正念训练改善个体负性情绪和觉知压力的对照研究
|
摘要
目的:探讨8周正念训练对寻求减压个体负性情绪的改善效果和觉知压力在其中所起到的调节作用。方法:通过微信公众号等方式招募寻求减压的被试120名,随机分配至正念训练组(n=59)和等待对照组(n=61)。正念训练组进行8周正念训练干预,等待对照组不予干预,后测完成后给予连续两天的补偿训练。在基线及8周干预后施测五因素正念度量表(FFMQ)、简明心境量表简版(POMS-SF)、觉知压力量表(CPSS)。结果:正念训练组在8周正念训练后FFMQ总分[(112.7±16.4) vs.(128.3±15.5),P<0.001]、负性维度总分[(50.3±16.1)vs.(45.6±16.2),P<0.05]和CPSS总分[(27.2±7.9)vs.(24.6±7.8),P<0.01]均低于基线。Bootstrap分析显示,基线期的CPSS总分对8周正念训练干预总体负性情绪(95%CI=0.04～0.40,P<0.05)、抑郁沮丧的效果有调节作用(95%CI=0.07～1.51,P<0.05)。结论:8周正念训练能缓解个体的负性情绪。基线期觉知压力水平可以调节正念干预抑郁、沮丧和负性总分的效果。
Objective:To investigate the effect of 8-week mindfulness training on the negative emotions of people with stress,and further explore the moderating effect of perceived stress in the intervention effects.Methods:Totally 120 participants seeking stress reduction were recruited by WeChat public account,randomly assigned to the mindfulness training group(n=59) and waiting for the control group(n=61).The mindfulness training group conducted an 8-week mindfulness training intervention.The waiting group had not intervention,and giving two consecutive days of compensation training after the completion of the post-test.Before and after the intervention,all participants completed questionnaires including the Five Facets Mindfulness Scale(FFMQ),Profile of Mood States-Short Form(POMS-SF),and Chinese Perceived Stress Scale(CPSS).Results:The subjects in the intervention group showed significantly increased FFMQ total scores [(112.7±16.4) vs.(128.3±15.5),P<0.001],and significantly reduction of total scores of POMS-SF negative emotions [(50.3±16.1)vs.( 45.6±16.2),P<0.05] and CPSS [(27.2±7.9)vs.(24.6±7.8),P<0.01] after 8-week mindfulness training.The CPSS Total scores at baseline significantly moderated the POMS-SF negative total scores(95%CI=0.04-0.40,P<0.05)and depression-dejection scores(95%CI=0.07-1.51,P<0.05) during 8 weeks of mindfulness training intervention.Conclusion:It suggests that 8-week of mindfulness training could significantly alleviate individuals' negative emotions.Perceived stress scores at baseline significantly moderated the effects of mindfulness interventions on depression-dejection and negative scores.
Objective:To investigate the effect of 8-week mindfulness training on the negative emotions of people with stress,and further explore the moderating effect of perceived stress in the intervention effects.Methods:Totally 120 participants seeking stress reduction were recruited by WeChat public account,randomly assigned to the mindfulness training group(n=59) and waiting for the control group(n=61).The mindfulness training group conducted an 8-week mindfulness training intervention.The waiting group had not intervention,and giving two consecutive days of compensation training after the completion of the post-test.Before and after the intervention,all participants completed questionnaires including the Five Facets Mindfulness Scale(FFMQ),Profile of Mood States-Short Form(POMS-SF),and Chinese Perceived Stress Scale(CPSS).Results:The subjects in the intervention group showed significantly increased FFMQ total scores [(112.7±16.4) vs.(128.3±15.5),P<0.001],and significantly reduction of total scores of POMS-SF negative emotions [(50.3±16.1)vs.( 45.6±16.2),P<0.05] and CPSS [(27.2±7.9)vs.(24.6±7.8),P<0.01] after 8-week mindfulness training.The CPSS Total scores at baseline significantly moderated the POMS-SF negative total scores(95%CI=0.04-0.40,P<0.05)and depression-dejection scores(95%CI=0.07-1.51,P<0.05) during 8 weeks of mindfulness training intervention.Conclusion:It suggests that 8-week of mindfulness training could significantly alleviate individuals' negative emotions.Perceived stress scores at baseline significantly moderated the effects of mindfulness interventions on depression-dejection and negative scores.
引文
[1] Kabat-Zinn J.Full Catastrophe living,using the wisdom of your body and mind to face stress,pain,and illness [M].New York:Dell,1990.
[2] Teasdale JD,Segal ZV,Williams JM,et al.Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy[J].J Consult Clin Psychol,2000,68(4):615-623.
[3] 刘兴华,徐慰,王玉正,等.正念训练提升自愿者幸福感的6周随机对照试验[J].中国心理卫生杂志,2013,27(8):597-601.
[4] 徐慰,王玉正,刘兴华.8周正念训练对负性情绪的改善效果[J].中国心理卫生杂志,2015,29(7):497-502.
[5] 王婷婷,李敏.正念认知疗法干预慢性疼痛患者的临床效果[J].江苏医药,2016,42(12):1392-1394.
[6] Goldin P,Ramel W,Gross J.Mindfulness meditation training and self-referential processing in social anxiety disorder:behavioral and neural effects[J].J Cognit Psychother,2009,23(3):242-257.
[7] 张佳媛,周郁秋,张全志,等.正念减压疗法对乳腺癌患者知觉压力及焦虑抑郁水平的影响[J].中华护理杂志,2015,50(2):189-193.
[8] Butler LD,Waelde LC,Hastings TA,et al.Meditation with yoga,group therapy with hypnosis,and psychoeducation for long-term depressed mood:a randomized pilot trial[J].J Clin Psychol,2008,64(7):806-820.
[9] 余晓英,陈剑平.正念减压训练对胃癌化疗患者心理韧性及负性情绪的影响[J].当代护士(下旬刊),2017,(7):89-92.
[10]张立萍,兰晶.正念减压训练对恶性肿瘤病人负性情绪的影响[J].护理研究,2017,31(8):1021-1022.
[11]廖春艳,乔莉娜,樊慧,等.正念减压疗法对结肠癌患者知觉压力和焦虑抑郁水平的影响[J].中国肿瘤临床与康复,2016,23(8):992-996.
[12]朱政仁,胡珠,罗爱玲,等.正念减压法对抑郁症患者负性情绪的影响[J].护理实践与研究,2016,13(7):135-137.
[13]鄢晓枫.正念减压训练对PCI手术后患者负性情绪的影响[J].航空航天医学杂志,2016,27(8):1054-1056.
[14]崔敬军.正念减压训练对脑卒中康复期患者负性情绪的影响[J].中国疗养医学,2016,25(7):703-704.
[15]曾艳丽,王国富,胡秀英.正念认知训练对护生压力及负性情绪的影响[J].现代临床医学,2017,43(5):378-381.
[16]高秋平,陈鹏,李金桥,等.正念减压训练对战斗机飞行员知觉压力及负性情绪的影响[J].中国疗养医学,2017,26(5):451-453.
[17]Cohen S,Kamarck T,Mermelstein R.A global measure of perceived stress[J].J Health Soc Behav,1983,24(4):385-396.
[18]Lazarus RS,Folkman S.Stress,appraisal and coping [M].New York:Springer,1984.
[19]汪芬,黄宇霞.正念的心理和脑机制[J].心理科学进展,2011,19(11):1635-1644.
[20]Williams JM.Mindfulness and psychological process [J].Emotion,2010,10(1):1-7.
[21]彭彦琴,居敏珠.正念机制的核心:注意还是态度?[J].心理科学,2013(4):1009-1013.
[22]Chang EC.Does dispositional optimism moderate the relation between perceived stress and psychological well-being? A preliminary investigation[J].Pers Individ Differ,1998,25(2):233-240.
[23]Bergdahl J,Bergdahl M.Perceived stress in adults:prevalence and association of depression,anxiety and medication in a Swedish population [J].Stress Health,2002,18(5):235-241.
[24]Spada MM,Nik?evi? AV,Moneta GB,et al.Metacognition,perceived stress,and negative emotion[J].Pers Individ Differ,2008,44(5):1172-1181.
[25]Britton JR.Maternal anxiety:course and antecedents during the early postpartum period[J].Depress Anxiety,2008,25(9):793-800.
[26]R?nnlund M,Sundstr?m A,S?rman DE,et al.Effects of perceived long-term stress on subjective and objective aspects of memory and cognitive functioning in a middle-aged population-based sample[J].J Genet Psychol,2013,174(1):25-41.
[27]Rickwood DJ,Braithwaite VA.Social-psychological factors affecting help-seeking for emotional problems[J].Soc Sci Med,1994,39(4):563.
[28]Robbins JM,Greenley JR.Thinking about what' s wrong:attributions of severity,cause,and duration in the problem definition stage of psychiatric help-seeking[J].Res Commu Ment Health,1983,3:209-232.
[29]Sliwinski J,Katsikitis M,Jones CM.A review of interactive technologies as support tools for the cultivation of mindfulness [J].Mindfulness,2017,8(1):1-10.
[30]Schumer MC,Lindsay EK,Creswell JD.Brief mindfulness training for negative affectivity:a systematic review and meta-analysis [J].J Consult Clin Psychol,2018,86(7):569-583.
[31]Deng YQ,Liu XH,Rodriguez MA,et al.The Five Facet Mindfulness Questionnaire:psychometric properties of the Chinese version [J].Mindfulness,2011,2(2):123-128.
[32]王建平,林文娟.简明心境量表(POMS)在中国的试用报告[J].心理学报,2000,32(1):110-114.
[33]杨廷忠,黄汉腾.社会转型中城市居民心理压力的流行病学研究[J].中华流行病学杂志,2003,24(9):760-764.
[34]Hayes AF.Introduction to mediation,moderation,and conditional process analysis:a regression-based approach [J].J Educ Meas,2013,51(3):335-337.
[35]Xu W,Jia K,Liu X,et al.The effects of mindfulness training on emotional health in Chinese long-term male prison inmates [J].Mindfulness,2016,7(5):1-8.
[2] Teasdale JD,Segal ZV,Williams JM,et al.Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy[J].J Consult Clin Psychol,2000,68(4):615-623.
[3] 刘兴华,徐慰,王玉正,等.正念训练提升自愿者幸福感的6周随机对照试验[J].中国心理卫生杂志,2013,27(8):597-601.
[4] 徐慰,王玉正,刘兴华.8周正念训练对负性情绪的改善效果[J].中国心理卫生杂志,2015,29(7):497-502.
[5] 王婷婷,李敏.正念认知疗法干预慢性疼痛患者的临床效果[J].江苏医药,2016,42(12):1392-1394.
[6] Goldin P,Ramel W,Gross J.Mindfulness meditation training and self-referential processing in social anxiety disorder:behavioral and neural effects[J].J Cognit Psychother,2009,23(3):242-257.
[7] 张佳媛,周郁秋,张全志,等.正念减压疗法对乳腺癌患者知觉压力及焦虑抑郁水平的影响[J].中华护理杂志,2015,50(2):189-193.
[8] Butler LD,Waelde LC,Hastings TA,et al.Meditation with yoga,group therapy with hypnosis,and psychoeducation for long-term depressed mood:a randomized pilot trial[J].J Clin Psychol,2008,64(7):806-820.
[9] 余晓英,陈剑平.正念减压训练对胃癌化疗患者心理韧性及负性情绪的影响[J].当代护士(下旬刊),2017,(7):89-92.
[10]张立萍,兰晶.正念减压训练对恶性肿瘤病人负性情绪的影响[J].护理研究,2017,31(8):1021-1022.
[11]廖春艳,乔莉娜,樊慧,等.正念减压疗法对结肠癌患者知觉压力和焦虑抑郁水平的影响[J].中国肿瘤临床与康复,2016,23(8):992-996.
[12]朱政仁,胡珠,罗爱玲,等.正念减压法对抑郁症患者负性情绪的影响[J].护理实践与研究,2016,13(7):135-137.
[13]鄢晓枫.正念减压训练对PCI手术后患者负性情绪的影响[J].航空航天医学杂志,2016,27(8):1054-1056.
[14]崔敬军.正念减压训练对脑卒中康复期患者负性情绪的影响[J].中国疗养医学,2016,25(7):703-704.
[15]曾艳丽,王国富,胡秀英.正念认知训练对护生压力及负性情绪的影响[J].现代临床医学,2017,43(5):378-381.
[16]高秋平,陈鹏,李金桥,等.正念减压训练对战斗机飞行员知觉压力及负性情绪的影响[J].中国疗养医学,2017,26(5):451-453.
[17]Cohen S,Kamarck T,Mermelstein R.A global measure of perceived stress[J].J Health Soc Behav,1983,24(4):385-396.
[18]Lazarus RS,Folkman S.Stress,appraisal and coping [M].New York:Springer,1984.
[19]汪芬,黄宇霞.正念的心理和脑机制[J].心理科学进展,2011,19(11):1635-1644.
[20]Williams JM.Mindfulness and psychological process [J].Emotion,2010,10(1):1-7.
[21]彭彦琴,居敏珠.正念机制的核心:注意还是态度?[J].心理科学,2013(4):1009-1013.
[22]Chang EC.Does dispositional optimism moderate the relation between perceived stress and psychological well-being? A preliminary investigation[J].Pers Individ Differ,1998,25(2):233-240.
[23]Bergdahl J,Bergdahl M.Perceived stress in adults:prevalence and association of depression,anxiety and medication in a Swedish population [J].Stress Health,2002,18(5):235-241.
[24]Spada MM,Nik?evi? AV,Moneta GB,et al.Metacognition,perceived stress,and negative emotion[J].Pers Individ Differ,2008,44(5):1172-1181.
[25]Britton JR.Maternal anxiety:course and antecedents during the early postpartum period[J].Depress Anxiety,2008,25(9):793-800.
[26]R?nnlund M,Sundstr?m A,S?rman DE,et al.Effects of perceived long-term stress on subjective and objective aspects of memory and cognitive functioning in a middle-aged population-based sample[J].J Genet Psychol,2013,174(1):25-41.
[27]Rickwood DJ,Braithwaite VA.Social-psychological factors affecting help-seeking for emotional problems[J].Soc Sci Med,1994,39(4):563.
[28]Robbins JM,Greenley JR.Thinking about what' s wrong:attributions of severity,cause,and duration in the problem definition stage of psychiatric help-seeking[J].Res Commu Ment Health,1983,3:209-232.
[29]Sliwinski J,Katsikitis M,Jones CM.A review of interactive technologies as support tools for the cultivation of mindfulness [J].Mindfulness,2017,8(1):1-10.
[30]Schumer MC,Lindsay EK,Creswell JD.Brief mindfulness training for negative affectivity:a systematic review and meta-analysis [J].J Consult Clin Psychol,2018,86(7):569-583.
[31]Deng YQ,Liu XH,Rodriguez MA,et al.The Five Facet Mindfulness Questionnaire:psychometric properties of the Chinese version [J].Mindfulness,2011,2(2):123-128.
[32]王建平,林文娟.简明心境量表(POMS)在中国的试用报告[J].心理学报,2000,32(1):110-114.
[33]杨廷忠,黄汉腾.社会转型中城市居民心理压力的流行病学研究[J].中华流行病学杂志,2003,24(9):760-764.
[34]Hayes AF.Introduction to mediation,moderation,and conditional process analysis:a regression-based approach [J].J Educ Meas,2013,51(3):335-337.
[35]Xu W,Jia K,Liu X,et al.The effects of mindfulness training on emotional health in Chinese long-term male prison inmates [J].Mindfulness,2016,7(5):1-8.
© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号 地址：北京市海淀区学院路29号 邮编：100083 电话：办公室：(+86 10)66554848；文献借阅、咨询服务、科技查新：66554700 |