Mindfulness-Based Attention Training Improves Cognitive and Affective Processes in Daily Life in Remitted Patients with Recurrent Depression: A Randomized Controlled Trial
Mindfulness-Based Attention Training Improves Cognitive and Affective Processes in Daily Life in Remitted Patients with Recurrent Depression: A Randomized Controlled Trial
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基于正念的注意力训练可改善复发性抑郁症缓解患者日常生活中的认知和情感过程：一项随机对照试验
DOI：
10.1159/000488862
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发表时间：
2018
影响因子：
22.8
通讯作者：
Kuehner C
中科院分区：
文献类型：
--
作者：
Timm C;Rachota-Ubl B;Beddig T;Zamoscik V;Ebner-Priemer U;Reinhard I;Kirsch P;Kuehner C
基于正念的认知疗法(MBCT[1])已被证明能有效地预防抑郁症复发[2]，特别是在有频繁发作的患者中[3]。然而，MBCT的潜在机制还没有完全被理解[4]。在这种背景下，日常生活中功能失调的经验过程可能发生的变化可能成为研究的目标。首先，在经验的“微观层面”衡量的瞬间情感和认知脆弱性模式有助于预测临床抑郁症的“宏观层面”长期病程[5，6]。第二，第一个证据表明，MBCT后日常生活中积极情绪(PA)和奖励敏感性的增加可能会增强韧性，从而降低复发的风险，瞬时PA和负面情绪(NA)的变化可能中介MBCT的疗效[4]。MBCT还可能促进PA和积极认知的螺旋上升[7]。到目前为止，缺乏关于MBCT后日常生活中认知脆弱性潜在变化的研究。同时，最近的研究呼吁识别MBCT各个组成部分的影响[8]。例如，专注于注意力集中的早期阶段将使我们能够研究注意力控制对反复抑郁个体受损的核心认知过程的潜在影响。尤其是抑郁沉思，在理论MBCT模型中是一个关键的认知脆弱性因素，与认知抑制缺陷和注意过程中的价态特定偏差有关[9]。MBCT模型表明，随着随后的发作，抑郁情绪会越来越自动地重新激活沉思，并提出MBCT在减少频繁发作的患者的反思思维周期方面特别有效[1]。
Mindfulness-based cognitive therapy (MBCT [1]) has been shown to effectively prevent depressive relapse [2], particularly in patients with frequent previous episodes [3]. However, the potential mechanisms underlying MBCT are not fully understood [4]. In this context, possible changes in dysfunctional experiential processes during daily life may constitute promising targets of investigation. First, momentary affective and cognitive vulnerability patterns, measured at the “micro-level” of experience, contribute to the prediction of the “macro-level” long-term course of clinical depression [5, 6]. Second, first evidence suggests that increases in positive affect (PA) and reward sensitivity in daily life following MBCT may increase resilience, thereby reducing the risk of relapse, and that changes in momentary PA and negative affect (NA) possibly mediate the efficacy of MBCT [4]. MBCT may also promote an upward spiral of PA and positive cognition [7]. Research on potential changes in cognitive vulnerability in daily life following MBCT is lacking so far.In parallel, recent research has called for the identification of the effects of individual components of MBCT [8]. For example, focusing on the early stage of focused attention would allow the study of the potential effects on impaired core cognitive processes of attentional control in recurrently depressed individuals. Particularly depressive rumination, a key cognitive vulnerability factor in the theoretical MBCT model, has been linked to cognitive inhibitory deficits and valence-specific biases in attentional processes [9]. The MBCT model suggests an increasingly automatic reactivation of rumination by depressed mood with subsequent episodes and proposes that MBCT is specifically effective in reducing these ruminative thinking cycles in patients with frequent episodes [1].
揭示日常生活中的情感反应模式可能会改善抑郁症的结果预测：一项瞬时评估研究。
影响因子：
6.6
作者：
M. Wichers;Frederique E.C.M. Peeters;N. Geschwind;N. Jacobs;N. Jacobs;C. Simons;C. Derom;E. Thiery;P. Delespaul;J. V. Os
通讯作者：
J. V. Os