The role of mindfulness in positive reappraisal.

The role of mindfulness in positive reappraisal.
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DOI:
10.1016/j.explore.2008.10.001
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发表时间:
2009-01
影响因子:
2.4
通讯作者:
Park, Jongbae
Park, Jongbae
中科院分区:
医学4区
文献类型:
--
作者:
Garland, Eric;Gaylord, Susan;Park, Jongbae

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正念冥想因其对多种疾病和病症的治疗功效而日益闻名,但其作用机制在科学界仍存在争议。在本文中,我们提出了一个假设的因果模型,该模型论证了正念在积极重新评估应对中的作用。积极的重新评估是基于意义的应对的一个关键组成部分,它使个人能够成功地适应压力生活事件。正念作为意识的一种元认知形式,涉及去中心化的过程,即认知集合的转变,从而能够对生活事件进行交替评估。我们回顾了交易压力和应对理论中积极重评的概念;然后描述与正念和认知重评估相关的研究和传统文献,并详细说明正念在重评估过程中的核心作用。有了这种理解,我们提出了一个因果模型来解释所提出的机制。该讨论对临床实践具有影响,表明如何设计基于正念的综合医学干预措施来支持适应性应对过程。
Mindfulness meditation is increasingly well known for therapeutic efficacy in a variety of illnesses and conditions, but its mechanism of action is still under debate in scientific circles. In this paper we propose a hypothetical causal model that argues for the role of mindfulness in positive reappraisal coping. Positive reappraisal is a critical component of meaning-based coping that enables individuals to adapt successfully to stressful life events. Mindfulness, as a metacognitive form of awareness, involves the process of decentering, a shifting of cognitive sets that enables alternate appraisals of life events. We review the concept of positive reappraisal in transactional stress and coping theory; then describe research and traditional literature related to mindfulness and cognitive reappraisal, and detail the central role of mindfulness in the reappraisal process. With this understanding, we present a causal model explicating the proposed mechanism. The discussion has implications for clinical practice, suggesting how mindfulness-based integrative medicine interventions can be designed to support adaptive coping processes.
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