Increases in Positive Reappraisal Coping During a Group-Based Mantram Intervention Mediate Sustained Reductions in Anger in HIV-Positive Persons
Increases in Positive Reappraisal Coping During a Group-Based Mantram Intervention Mediate Sustained Reductions in Anger in HIV-Positive Persons
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DOI：
10.1007/s12529-008-9007-3
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发表时间：
2009-03-01
影响因子：
2.7
通讯作者：
Carrico, Adam W.
中科院分区：
文献类型：
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作者：
Bormann, Jill E.;Carrico, Adam W.
有证据表明，各种各样的冥想练习可以减轻痛苦，但人们对频繁重复咒语（精神词汇或短语）减轻痛苦的机制知之甚少。念诵咒语是一种可携带的练习，在一天中不需要特定的时间、地点或姿势，将注意力频繁地集中在一个咒语上。目的：我们检验了一种假设，即在以群体为基础的咒语干预后，积极的重新评价应对或距离应对的增加是否介导了愤怒的持续减少，这种干预旨在训练注意力和促进对内在体验的认识。方法对一项随机对照试验收集的数据进行二次分析，该试验比较了人类免疫缺陷病毒阳性成人社区样本中基于群体的mantram干预（n=46）和注意匹配对照（n=47）。探讨了积极重评价和疏离应对作为愤怒减少的潜在中介。结果在为期5周的干预期内，mantram干预组参与者的积极再评价应对能力显著提高，而对照组参与者的积极再评价应对能力下降。在为期5周的干预期间，积极的重新评价应对的增加似乎介导了咒语对减少愤怒的影响。结论以团体为基础的咒语干预可以通过增强积极的重评价应对来减少愤怒。
Background There is evidence that various meditation practices reduce distress, but little is known about the mechanisms of frequently repeating a mantram-a spiritual word or phrase-on distress reduction. Mantram repetition is the portable practice of focusing attention frequently on a mantram throughout the day without a specific time, place, or posture.Purpose We examined the hypothesis of whether increases in positive reappraisal coping or distancing coping mediated the sustained decreases in anger found following a group-based mantram intervention that was designed to train attention and promote awareness of internal experiences.Method A secondary analysis was performed on data collected from a randomized controlled trial that compared a group-based mantram intervention (n=46) to an attention-matched control (n=47) in a community sample of human immunodeficiency virus-positive adults. Positive reappraisal and distancing coping were explored as potential mediators of anger reduction.Results Participants in the mantram intervention reported significant increases in positive reappraisal coping over the 5-week intervention period, whereas the control group reported decreases. Increases in positive reappraisal coping during the 5-week intervention period appear to mediate the effect of mantram on decreased anger at 22-week follow-up.Conclusions Findings suggest that a group-based mantram intervention may reduce anger by enhancing positive reappraisal coping.