Loving-Kindness Meditation for Posttraumatic Stress Disorder: A Pilot Study
Loving-Kindness Meditation for Posttraumatic Stress Disorder: A Pilot Study
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DOI：
10.1002/jts.21832
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发表时间：
2013-08-01
影响因子：
3.3
通讯作者：
Simpson, Tracy L.
中科院分区：
文献类型：
--
作者：
Kearney, David J.;Malte, Carol A.;Simpson, Tracy L.
慈爱冥想是一种旨在增强对自己和他人的仁慈和同情的感觉的练习。慈爱冥想包括重复对自己和他人有积极意图的短语。我们对患有创伤后应激障碍（PTSD）的退伍军人进行了一项慈爱冥想的开放试点试验。在基线、12周的慈爱冥想课程后和3个月后，获得了PTSD、抑郁、自我同情和正念的测量结果。从基线到每个随访点计算效果大小，并将自我同情作为中介进行评估。出勤率很高; 74%的学生上了9-12节课。自我同情随着大的效应量而增加，正念随着中到大的效应量而增加。在3个月随访时发现PTSD症状的效应量较大（d = -0.89），在3个月随访时发现抑郁症的效应量中等（d = -0.49）。有证据表明，通过增强自我同情，可以减轻创伤后应激障碍症状和抑郁症。总体而言，慈爱冥想似乎是安全和可接受的，并与减少创伤后应激障碍和抑郁症的症状有关。对PTSD进行慈爱冥想的额外研究是必要的，以确定所看到的变化是否是由于慈爱冥想干预与其他影响，包括同时接受其他治疗。
Loving-kindness meditation is a practice designed to enhance feelings of kindness and compassion for self and others. Loving-kindness meditation involves repetition of phrases of positive intention for self and others. We undertook an open pilot trial of loving-kindness meditation for veterans with posttraumatic stress disorder (PTSD). Measures of PTSD, depression, self-compassion, and mindfulness were obtained at baseline, after a 12-week loving-kindness meditation course, and 3 months later. Effect sizes were calculated from baseline to each follow-up point, and self-compassion was assessed as a mediator. Attendance was high; 74% attended 9-12 classes. Self-compassion increased with large effect sizes and mindfulness increased with medium to large effect sizes. A large effect size was found for PTSD symptoms at 3-month follow-up (d = -0.89), and a medium effect size was found for depression at 3-month follow-up (d = -0.49). There was evidence of mediation of reductions in PTSD symptoms and depression by enhanced self-compassion. Overall, loving-kindness meditation appeared safe and acceptable and was associated with reduced symptoms of PTSD and depression. Additional study of loving-kindness meditation for PTSD is warranted to determine whether the changes seen are due to the loving-kindness meditation intervention versus other influences, including concurrent receipt of other treatments.