正念能预防PTSD吗?25名海啸幸存者的神经认知研究。

Christina Hagen, Lars Lien, Edvard Hauff, Trond Heir
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引用次数: 8

摘要

背景:有研究表明,正念是一种保护因素,可以缓冲个体在遭受创伤后经历严重的创伤后压力。我们的目的是在经历过自然灾害创伤的个体中研究性格(特质)正念与创伤后应激之间的关系。方法:招募了一个灾难组(n = 25),其中包括2004年东南亚海啸中在高死亡率地区幸存下来的挪威游客。采用五面正念问卷和事件影响量表(修订版)分别测量性格正念和创伤后应激。结果:正念与创伤后应激无显著相关。此外,创伤后应激与观察、有意识地行动、不判断和不反应的正念子方面之间没有显著的关联。而正念描述因子与IES-R总分之间存在显著正相关。正念的五个子方面与三种创伤后症状(侵入性、回避性和超唤醒性)之间没有显著的线性相关性。结论:我们的研究结果并没有表明,在暴露于创伤后,性格正念和创伤后应激水平之间存在关系,除了正念的描述性子面之外,这里的相关性是正的,而不是负的,如果正念是创伤后应激的保护因素,那么这将是预期的。未来的研究应探讨正念与创伤后应激之间的关系,同时考虑创伤史、创伤类型和创伤应激反应的个体差异等因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Is mindfulness protective against PTSD? A neurocognitive study of 25 Tsunami disaster survivors.

Background: It has been suggested that mindfulness is a protective factor that buffers individuals from experiencing severe posttraumatic stress following exposure to a trauma. We aimed to examine the association between dispositional (trait) mindfulness and posttraumatic stress in individuals who had been exposed to the trauma of a natural disaster.

Method: A disaster group (n = 25) consisting of Norwegian tourists who survived the 2004 South East Asian tsunami at a location with high mortality rates was recruited. Dispositional mindfulness and posttraumatic stress were measured with the Five-Facet Mindfulness Questionnaire and the Impact of Event Scale-Revised Version, respectively.

Results: There was no significant association between mindfulness and posttraumatic stress. Moreover, there were no significant associations between posttraumatic stress and the mindfulness sub-facets of observing, acting with awareness, non-judging, and non-reacting. However, there was a significant positive correlation between the descriptive factor of mindfulness and IES-R total. There were no significant linear correlations between the five sub-facets of mindfulness and the three categories of posttraumatic symptoms, intrusion, avoidance and hyper-arousal.

Conclusions: Our findings do not indicate a relationship between dispositional mindfulness and posttraumatic stress levels after exposure to a trauma, except for the descriptive sub-facet of mindfulness and here the correlation is positive and not negative as would be expected if mindfulness is a protective factor for posttraumatic stress. Future studies should investigate the relationship between mindfulness and posttraumatic stress while accounting for factors such as trauma history, type of trauma, and individual differences in traumatic stress reactions.

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