Psychological flexibility and nonjudgemental acceptance in voice hearers: relationships with omnipotence and distress

Psychological flexibility and nonjudgemental acceptance in voice hearers: relationships with omnipotence and distress
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声音聆听者的心理灵活性和非评判性接受:与全能和痛苦的关系

DOI:
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发表时间:
2014
期刊:
Australian and New Zealand journal of psychiatry (Print)
影响因子:
--
通讯作者:
E. Peters
E. Peters
中科院分区:
--
文献类型:
--
作者:
E. Morris;P. Garety;E. Peters

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目的:心理灵活性模型被假设为一种跨诊断的、以过程为导向的方法来理解各种临床障碍和问题,包括慢性疼痛、焦虑和药物滥用。在这项研究中,我们调查了该模型对听到痛苦声音的体验的适用性。方法:对50例持续性幻听患者进行肯塔基正念技能量表、接受与行动量表、声音信念量表(修订)、思想控制量表和贝克焦虑抑郁量表。我们预测,心理灵活性、正念行为和非评判性接受与声音听力的痛苦、残疾和行为反应呈负相关,并且当包括声音评估和思想控制策略时,将具有额外的解释力(正如幻听的认知模型所预测的那样)。结果:结果显示心理灵活性和非判断性接受的不同贡献。在基于回归的抑郁和焦虑模型中,心理灵活性占了很大比例的差异,而非评判性接受有助于预测对声音的情绪和行为抵抗,此外还有对声音的评估和思想控制策略的使用。然而,这并没有发现与声音听力、生活中断和与声音接触相关的痛苦,这些都只能由认知变量来解释。结论:研究结果表明,心理灵活性和非评判性接受与一般情绪健康和对声音的抵抗反应方式有关,但与声音听力的特定维度无关。
Objective: The psychological flexibility model has been hypothesized as a transdiagnostic, process-oriented approach to understanding various clinical disorders and problems, including chronic pain, anxiety, and substance misuse. In this study we investigated the model’s applicability to the experience of hearing distressing voices. Methods: Fifty people experiencing persisting auditory hallucinations were administered the Kentucky Inventory of Mindfulness Skills, Acceptance and Action Questionnaire, Beliefs about Voices Questionnaire-Revised, Thought Control Questionnaire, and the Beck Anxiety and Depression Inventories. We predicted that psychological flexibility, mindful action, and nonjudgemental acceptance would be negatively associated with distress, disability, and behavioural responses to voice hearing and would have additional explanatory power when included with appraisals of voices and thought-control strategies (as predicted by cognitive models of auditory hallucinations). Results: The results showed differential contributions between measures of psychological flexibility and nonjudgemental acceptance. Psychological flexibility accounted for a significant proportion of the variance in regression-based models of depression and anxiety, while nonjudgemental acceptance contributed to the prediction of emotional and behavioural resistance to voices, in addition to appraisals of voices and use of thought-control strategies. However, this was not found for distress associated with voice hearing, life disruption, and engagement with voices, which were explained solely by cognitive variables. Conclusions: The study results suggest that psychological flexibility and nonjudgemental acceptance are related to general emotional well being and resistance response styles to voices, but not to specific dimensions of voice hearing.
比较经验接受和认知重新评估作为严重精神疾病患者功能结果的预测因素。
DOI: 10.1016/j.brat.2013.04.003
发表时间: 2013
影响因子: 4.1
作者:
Vilardaga,Roger;Hayes,StevenC;Atkins,DavidC;Bresee,Christie;Kambiz,Alaei
通讯作者: Kambiz,Alaei
DOI: 10.1037//0022-006x.70.2.275
发表时间: 2002-04-01
影响因子: 5.9
作者:
Teasdale, JD;Moore, RG;Segal, ZV
通讯作者: Segal, ZV
DOI: --
发表时间: 1999-08
期刊: --
影响因子: --
作者:
S. Hayes;K. Strosahl;K. Wilson
通讯作者: S. Hayes;K. Strosahl;K. Wilson