Prospects for a Clinical Science of Mindfulness-Based Intervention
Prospects for a Clinical Science of Mindfulness-Based Intervention
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DOI：
10.1037/a0039589
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发表时间：
2015-10-01
影响因子：
16.4
通讯作者：
Segal, Zindel V.
中科院分区：
文献类型：
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作者：
Dimidjian, Sona;Segal, Zindel V.
基于正念的干预(MBIS)在其未来发展中处于关键时刻。在不断增加的研究数量和临床应用范围的推动下，这种方法的价值似乎不言而喻。然而，我们认为，通过将这项工作置于临床心理科学的更广泛框架中，可以显著增强MBIS对公共健康的影响。利用国立卫生研究院的阶段模型(Onken，Carroll，Shoham，Cuthbert，&Rdle，2014)，我们绘制了基于正念的认知疗法和基于正念的压力减轻的证据基础，作为MBIS的范例。从这一角度来看，我们认为，当前证据基础中的重要差距变得明显，而且，如果不解决这些差距而开展更多同类研究，将限制这些干预措施的相关性和影响范围。我们提供了一套7项建议，以促进对核心研究问题的综合方法，提高个人研究的方法质量，并增加临床翻译阶段之间的逻辑联系，以增加MBIS对个人和社区心理健康需求的积极影响的潜力。
Mindfulness-based interventions (MBIs) are at a pivotal point in their future development. Spurred on by an ever-increasing number of studies and breadth of clinical application, the value of such approaches may appear self-evident. We contend, however, that the public health impact of MBIs can be enhanced significantly by situating this work in a broader framework of clinical psychological science. Utilizing the National Institutes of Health stage model (Onken, Carroll, Shoham, Cuthbert, & Riddle, 2014), we map the evidence base for mindfulness-based cognitive therapy and mindfulness-based stress reduction as exemplars of MBIs. From this perspective, we suggest that important gaps in the current evidence base become apparent and, furthermore, that generating more of the same types of studies without addressing such gaps will limit the relevance and reach of these interventions. We offer a set of 7 recommendations that promote an integrated approach to core research questions, enhanced methodological quality of individual studies, and increased logical links among stages of clinical translation in order to increase the potential of MBIs to impact positively the mental health needs of individuals and communities.