精神障碍的特质正念:预测症状、认知和功能结果的维度

IF 3.4 2区 心理学 Q2 PSYCHIATRY
Ian M. Raugh, Gregory P. Strauss
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引用次数: 1

摘要

正念疗法对精神病性障碍(PD)具有疗效。然而,正念的哪些组成部分(即专注监测和非评判性接受)是最相关的治疗目标尚不清楚。此外,研究正念在精神病患者中的临床相关性的文献也非常缺乏。本研究旨在研究正念在帕金森氏症患者中的群体差异和临床相关性。我们假设,帕金森病患者的监测和接受程度将低于注意力集中患者,而正念成分将与包括功能失调信念、自闭症、神经认知能力、阳性症状和情绪症状在内的症状相关。研究小组包括帕金森病患者(54 人)和非精神病对照组(55 人)。参与者完成了正念和相关结构的自我报告测量以及症状的临床访谈。方差分析模型的结果表明,帕金森氏症患者的总体正念水平比对照组低,其中情感性精神病组患者的正念水平差异最大。回归模型发现,更多的监控与神经认知表现的改善有关,而接纳与失败主义信念、情感障碍和抑郁/焦虑症状的降低有关。研究结果凸显了在对情感性精神病进行社会心理治疗时以接纳为目标的重要性,尤其是对有情绪症状的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trait Mindfulness in Psychotic Disorders: Dimensions Predicting Symptoms, Cognition, and Functional Outcome

Mindfulness-based treatments are efficacious for psychotic disorders (PD). However, which components of mindfulness (i.e., attentive monitoring and nonjudgmental acceptance) are most relevant treatment targets is unclear. Further, there is a dearth of literature examining clinical correlates of mindfulness in people with PD. The present study aimed to examine group differences and clinical correlates of mindfulness in people with PD. We hypothesized that PD would report lower monitoring and acceptance than CN and that mindfulness components would be associated with symptoms including dysfunctional beliefs, alexithymia, neurocognitive ability, positive symptoms, and mood symptoms. Groups included individuals with PD (n = 54) and nonpsychiatric controls (n = 55). Participants completed self-report measures of mindfulness and related constructs and clinical interviews of symptoms. Results of ANOVA models indicated that global mindfulness was lower in PD relative to CN, with greatest differences evident for acceptance in the affective psychosis group. Regression models found that greater monitoring was associated with improved neurocognitive performance, while acceptance was associated with lower defeatist beliefs, alexithymia, and depression/anxiety symptoms. Results highlight the importance of targeting acceptance in the psychosocial treatment of PDs, especially for those with mood symptoms.

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来源期刊
Behavior Therapy
Behavior Therapy Multiple-
CiteScore
7.40
自引率
2.70%
发文量
113
审稿时长
121 days
期刊介绍: Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.
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