Changes in spirituality partly explain health-related quality of life outcomes after Mindfulness-Based Stress Reduction.

Changes in spirituality partly explain health-related quality of life outcomes after Mindfulness-Based Stress Reduction.
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DOI:
10.1007/s10865-011-9332-x
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发表时间:
2011-12
影响因子:
3.1
通讯作者:
Wolever, Ruth Quillian
Wolever, Ruth Quillian
中科院分区:
心理学3区
文献类型:
--
作者:
Greeson, Jeffrey M.;Webber, Daniel M.;Smoski, Moria J.;Brantley, Jeffrey G.;Ekblad, Andrew G.;Suarez, Edward C.;Wolever, Ruth Quillian

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基于正念的减压是一个世俗的行为医学计划,其根源在于冥想的精神实践。因此,灵性可以部分解释基于正念的减压结果。参与者(N = 279; M(SD)年龄= 45(12); 75%女性)在为期8周的正念减压计划前后完成了一项在线调查。结构方程模型被用来检验假设,即在基于正念的减压之后,增强的正念和改善的健康相关生活质量之间的关系是由增加的日常精神体验介导的。灵性和正念的变化与心理健康的改善显著相关。虽然最初的中介假设不被支持,但另一个模型表明,增强正念在一定程度上介导了日常精神体验增加与心理健康相关生活质量改善之间的关联(间接效应:β = 0.07,P = 0.017)。对身体健康相关生活质量的影响不显著。研究结果表明,一种新的机制,通过这种机制,基于正念的减压后增加的日常精神体验可以部分解释心理健康的改善,因为这是更大的正念的功能。
Mindfulness-Based Stress Reduction is a secular behavioral medicine program that has roots in meditative spiritual practices. Thus, spirituality may partly explain Mindfulness-Based Stress Reduction outcomes. Participants (N = 279; M (SD) age = 45(12); 75% women) completed an online survey before and after an 8-week Mindfulness-Based Stress Reduction program. Structural equation modeling was used to test the hypothesis that, following Mindfulness-Based Stress Reduction, the relationship between enhanced mindfulness and improved health-related quality of life is mediated by increased daily spiritual experiences. Changes in both spirituality and mindfulness were significantly related to improvement in mental health. Although the initial mediation hypothesis was not supported, an alternate model suggested that enhanced mindfulness partly mediated the association between increased daily spiritual experiences and improved mental health-related quality of life (indirect effect: β = 0.07, P = 0.017). Effects on physical health-related quality of life were not significant. Findings suggest a novel mechanism by which increased daily spiritual experiences following Mindfulness-Based Stress Reduction may partially explain improved mental health as a function of greater mindfulness.
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