Effects of mindfulness training on posttraumatic stress symptoms from a community-based pilot clinical trial among survivors of intimate partner violence.
Effects of mindfulness training on posttraumatic stress symptoms from a community-based pilot clinical trial among survivors of intimate partner violence.
复制标题
DOI：
10.1037/tra0000975
复制
发表时间：
2020-11
期刊：
影响因子：
--
通讯作者：
Pigeon WR
中科院分区：
文献类型：
--
作者：
Gallegos AM;Heffner KL;Cerulli C;Luck P;McGuinness S;Pigeon WR
暴露于亲密伴侣暴力（IPV）是一个重大的公共卫生问题，与有害的精神和医疗健康合并症，包括创伤后应激障碍（PTSD）有关。创伤后应激（PTS）的标志性症状，即使没有达到创伤后应激障碍的诊断门槛，似乎是由多个领域的自我调节能力差所支撑的，包括情绪、认知控制和生理压力。正念减压法（MBSR）有望治疗PTS症状，因为有证据表明它针对这些领域。目前的研究是一项试点随机临床试验，旨在研究在参加以小组为基础的8周正念减压计划后，患有PTS症状升高的女性IPV幸存者在情绪调节、注意力功能和生理应激失调方面的变化。共有29名参与者被随机分为正念减压疗法组（n = 19）和主动对照组（n = 10）。在研究开始时以及8周和12周后进行评估。主要结局的组间差异无统计学意义；然而，在组内调查时，正念减压治疗组PTS症状降低，F(1.37, 16.53) = 5.19, p < 0.05；情绪失调，F(1.31, 14.46) = 9.36, p < 0.01，差异有统计学意义。此外，PTSD和情绪失调的减少在正念减压参与者中有显著的临床意义，而在对照组中没有。这些初步数据提示，正念减压可能改善PTS症状和情绪调节，并提示在正念减压机制和应激调节心理生理模型的整合模型指导下，进一步研究PTSD干预的有效性。
Exposure to intimate partner violence (IPV) is a significant public health issue associated with deleterious mental and medical health comorbidities, including posttraumatic stress disorder (PTSD). The hallmark symptoms of posttraumatic stress (PTS), even when not meeting the threshold for a diagnosis of PTSD, appear to be underpinned by poor self-regulation in multiple domains, including emotion, cognitive control, and physiological stress. Mindfulness-based stress reduction (MBSR) holds promise for treating PTS symptoms because evidence suggests it targets these domains. The current study was a pilot randomized clinical trial designed to examine changes in emotion regulation, attentional function, and physiological stress dysregulation among women IPV survivors with elevated PTS symptoms after participation in a group-based, 8-week MBSR program. In total, 29 participants were randomized to receive MBSR (n = 19) or an active control (n = 10). Assessments were conducted at study entry, as well as 8 and 12 weeks later. Between-group differences on primary outcomes were nonsignificant; however, when exploring within groups, statistically significant decreases in PTS symptoms, F(1.37, 16.53) = 5.19, p < .05, and emotion dysregulation, F(1.31, 14.46) = 9.36, p < .01, were observed after MBSR but not after the control intervention. Further, decreases in PTSD and emotion dysregulation were clinically significant for MBSR participants but not control participants. These preliminary data signal that MBSR may improve PTS symptoms and emotion regulation and suggest further study of the effectiveness of PTSD interventions guided by integrative models of MBSR mechanisms and psychophysiological models of stress regulation.
登录
查看更多内容
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：
--
作者：
Davis LL;Whetsell C;Hamner MB;Carmody J;Rothbaum BO;Allen RS;Al Bartolucci ABPP;Southwick SM;Bremner JD
通讯作者：
Bremner JD
影响因子：
4.7
作者：
Aupperle RL;Melrose AJ;Stein MB;Paulus MP
通讯作者：
Paulus MP
影响因子：
2.9
作者：
Dutton, Mary Ann;Bermudez, Diana;Myers, Neely L.
通讯作者：
Myers, Neely L.
影响因子：
2.6
作者：
Hauschildt, Marit;Peters, Maarten J. V.;Jelinek, Lena
通讯作者：
Jelinek, Lena