Allison M Sylvia, Kristen Jastrowski Mano, Erica L Birkley, Quintino R Mano
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Systematic Review of Dispositional Mindfulness and Posttraumatic Stress Disorder Symptomology: A Targeted Examination of Avoidance.
High rates of nonresponse to evidence-based treatment for posttraumatic stress disorder (PTSD) have fueled the search for improved intervention. Evidence suggests that improvements in dispositional mindfulness (i.e., tendency to attend to the present with nonjudgment and nonreactivity) may help reduce PTSD symptoms. While some research suggests that transdiagnostic mindfulness-based interventions particularly target avoidance symptoms, the association between dispositional mindfulness and avoidance has yet to be systematically examined. To address this gap, we examined peer-reviewed studies that reported quantitative associations between avoidance and dispositional mindfulness among trauma-exposed adults, following Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2009 guidelines. Sixteen studies were identified for final review from PsycINFO and PubMed databases. Results suggest that mindfulness has a weak relationship with effortful avoidance. This weak relationship may be obscured in studies where effortful avoidance is measured among other symptoms (e.g., anhedonia). Mindfulness appeared to have stronger associations with symptoms of hyperarousal and negative alterations in cognition and mood. An important clinical implication is that high effortful avoidance may manifest among patients who report strong mindfulness skills. It may be helpful for clinicians to carefully assess how mindfulness is being used to cope.
期刊介绍:
Trauma, Violence, & Abuse is devoted to organizing, synthesizing, and expanding knowledge on all force of trauma, abuse, and violence. This peer-reviewed journal is practitioner oriented and will publish only reviews of research, conceptual or theoretical articles, and law review articles. Trauma, Violence, & Abuse is dedicated to professionals and advanced students in clinical training who work with any form of trauma, abuse, and violence. It is intended to compile knowledge that clearly affects practice, policy, and research.