Mindfulness, Acceptance and Defusion Strategies in Smokers: a Systematic Review of Laboratory Studies.
Mindfulness, Acceptance and Defusion Strategies in Smokers: a Systematic Review of Laboratory Studies.
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吸烟者的正念、接受和解离策略：实验室研究的系统回顾。
DOI：
10.1007/s12671-017-0767-1
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发表时间：
2018
期刊：
影响因子：
3.6
通讯作者：
Kamboj,SunjeevK
中科院分区：
文献类型：
--
作者：
Serfaty,Shirley;Gale,Grace;Beadman,Matthew;Froeliger,Brett;Kamboj,SunjeevK
心理灵活性模型（PFM）为理解和治疗成瘾行为失调提供了一个框架。而不是调节主观体验的强度，基于或符合PFM的干预措施（PFM干预措施）试图改变个人与内部状态的关系，如渴望，负面影响和与毒品有关的想法，使用正念，接受和相关策略。在吸烟者中进行的实验（非临床）研究检查了由PFM告知或与PFM一致的特定孤立策略（PFM策略）的效果。在这里，我们系统地回顾这些研究，并确定它们在多大程度上符合指示高水平的内部效度的方法标准。通过电子数据库检索确定符合条件的研究，并评估是否存在特定的方法学特征。根据数据的可用性确定临时综合效应量。在1499篇筛选的出版物中，12篇符合标准。所有检查方面的私人主观经验有关的禁欲（渴望n = 12;消极affectn= 10），表现出有利于PFM策略相对于不活跃的控制条件的影响。然而，只有6个评估结果领域与PFM一致，没有提供支持PFM策略的一致证据。总体而言，大多数研究都存在方法上的局限性。因此，仍然需要高质量的实验研究来提高我们对PFM指导的戒烟干预措施的必要和/或充分成分的理解。最后对今后的研究方向提出了建议。
The psychological flexibility model (PFM) provides a framework for understanding and treating behavioural dysregulation in addictions. Rather than modulating the intensity of subjective experience, interventions based on, or consistent with, the PFM (PFM interventions) seek to alter the individual’s relationship to internal states, such as craving, negative affect and drug-related thoughts, using mindfulness, acceptance and related strategies. Experimental (non-clinical) studies in smokers have examined the effects of specific isolated strategies informed by or consistent with the PFM (PFM strategies). Here, we systematically review these studies and determine the extent to which they conform to methodological standards indicative of high levels of internal validity. Eligible studies were identified through electronic database searches and assessed for the presence of specific methodological features. Provisional aggregate effect sizes were determined depending on availability of data. Of 1499 screened publications, 12 met the criteria. All examined aspects of private subjective experience relevant to abstinence (cravingn= 12; negative affectn= 10), demonstrating effects favouring PFM strategies relative to inactive control conditions. However, only six assessed outcome domains consistent with the PFM and provided no consistent evidence favouring PFM strategies. Overall, most studies had methodological limitations. As such, high-quality experimental studies continue to be needed to improve our understanding of necessary and/or sufficient constituents of PFM-guided smoking cessation interventions. Recommendations for future research are discussed.