Mindfulness and Emotion Regulation: Insights from Neurobiological, Psychological, and Clinical Studies.
Mindfulness and Emotion Regulation: Insights from Neurobiological, Psychological, and Clinical Studies.
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DOI：
10.3389/fpsyg.2017.00220
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发表时间：
2017
影响因子：
3.8
通讯作者：
Rampes H
中科院分区：
文献类型：
--
作者：
Guendelman S;Medeiros S;Rampes H
正念干预（MBIs）的有益临床效果越来越受到关注。研究表明，它们在以情绪失调为特征的各种心理状况中具有功效。神经影像学研究已经证明了大量的大脑区域的功能和结构变化，这些区域主要涉及注意力系统、情绪调节和自我参照处理。在这篇文章中，我们回顾了心理和神经生物学相关的研究，在不同的经验得出的研究模型，包括气质正念，正念诱导，MBIs，和专家冥想者的情绪调节。从情绪调节的神经科学的最新发现的角度来看，我们讨论了自上而下和自下而上的情绪调节机制与不同的正念模型的相互作用。从现象学和认知的角度来看，作者认为，正念eliminates一个“正念情绪调节”的策略，然而，从临床的角度来看，这个结构还没有适当地区分MBIs内的其他策略和干预措施。在这种情况下，我们提出了自上而下和自下而上的正念情绪调节策略之间的区别。此外，我们提出了一个具体的情绪调节框架作为一个多层次的方法来理解心理生物学的变化，由于正念冥想对情绪调节的影响。最后，基于正念的临床神经科学证据，我们就MBIs与其他情绪调节心理治疗策略之间的共性和差异展开了观点和对话。
There is increasing interest in the beneficial clinical effects of mindfulness-based interventions (MBIs). Research has demonstrated their efficacy in a wide range of psychological conditions characterized by emotion dysregulation. Neuroimaging studies have evidenced functional and structural changes in a myriad of brain regions mainly involved in attention systems, emotion regulation, and self-referential processing. In this article we review studies on psychological and neurobiological correlates across different empirically derived models of research, including dispositional mindfulness, mindfulness induction, MBIs, and expert meditators in relation to emotion regulation. From the perspective of recent findings in the neuroscience of emotion regulation, we discuss the interplay of top-down and bottom-up emotion regulation mechanisms associated with different mindfulness models. From a phenomenological and cognitive perspective, authors have argued that mindfulness elicits a “mindful emotion regulation” strategy; however, from a clinical perspective, this construct has not been properly differentiated from other strategies and interventions within MBIs. In this context we propose the distinction between top-down and bottom-up mindfulness based emotion regulation strategies. Furthermore, we propose an embodied emotion regulation framework as a multilevel approach for understanding psychobiological changes due to mindfulness meditation regarding its effect on emotion regulation. Finally, based on clinical neuroscientific evidence on mindfulness, we open perspectives and dialogues regarding commonalities and differences between MBIs and other psychotherapeutic strategies for emotion regulation.