Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder.
Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder.
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DOI：
10.1037/a0018441
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发表时间：
2010-02
期刊：
影响因子：
4.2
通讯作者：
Gross, James J.
中科院分区：
文献类型：
--
作者：
Goldin, Philippe R.;Gross, James J.
基于正念的减压疗法（MBSR）是一个成熟的项目，已被证明能减轻压力、焦虑和抑郁症状。人们认为MBSR通过改变认知 - 情感过程来改变情绪反应。鉴于社交焦虑障碍（SAD）的特点是存在情绪和注意力偏差以及扭曲的负面自我信念，我们研究了社交焦虑障碍患者中与MBSR相关的情绪反应性以及负面自我信念调节的脑 - 行为指标的变化。16名患者在对负面自我信念做出反应以及使用两种注意力调配的情绪调节方式（专注于呼吸的注意力和专注于分心的注意力）调节负面情绪时接受了功能性磁共振成像检查。在MBSR治疗后，14名患者完成了神经影像学评估。与基线相比，完成MBSR的患者在焦虑和抑郁症状以及自尊方面有所改善。在专注于呼吸的注意力任务期间（但在专注于分心的注意力任务期间没有），他们还表现出：（a）负面情绪体验减少，（b）杏仁核活动减弱，以及（c）与注意力调配有关的大脑区域活动增强。对社交焦虑障碍患者进行MBSR训练可能会降低情绪反应性，同时增强情绪调节能力。这些变化可能有助于减少社交焦虑障碍患者的回避行为、临床症状以及对负面自我信念的自动情绪反应。
Mindfulness-based stress reduction (MBSR) is an established program shown to reduce symptoms of stress, anxiety, and depression. MBSR is believed to alter emotional responding by modifying cognitive–affective processes. Given that social anxiety disorder (SAD) is characterized by emotional and attentional biases as well as distorted negative self-beliefs, we examined MBSR-related changes in the brain-behavior indices of emotional reactivity and regulation of negative self-beliefs in patients with SAD. Sixteen patients underwent functional MRI while reacting to negative self-beliefs and while regulating negative emotions using 2 types of attention deployment emotion regulation—breath-focused attention and distraction-focused attention. Post-MBSR, 14 patients completed neuroimaging assessments. Compared with baseline, MBSR completers showed improvement in anxiety and depression symptoms and self-esteem. During the breath-focused attention task (but not the distraction-focused attention task), they also showed (a) decreased negative emotion experience, (b) reduced amygdala activity, and (c) increased activity in brain regions implicated in attentional deployment. MBSR training in patients with SAD may reduce emotional reactivity while enhancing emotion regulation. These changes might facilitate reduction in SAD-related avoidance behaviors, clinical symptoms, and automatic emotional reactivity to negative self-beliefs in adults with SAD.
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