Mindfulness-based stress reduction: what processes are at work?

Mindfulness-based stress reduction: what processes are at work?
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DOI:
10.1016/j.ctcp.2007.09.004
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发表时间:
2008-02-01
影响因子:
3
通讯作者:
Dobkin, Patricia L
Dobkin, Patricia L
中科院分区:
医学3区
文献类型:
--
作者:
Dobkin, Patricia L

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基于正念的减压(MBSR)是一项已被证明对临床和非临床人群有益的计划。虽然参与者的成果受到了很多关注,但有关改进流程的工作却很少发表。在此,完成乳腺癌治疗的女性在 MBSR 之前和之后填写了问卷,并使用焦点小组方法进行访谈,将定量和定性数据结合起来,探索潜在的变化机制。结果发现,正念注意力意识量表是评估正念变化的有用过程测量,而应对健康伤害和问题问卷则有助于记录 8 周计划过程中姑息(自我护理)应对的变化。此外,连贯感调查问卷表明,女性认为 MSBR 后的生活更有意义、更容易管理。我们的研究结果符合夏皮罗等人的理论,即随着时间的推移,MBSR 项目的参与者会“重新感知”他们在日常经历中遇到的事情。
Mindfulness-Based Stress Reduction (MBSR) is a program that has been shown to be beneficial for clinical and non-clinical populations. While much attention has been paid to participants' outcomes, little work has been published concerning processes underlying improvements. Herein, women who had finished medical treatment for breast cancer completed questionnaires pre- and post-MBSR and were interviewed using focus group methodology such that quantitative and qualitative data were combined to explore potential mechanisms underlying changes. It was found that the Mindfulness Attention Awareness Scale was a useful process measure to assess changes in mindfulness and that the Coping with Health Injuries and Problems questionnaire was useful in documenting changes in palliative (self-care) coping over the course of the 8 week program. Moreover, the Sense of Coherence questionnaire suggested that the women viewed life as more meaningful and manageable following MSBR. Our findings fit with Shapiro et al.'s theory that, over time, participants in an MBSR program "reperceive" what they encounter in their daily experiences.