and disadvantaged populations, and various multi-sector levels throughout society. In some cases, MBIs might need to include ethical adaptations, which add components that explicitly encourage moral development. These adaptations could support protective measures or mitigate moral risk factors. The commentary concludes by suggesting that ethical motivation could be an added axis to Oman’s scheme, as there is an alignment between mindfulness and public health. Nonetheless, it cautions that more research is needed at the population level on the moral influences from MBIs before their widespread implementation in public health.

这篇关于 "正念促进全球公共卫生:本评论题为 "正念促进全球公共卫生:批判性分析和议程",旨在通过思考将正念干预(MBIs)引入公共卫生的道德或伦理影响,为讨论添砖加瓦。应该提出一个开放性问题:正念干预是否能促进 "道德健康",一种基于道德完整性的心理健康?目前,关于 MBI 对个人的道德影响还缺乏全面的了解,但更令人担忧的是完全没有基于人口或集体的数据。此外,有关 MBIs 道德影响的数据来源于神经畸形、社会优势和同质人群,因此在继续研究之前,需要谨慎考虑其对普通大众道德功能的潜在影响。这篇评论简要回顾了道德功能与正念之间关系的现有文献,然后论述了为什么正念在社会层面对道德功能的未知影响是公共健康的一个问题。按照阿曼提出的许多轴心,本文提出了一些问题,即正念对某些有心理健康问题的人群、不同的弱势群体以及整个社会各个多部门层面的道德功能会产生什么影响。在某些情况下,综合干预可能需要包括道德调整,即增加明确鼓励道德发展的内容。这些调整可以支持保护措施或减轻道德风险因素。评论最后建议,伦理动机可以成为阿曼计划的附加轴心,因为正念与公共卫生之间存在一致性。不过,评论提醒说,在公共卫生领域广泛实施正念疗法之前,还需要在人群层面对正念疗法的道德影响进行更多研究。
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引用次数: 0
Dispositional Mindfulness and Neural Activity in Youth: A Systematic Review 青少年的意念倾向与神经活动:系统回顾
IF 3.6 2区 心理学 Q2 PSYCHIATRY Pub Date : 2024-04-01 DOI: 10.1007/s12671-024-02333-6

Abstract

Objectives

Dispositional mindfulness has been associated with improved emotional regulation, reduced stress, and increased well-being. Interventions aiming at developing dispositional mindfulness are thus promising non-invasive, early interventions for youth at risk for psychiatric disorders. However, little is known about the neural correlates of dispositional mindfulness in adolescents although this could inform response to preventive interventions in youth. This systematic review identified and synthesized existing literature on the functional MRI correlates of dispositional mindfulness in adolescents, to guide and pave the way for interventional studies.

Method

This systematic review included observational studies investigating resting-state or task-based fMRI correlates of mindfulness traits in participants aged between 6 and 25 years, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Four databases were searched up to October 2023, and narrative synthesis of the extracted results was conducted.

Results

The 7 included studies (out of the 2348 screened) had one task-based and six resting state analyses. We focused on reporting resting state studies, where neural correlates of dispositional mindfulness were found in various brain regions, including the frontal cortex, the insula, the thalamus. It was also related to transitions between brain states. These findings suggest that dispositional mindfulness may be associated to underlying processes such as attention, emotion regulation and mind wandering.

Conclusions

Due to the low number of papers, it is difficult to reach a conclusion. Given the need to further investigate the neural correlates of dispositional mindfulness in adolescents to understand the positive behavioral outcomes that are associated with mindfulness, we suggest caveats and perspectives for future studies.

Preregistration

This systematic review is not preregistered.

摘要 目标 处置性正念与改善情绪调节、减轻压力和提高幸福感有关。因此,对有精神障碍风险的青少年进行非侵入性的早期干预是很有希望的。然而,人们对青少年倾向性正念的神经相关性知之甚少,尽管这可以为青少年预防性干预措施提供参考。本系统性综述确定并综合了有关青少年正念倾向性的功能磁共振成像相关性的现有文献,为干预性研究提供指导并铺平道路。 方法 本系统性综述按照系统性综述和荟萃分析首选报告项目(PRISMA)指南,纳入了对年龄在 6-25 岁之间的参与者进行静息态或基于任务的正念特质 fMRI 相关性调查的观察性研究。对截至 2023 年 10 月的四个数据库进行了检索,并对提取的结果进行了叙述性综合。 结果 在筛选出的 2348 项研究中,共纳入了 7 项研究,其中有 1 项基于任务的分析和 6 项静息状态分析。我们重点报告了静息状态研究,在这些研究中,我们在不同的大脑区域发现了倾向性正念的神经相关性,包括额叶皮层、脑岛和丘脑。它还与大脑状态之间的转换有关。这些发现表明,倾向性正念可能与注意力、情绪调节和思维游离等潜在过程有关。 结论 由于论文数量较少,因此很难得出结论。鉴于有必要进一步研究青少年正念的神经相关性,以了解与正念相关的积极行为结果,我们为今后的研究提出了注意事项和展望。 预先注册 本系统综述未经预先注册。
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