Wendy Wen Li, Rebecca McIntyre, Christopher Reid, Marc Chao
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引用次数: 0
摘要
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。
A Systematic Review on the State of the Art of Culturally Adapted Mindfulness-Based Interventions for First Nations Peoples: Cultural Adaptation, Effectiveness, and Feasibility
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.
期刊介绍：
Mindfulness seeks to advance research, clinical practice, and theory on mindfulness. It is interested in manuscripts from diverse viewpoints, including psychology, psychiatry, medicine, neurobiology, psychoneuroendocrinology, cognitive, behavioral, cultural, philosophy, spirituality, and wisdom traditions. Mindfulness encourages research submissions on the reliability and validity of assessment of mindfulness; clinical uses of mindfulness in psychological distress, psychiatric disorders, and medical conditions; alleviation of personal and societal suffering; the nature and foundations of mindfulness; mechanisms of action; and the use of mindfulness across cultures. The Journal also seeks to promote the use of mindfulness by publishing scholarly papers on the training of clinicians, institutional staff, teachers, parents, and industry personnel in mindful provision of services. Examples of topics include: Mindfulness-based psycho-educational interventions for children with learning, emotional, and behavioral disorders Treating depression and clinical symptoms in patients with chronic heart failure Yoga and mindfulness Cognitive-behavioral mindfulness group therapy interventions Mindfulnessness and emotional regulation difficulties in children Loving-kindness meditation to increase social connectedness Training for parents and children with ADHD Recovery from substance abuse Changing parents’ mindfulness Child management skills Treating childhood anxiety and depression
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