Effects of Mindfulness-Based Cognitive Therapy on Body Awareness in Patients with Chronic Pain and Comorbid Depression.
Effects of Mindfulness-Based Cognitive Therapy on Body Awareness in Patients with Chronic Pain and Comorbid Depression.
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DOI：
10.3389/fpsyg.2016.00967
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发表时间：
2016
影响因子：
3.8
通讯作者：
Gard T
中科院分区：
文献类型：
--
作者：
de Jong M;Lazar SW;Hug K;Mehling WE;Hölzel BK;Sack AT;Peeters F;Ashih H;Mischoulon D;Gard T
身体意识被认为是正念干预的主要机制之一，并且研究表明，慢性疼痛和抑郁与身体意识水平下降有关。我们研究了与常规治疗相比，基于正念的认知疗法 (MBCT) 对慢性疼痛和共病活动性抑郁症患者身体意识的影响 (TAU; N = 31)。身体意识是通过内感受意识多维评估（MAIA）量表的一个子集来测量的，该量表被认为与人群最相关。其中包括：注意、不分心、注意力调节、情绪意识和自我调节。此外，通过疼痛灾难化量表（PCS）来测量疼痛灾难化。这些量表在当前样本中具有足够高的内部一致性。抑郁严重程度通过抑郁症状快速清单——临床医生评级（QIDS-C16）来衡量。 MBCT 组在“自我调节”和“不分心”量表上的增幅显着高于 TAU 组。此外，MBCT 对抑郁严重程度的积极影响是由“不分散注意力”介导的。这些发现提供了初步证据，表明基于正念的干预可能会提高身体意识的各个方面，正如 MAIA 在抑郁症疼痛患者群体中所评估的那样。此外，它们与长期假设的正念机制一致，并强调身体意识的临床相关性。
Body awareness has been proposed as one of the major mechanisms of mindfulness interventions, and it has been shown that chronic pain and depression are associated with decreased levels of body awareness. We investigated the effect of Mindfulness-Based Cognitive Therapy (MBCT) on body awareness in patients with chronic pain and comorbid active depression compared to treatment as usual (TAU; N = 31). Body awareness was measured by a subset of the Multidimensional Assessment of Interoceptive Awareness (MAIA) scales deemed most relevant for the population. These included: Noticing, Not-Distracting, Attention Regulation, Emotional Awareness, and Self-Regulation. In addition, pain catastrophizing was measured by the Pain Catastrophizing Scale (PCS). These scales had adequate to high internal consistency in the current sample. Depression severity was measured by the Quick Inventory of Depressive Symptomatology—Clinician rated (QIDS-C16). Increases in the MBCT group were significantly greater than in the TAU group on the “Self-Regulation” and “Not Distracting” scales. Furthermore, the positive effect of MBCT on depression severity was mediated by “Not Distracting.” These findings provide preliminary evidence that a mindfulness-based intervention may increase facets of body awareness as assessed with the MAIA in a population of pain patients with depression. Furthermore, they are consistent with a long hypothesized mechanism for mindfulness and emphasize the clinical relevance of body awareness.