有童年虐待史的成年人正念干预的临床效果:范围审查。

Q1 Psychology
Current Treatment Options in Psychiatry Pub Date : 2021-06-01 Epub Date: 2021-03-14 DOI:10.1007/s40501-021-00240-4
Diane Joss, Martin H Teicher
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引用次数: 8

摘要

回顾目的:童年虐待的幸存者发展为复杂精神障碍的风险很高。传统的治疗方法,包括精神药理学,对这一人群的疗效较差。本综述旨在讨论基于正念的干预对成年儿童创伤幸存者的影响的现有实证研究,以及这一人群的临床挑战和适应。最近的发现:我们回顾了17篇研究文章,这些文章测量了正念干预对有童年虐待史的成年人的影响。这些研究表明,以正念为基础的干预措施可以有利于儿童虐待幸存者减轻心理症状,包括压力、焦虑、复发性抑郁、物质使用和创伤后应激。这些研究在方法学质量上有很大差异,报告的效应量也有很大差异。各种各样的结果测量和控制条件使得很难在研究之间进行比较。摘要:基于正念的干预措施对于儿童期有虐待史的成年人的精神病理是有益的,尽管一些适应可能是必要的,以解决这一人群可能遇到的挑战。需要更多的研究来专门评估儿童虐待幸存者的临床效果,并直接比较有和没有儿童虐待史的人的效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical effects of mindfulness-based interventions for adults with a history of childhood maltreatment: a scoping review.

Purpose of review: Survivors of childhood maltreatment are at high risk for developing complex psychiatric disorders. Traditional treatments, including psychopharmacology, tend to be less efficacious for this population. This scoping review aimed to discuss existing empirical studies on the effects of mindfulness-based interventions for adult childhood trauma survivors, as well as the documented clinical challenges and adaptations for this population.

Recent findings: We reviewed 17 research articles that measured the effects of mindfulness-based interventions for adults with childhood maltreatment histories. These studies showed that mindfulness-based interventions can be beneficial for childhood maltreatment survivors to alleviate psychological symptoms including stress, anxiety, recurrent depression, substance use, and post-traumatic stress. Studies had a wide range of methodological quality and reported a broad range of effect sizes. The wide variety of outcome measures and control conditions made it difficult to compare across studies.

Summary: Mindfulness-based interventions can be beneficial for addressing psychopathology among adults with childhood maltreatment histories, although some adaptations can be necessary to address possible challenges this population are likely to encounter. More research is needed to specifically evaluate the clinical effects among childhood maltreatment survivors and to directly compare the effects among those with and without childhood maltreatment histories.

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来源期刊
Current Treatment Options in Psychiatry
Current Treatment Options in Psychiatry Psychology-Clinical Psychology
CiteScore
5.70
自引率
0.00%
发文量
28
期刊介绍: This journal focuses on the latest advances in the multifaceted treatment of psychiatric disorders. Designed for physicians and other mental health professionals, Current Treatment Options in Psychiatry offers expert reviews on the management of a range of mental health conditions, includingSchizophrenia and other psychotic disordersSubstance use disordersAnxiety, obsessive-compulsive, and related disordersMood disordersEating and other impulse control disordersPersonality disordersArticles cover a range of established and emerging treatment options across the lifespan, and their innovative, hands-on format makes them ideal for informing treatment decisions at the point of care.We accomplish this by appointing leaders in the field to serve as Section Editors in key areas. Section Editors, in turn, select the most pressing topics as well as experts to present the latest research, assess the efficacy of available treatment options, and discuss special considerations.Additionally, an international Editorial Board—representing a range of disciplines within psychiatry and psychology—ensures that the journal content includes current, emerging research and suggests articles of special interest to their country or region.
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