The Effects of Mindfulness-Based Stress Reduction on Trauma in Victims of Gun Violence: a Pilot Study.

The Effects of Mindfulness-Based Stress Reduction on Trauma in Victims of Gun Violence: a Pilot Study.
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DOI:
10.1007/s12671-022-01858-y
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发表时间:
2022
期刊:
影响因子:
3.6
通讯作者:
Zeidan F
Zeidan F
中科院分区:
医学3区
文献类型:
--
作者:
Khatib L;Riegner G;Dean JG;Oliva V;Cruanes G;Mulligan BA;Zeidan F

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枪支暴力是美利坚合众国的一个严重问题。枪支暴力会造成终生的心理逆境、创伤和悲伤。面对这种流行病,缺乏缓解枪支暴力造成的创伤和负面健康的有效疗法。拟议的纵向试点实验检查了为期 8 周的基于正念的减压 (MBSR) 计划对因枪支暴力而受到创伤的个人的影响。 24 名枪支暴力受害者(中位年龄 = 53 岁;21 名女性)完成了主要结果的测量:创伤。次要结果的特征是悲伤、抑郁、睡眠质量、生活满意度和正念。所有评估均在 MBSR 培训之前、之后 5 周和 8 周进行。据推测,MBSR 后创伤和其他合并症会得到改善。据预测,从基线到 5 周的 MBSR 训练的结果将明显强于 5 到 8 周的训练。在进行 MBSR 之前,志愿者表现出严重的创伤、抑郁、睡眠困难和悲伤。参与MBSR与改善创伤、抑郁、睡眠困难和生活满意度相关。在 MBSR 的前 5 周内,心理素质的改善最为明显。然而,这些好处在课程完成后基本上得到保留。重要的是,性格正念的增加预示着创伤、复杂悲伤和睡眠困难的减少。应谨慎解释目前的研究结果,因为它们来自一项不受控制的非随机试验。然而,上述研究结果表明,MBSR 可以减少枪支暴力受害者的创伤并改善其整体福祉。
Gun violence is a significant problem in the United States of America. Gun violence produces lifelong psychological adversity, trauma, and grief. In the face of this epidemic, efficacious therapies that assuage gun violence-based trauma and negative health are lacking. The proposed, longitudinal pilot experiment examined the effects of an 8-week mindfulness-based stress reduction (MBSR) program on traumatized individuals as a direct consequence of gun violence. Twenty-four victims of gun violence (median age = 53 years; 21 female) completed measures of the primary outcome: trauma. Secondary outcomes were characterized as grief, depression, sleep quality, life satisfaction, and mindfulness. All assessments were administered before, after 5, and 8 weeks of MBSR training. It was hypothesized that trauma and other comorbidities would improve following MBSR. It was also predicted that outcomes would be significantly stronger from baseline to 5 weeks of MBSR training than from 5 to 8 weeks of training. Before MBSR, volunteers exhibited high levels of trauma, depression, sleep difficulty, and grief. Participation in MBSR was associated with improved trauma, depression, sleep difficulty, and life satisfaction. The most pronounced improvements in psychological disposition were exhibited within the first 5 weeks of MBSR. However, these benefits were largely preserved after completion of the course. Importantly, increases in dispositional mindfulness predicted lower trauma, complicated grief, and sleep difficulties. The present findings should be interpreted with caution because they were derived from an uncontrolled, non-randomized trial. However, said findings suggest that MBSR may reduce trauma and improve overall well-being in gun violence victims.
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