Brief mindfulness training for negative affectivity: A systematic review and meta-analysis.

Brief mindfulness training for negative affectivity: A systematic review and meta-analysis.
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DOI:
10.1037/ccp0000324
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发表时间:
2018-07
影响因子:
5.9
通讯作者:
Creswell JD
Creswell JD
中科院分区:
心理学1区
文献类型:
--
作者:
Schumer MC;Lindsay EK;Creswell JD

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在过去的十年里,发表的关于简短正念训练的随机对照试验(RCT)(从单次诱导到持续两周的多次干预)急剧增加,一些初步迹象表明,这些训练计划可能会改善心理健康结果,例如消极情感。这项荟萃分析旨在评估简短的正念训练是否能可靠地减少消极情绪。PubMed,PsycINFO和正念研究月刊系统地搜索了评估负面情感结果的简短正念干预RCT(例如,抑郁、沉思、焦虑、压力)。65项随机对照试验,包括5,489名参与者,主要没有冥想经验(64.64%女性,平均年龄= 24.62),符合荟萃分析审查的条件。荟萃分析显示,与对照组相比,简短的正念训练对减少负面情绪有很小但显著的影响(g= 0.21,p<0.001)。总体效果大小受参与者特征的显著调节:与学生样本(g=.14,p=.001)相比,社区样本(g =.41,p<.001)产生更大的训练效果(Qbetween p=.03)。在临床和非临床样本之间没有发现显著的效应量差异。然而,当考虑到发表偏倚时,简短的正念训练计划对消极情感的总体影响量显着降低(g=.04)。简短的正念训练计划是越来越受欢迎的减少负面情绪的方法。这项元分析表明,简短的正念训练适度地减少了负面情绪。定量分析表明存在发表偏倚(即,未发表的无效效应研究),强调需要继续严格评估简短的正念干预。
Over the last ten years, there has been a dramatic increase in published randomized controlled trials (RCTs) of brief mindfulness training (from single-session inductions to multi-session interventions lasting up to two weeks), with some preliminary indications that these training programs may improve mental health outcomes, such as negative affectivity. This meta-analysis aimed to evaluate whether brief mindfulness training reliably reduces negative affectivity. PubMed, PsycINFO, and the Mindfulness Research Monthly Newsletter were systematically searched for brief mindfulness intervention RCTs assessing negative affectivity outcomes (e.g., depression, rumination, anxiety, stress). 65 RCTs, including 5,489 participants predominantly without experience in meditation (64.64% female, mean age = 24.62), qualified for the meta-analytic review. The meta-analysis revealed a small but significant effect of brief mindfulness training on reducing negative affectivity compared to control programs (g=.21, p<.001). The overall effect size was significantly moderated by participant characteristics: community samples (g=.41, p<.001) produced larger training effects compared to student samples (g=.14, p=.001) (Qbetween p=.03). No significant effect size differences were found between clinical and non-clinical samples. However, when accounting for publication bias, the overall effect size of brief mindfulness training programs on negative affectivity was significantly reduced (g=.04). Brief mindfulness training programs are increasingly popular approaches for reducing negative affectivity. This meta-analysis indicates that brief mindfulness training modestly reduces negative affectivity. Quantitative analyses indicated the presence of publication bias (i.e., unpublished null effect studies), highlighting the need to continue rigorous evaluation of brief mindfulness interventions.
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