A qualitative study of mindfulness-based cognitive therapy for depression
A qualitative study of mindfulness-based cognitive therapy for depression
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DOI：
10.1348/000711201160911
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发表时间：
2001-06-01
期刊：
影响因子：
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通讯作者：
Hargreaves, I
中科院分区：
文献类型：
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作者：
Mason, O;Hargreaves, I
包含正念药物培训的心理治疗干预已被证明可以帮助参与者解决各种身体和心理问题。正念认知疗法（MBCT）是一种基于冥想的心理治疗干预，旨在帮助降低复发性抑郁症复发的风险。多中心随机对照试验的早期证据令人鼓舞。然而，很少有人知道的过程中，MBCT可能带来的治疗效益。本研究旨在探讨参与者在心理健康背景下对MBCT的描述。分两个阶段对7名参与者进行了访谈。在MBCT后的几周内获得了四名参与者的访谈数据。扎根理论技术被用来确定几个类别，联合收割机来描述的方式，其中心理健康的困难，以及他们的MBCT的经验。另外三个参与者谁继续练习MBCT进行了采访，以进一步验证，阐明和扩展这些类别。该理论表明，对治疗的先入之见和期望对后来的MBCT体验有重要影响，确定了治疗变化的重要领域（“达成协议”），包括发展正念技能，接受态度和“活在当下”。正念技能的发展被认为在变革的发展中发挥着关键作用。将这些技能推广到日常生活中被认为是重要的，并讨论了实现这一点的几种方式，包括使用突破空间。这项研究强调了持续的技能练习对参与者的治疗收益的作用。此外，一些概念和类别为情绪障碍的认知解释和正念认知疗法在减少复发中的作用提供了支持。
Psychotherapeutic interventions containing training in mindfulness medication have been shown to help participants with a variety of somatic and psychological conditions. Mindfulness-based cognitive therapy (MBCT) is a meditation-based psychotherapeutic intervention designed to help reduce the risk of relapse of recurrent depression. There is encouraging early evidence from multi-centre randomized controlled trials. However, little is known of the process by which MBCT may bring therapeutic benefits. This study set out to explore participants' accounts of MBCT in the mental-health context. Seven participants were interviewed in two phases. Interview data from four participants were obtained in the weeks following MBCT. Grounded theory techniques were used to identify several categories that combine to describe the ways in which mental-health difficulties arose as well as their experiences of MBCT. Three further participants who have continued to practise MBCT were interviewed so as to further validate, elucidate and extend these categories. The theory suggested chat che preconceptions and expectations of therapy are important influences on later experiences of MBCT important areas of therapeutic change ('coming to terms') were identified, including the development of mindfulness skills, an attitude of acceptance and 'living in the moment'. The development of mindfulness skills was seen to hold a key role in the development of change. Generalization of these skills to everyday life was seen as important, and several ways in which this happened, including the use of breaching spaces, were discussed. The study emphasized the role of continued skills practice for participants' therapeutic gains. In addition, several of the concepts and categories offered support to cognitive accounts of mood disorder and the role of MBCT in reducing relapse.