Mindfulness-based interventions for eating disorders: The potential to mobilize multiple associative-learning change mechanisms.

Mindfulness-based interventions for eating disorders: The potential to mobilize multiple associative-learning change mechanisms.
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基于正念的饮食失调干预措施:调动多种联想学习改变机制的潜力。

DOI:
10.1002/eat.23564
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发表时间:
2021
期刊:
The International journal of eating disorders
影响因子:
--
通讯作者:
Levinson,CheriA
Levinson,CheriA
中科院分区:
--
文献类型:
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作者:
Roos,CoreyR;Sala,Margaret;Kober,Hedy;Vanzhula,IrinaA;Levinson,CheriA

文献摘要

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正念是一种由两部分组成的技能,包括正念意识(对当下经历的注意监控)和正念接受(对这种经历采取接受的态度)。尽管基于正念的干预(mbi)对许多情况都有效,但缺乏关于mbi治疗饮食失调(EDs)的研究。我们认为,MBIs对于ed来说可能是有希望的,因为它们有可能调动ed中的多种联想学习变化机制,这种机制被定义为涉及两种联想学习形式之一的适应性变化过程:巴甫洛夫学习和操作性学习。我们假设mbi如何通过增加正念意识或正念接受来调动多达八种联想学习改变机制,其中两种涉及巴甫洛夫学习,六种涉及操作性学习。我们还详细阐述了MBIs和CBT治疗ed方法之间的异同,以及协同的机会。最后,我们对未来的研究提出了建议,这些研究涉及开发和评估新的MBI干预措施,以及测试机制和患者-治疗匹配假设。
Mindfulness is a two‐component skill that includesmindful awareness(attentional monitoring of present moment experience) andmindful acceptance(adopting an attitude of acceptance toward this experience). Although mindfulness‐based interventions (MBIs) are efficacious for many conditions, there is a lack of research on MBIs for eating disorders (EDs). We propose that MBIs may be promising for EDs given their potential to mobilize not one, but multipleassociative‐learning change mechanismsin EDs–defined as adaptive processes of change involving one of two forms of associative‐learning: Pavlovian and operant learning. We hypothesize how MBIs–via increasing either mindful awareness or mindful acceptance–may mobilize up to eight associative‐learning change mechanisms, two involving Pavlovian learning, and six involving operant learning. We also elaborate on similarities and differences between MBIs and CBT approaches for EDs, as well as opportunities for synergy. Finally, we present recommendations for future research related to the development and evaluation of novel MBI interventions for EDs and the testing of mechanisms and patient‐treatment matching hypotheses.