A systematic review and meta-analysis of mindfulness- and acceptance-based interventions for affect intolerance/sensitivity.
A systematic review and meta-analysis of mindfulness- and acceptance-based interventions for affect intolerance/sensitivity.
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DOI：
10.1016/j.brat.2020.103746
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发表时间：
2020-12
影响因子：
4.1
通讯作者：
Yeh GY
中科院分区：
文献类型：
--
作者：
Kraemer KM;Luberto CM;Hall DL;Ngo LH;Yeh GY
情感不耐受/敏感，定义为一个人对情感状态的敏感或无法容忍，是一个涉及多种精神病理学发展和维持的跨诊断过程。正念和接受干预被认为可以改善影响不容忍/敏感性；然而，迄今为止还没有对这一研究进行定量综合。截至2018年11月，共搜索了7个电子数据库。对一系列随机效应模型计算对冲系数的g值、95%置信区间、p值和q值。25项研究（合计N = 1,778）符合资格标准，纳入定性综合（N = 22纳入荟萃分析）。从干预前到干预后，正念和接受干预对改善情绪不耐受/敏感性有小而显著的影响（赫奇斯的g =−）。37, 95% ci =−。52 ~−。23, p <.001)，效果维持长达6个月(Hedges的g =−。35, 95% ci =−。61 ~−。09, p < 0.01)。与积极对照组相比，不积极对照组的影响要大得多。干预时长（< 8次vs.≥8次）、干预类型（正念vs.接受）或样本类型（临床vs.非临床）没有发现显著的效应大小差异。正念和接受干预适度改善影响不耐受/敏感性。
Affect intolerance/sensitivity, defined as one’s sensitivity to, or inability to tolerate, affective states, is a transdiagnostic process implicated in the development and maintenance of numerous forms of psychopathology. Mindfulness and acceptance interventions are posited to improve affect intolerance/sensitivity; however, there has been no quantitative synthesis of this research to date. Seven electronic databases were searched up until November 2018. Hedges’ g values, 95% confidence intervals, p-values, and Q-values were calculated for a series of random-effects models. Twenty-five studies (pooled N = 1,778) met eligibility criteria and were included in the qualitative synthesis (n = 22 included in the meta-analysis). There was a small, significant effect of mindfulness and acceptance interventions on improving affect intolerance/sensitivity from pre- to post-intervention (Hedges’ g = −.37, 95% CI = −.52 to −.23, p <.001), with effects maintained up to 6-months (Hedges’ g = −.35, 95% CI = −.61 to −.09, p < .01). There was a significantly larger effect for studies with inactive compared to active controls. No significant effect size differences were found for intervention length (< 8 vs. ≥ 8 sessions), intervention type (mindfulness vs. acceptance) or sample type (clinical vs. non-clinical). Mindfulness and acceptance interventions modestly improve affect intolerance/sensitivity.
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影响因子：
1.4
作者：
Dixon-Gordon, Katherine L.;Chapman, Alexander L.;Turner, Brianna J.
通讯作者：
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DOI：
10.1007/s10862-013-9359-0
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发表时间：
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影响因子：
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DOI：
10.1038/ajg.2011.184
发表时间：
2011-09
期刊：
The American journal of gastroenterology
影响因子：
--
作者：
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通讯作者：
Whitehead WE