The mindful brain and emotion regulation in mood disorders.
The mindful brain and emotion regulation in mood disorders.
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DOI：
10.1177/070674371205700203
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发表时间：
2012-02
期刊：
影响因子：
--
通讯作者：
Segal ZV
中科院分区：
文献类型：
--
作者：
Farb NA;Anderson AK;Segal ZV
正念包括对当下体验的不加评判的关注。在其治疗形式中，正念干预促进了对负面影响的容忍程度的提高，并改善了幸福感。然而，正念情绪调节背后的神经机制却知之甚少。正念训练似乎增强了大脑中由前扣带回和外侧前额叶皮质支持的注意力监测系统。在情绪调节中，这种前额叶训练似乎促进了非概念性感觉通路的稳定招募，这是传统认知重新评估策略的替代。用神经术语来说，向非概念意识的转变涉及减少前额叶皮质中线结构支持的习惯性评估加工。相反，注意力资源被引导到一条边缘通路，以获得当下的感觉感知，涉及丘脑、脑岛和主要感觉区域。在情感障碍患者中，正念训练作为控制情绪的认知努力的替代，而不是将注意力引导到广泛监测瞬间体验的波动上。限制有利于瞬间意识的认知精加工似乎减少了自动的负面自我评估，增加了对负面情绪和痛苦的容忍度，并有助于在慢性焦虑症患者中产生自我同情和同理心。
Mindfulness involves nonjudgmental attention to present-moment experience. In its therapeutic forms, mindfulness interventions promote increased tolerance of negative affect and improved well being. However, the neural mechanisms underlying mindful mood regulation are poorly understood. Mindfulness training appears to enhance attentional monitoring systems in the brain, supported by the anterior cingulate and lateral prefrontal cortices. In emotion regulation, this prefrontal training seems to promote the stable recruitment of a non-conceptual sensory pathway, an alternative to conventional cognitive reappraisal strategies. In neural terms, the transition to non-conceptual awareness involves reducing habitual evaluative processing supported by midline structures of the prefrontal cortex. Instead, attentional resources are directed towards a limbic pathway for present-moment sensory awareness, involving the thalamus, insula, and primary sensory regions. In patients with affective disorders, mindfulness training acts as an alternative to cognitive efforts to control emotion, instead directing attention towards broadly monitoring fluctuations in momentary experience. Limiting cognitive elaboration in favor of momentary awareness appears to reduce automatic negative self-evaluation, increase tolerance for negative affect and pain, and help to engender self-compassion and empathy in chronically dysphoric individuals.
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影响因子：
4.2
作者：
Goldin, Philippe R.;Gross, James J.
通讯作者：
Gross, James J.
影响因子：
10.6
作者：
Davidson, RJ
通讯作者：
Davidson, RJ
影响因子：
3
作者：
Dunn, BR;Hartigan, JA;Mikulas, WL
通讯作者：
Mikulas, WL
DOI：
10.1073/pnas.0810363106
发表时间：
2009-05-12
影响因子：
11.1
作者：
Immordino-Yang, Mary Helen;McColl, Andrea;Damasio, Antonio
通讯作者：
Damasio, Antonio
影响因子：
3.2
作者：
Chambers, CD;Bellgrove, MA;Mattingley, JB
通讯作者：
Mattingley, JB