Mindfulness as a mediator between trauma exposure and mental health outcomes: Results from the National Health and Resilience in Veterans Study.
Mindfulness as a mediator between trauma exposure and mental health outcomes: Results from the National Health and Resilience in Veterans Study.
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正念作为创伤暴露和心理健康结果之间的中介：来自退伍军人研究的国家健康和恢复力的结果。
DOI：
10.1037/tra0000995
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Pietrzak RH
中科院分区：
文献类型：
--
作者：
Kachadourian LK;Harpaz-Rotem I;Tsai J;Southwick S;Pietrzak RH
接触创伤性生活事件会增加罹患创伤后应激障碍 (PTSD) 和自杀意念 (SI)、酒精使用障碍 (AUD) 等其他心理健康问题以及生活质量 (QOL) 下降的风险。正念涉及关注当下，可以通过增加对创伤相关经历的接受度、减少与创伤相关的负面影响和避免创伤提醒来帮助个人应对创伤事件。目前的研究评估了对当下时刻的正念关注是否介导了一生创伤次数与心理健康之间的关联。该样本由 1,268 名遭受过创伤的美国退伍军人组成，他们参加了国家退伍军人健康和复原力研究，这是一项针对美国退伍军人的全国代表性研究。样本平均年龄为 60.6 岁（SD=15.2，范围=20-94），主要是男性（89.8%）、白人（75.0%）和非战斗退伍军人（59.2%）。路径分析显示，正念部分介导了一生创伤次数与 PTSD 症状 (β= -0.55)、AUD (β= -0.17) 和 QOL (β= 0.38) 之间的关系，并完全介导了一生创伤次数与 SI 之间的关系 (β= -0.36)。终生创伤负担与与美国退伍军人相关的各种心理健康问题之间的关系可能是通过正念或关注当下的能力来调节的。增强正念的干预措施可能有助于减轻该人群累积创伤的负面影响。
Exposure to traumatic life events is associated increased risk of posttraumatic stress disorder (PTSD) and other mental health problems such as suicidal ideation (SI), alcohol use disorder (AUD), and decreased quality of life (QOL). Mindfulness, which involves attending to the present moment, may help individuals cope with traumatic events by increasing acceptance of trauma-related experiences, and decreasing trauma-related negative affect and avoidance of trauma reminders. The current study evaluated whether mindful attention to the present moment mediated the association between number of lifetime traumas and mental health. The sample consisted of 1,268 trauma-exposed U.S. veterans who participated in the National Health and Resilience in Veterans Study, a nationally representative study of U.S. veterans. On average, the sample was 60.6 years of age (SD=15.2, range=20–94), predominantly male (89.8%), Caucasian (75.0%), and non-combat veterans (59.2%). Path analyses revealed that mindfulness partially mediated the relation between number of lifetime traumas and PTSD symptoms (β= −0.55), AUD (β= −0.17), and QOL (β= 0.38), and fully mediated the relation between number of lifetime traumas and SI (β= −0.36). The relationship between lifetime trauma burden and various mental health issues of relevance to U.S. veterans may be mediated by mindfulness or the ability to pay attention to the present moment. Interventions that bolster mindfulness may help mitigate the negative impact of cumulative traumas in this population.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
34.7
作者：
Arnsten, Amy F. T.
通讯作者：
Arnsten, Amy F. T.
影响因子：
3.6
作者：
Boughner, Emily;Thornley, Elizabeth;Frewen, Paul
通讯作者：
Frewen, Paul
影响因子：
8.2
作者：
Bonanno, GA;Galea, S;Vlahov, D
通讯作者：
Vlahov, D
影响因子：
3
作者：
AKAIKE, H
通讯作者：
AKAIKE, H