正念对实现型幸福感的影响及其理论解释

实现型幸福感是当个体的生命活动与深层价值观协调一致时,积极投入到活动中充分发挥个人潜能而产生的目的感和意义感。正念可能是影响提高实现型幸福感途径最核心的个体内部因素。近期研究发现：正念特质与实现型幸福感高度正相关,注意觉知和接纳分别通过预测更高的积极品质和缓解负性情绪影响实现型幸福感;正念训练提高了临床与非临床群体的实现型幸福感;S-ART模型(self-awareness,self-regulation,and self-transcendence model)、正念的意义建构理论和自我决定理论分别从认知调节、情绪调节和行为调节角度解释了正念影响实现型幸福感作用机制。未来应进一步分析正念基本元素对实现型幸福感的差异性影响,深化探索正念影响实现型幸福感机制,开发针对提高实现型幸福感的正念训练。     

接纳承诺疗法

接纳承诺疗法是基于正念发展而来的第三代行为治疗理论,它以关系框架理论为基础,在抑郁症等心理障碍的临床心理辅导实践中形成了自己独特的心理病理观和治疗观,以正念、认知解离、接受、价值观等内容为指导,通过正念接受程序、平衡接纳与改变程序来提高心理灵活性,其独特的咨询模式在过程治疗和效果治疗中都取得了比其他常规辅导方法更好的效果。接纳承诺疗法与其他传统疗法相结合及其本土化应用将成为未来研究的一个热点。     

接纳与承诺疗法的理论背景、实证研究与未来发展

接纳与承诺疗法(Acceptance and Commitment Therapy, ACT)于上世纪90年代初由美国治疗师Steven C. Hayes提出。作为基于正念技术的第三代行为治疗理论之一, 该疗法以功能情境主义为哲学基础, 立足于人类认知和语言基本性质的实证研究, 旨在通过平衡接纳与改变来提高心理灵活性。临床研究已证明其在相当广泛的临床问题上都取得了良好效果, 并在与CBT等传统疗法的对比中展现优势。ACT的临床效果和技术细节可做进一步研究, 该疗法与CBT的融合及其在临床领域之外的应用也是未来的研究方向。     

成人依恋与心理理论的关系:认知融合与经验性回避的中介作用

为探究成人依恋、认知融合、经验性回避与心理理论的关系及其作用机制,研究者采用实验法和问卷法对312名成年人进行了测量。研究结果表明：（1）不安全的成人依恋负向预测心理理论;（2）经验性回避在成人依恋与心理理论之间起中介作用;（3）认知融合在成人依恋与心理理论之间不存在中介作用;（4）成人依恋的两种类型（依恋回避、依恋焦虑）呈现出不同的链式中介作用：认知融合与经验性回避在依恋回避与心理理论之间起部分中介作用,而在依恋焦虑与心理理论之间起完全中介作用。研究从心理灵活性的角度考察成人依恋与心理理论的关系及其作用机制,并探究接纳承诺训练在提升社会认知能力上的实践意义。     

社会计量器理论的研究进展：社交接纳/拒绝与自尊的关系

社会计量器理论提出自尊是个体对社交接纳或拒绝的主观计量器,它监控和调节着人们的人际关系质量。目前,该领域的研究主要从两方面展开：一方面从社交反馈的角度探讨了社交接纳与人际评价对状态自尊的影响;另一方面从社交行为的角度探讨了特质自尊对社交意愿和社交决策的影响。未来的研究需要对影响自尊的社交情境进行具体区分,并就社交反馈、心理变化与社交行为的关系,任务特性的认知过程对自尊的影响进行综合探讨。     

正念对饮食行为的影响及作用机理

正念是一种以不批判的态度全然接纳当下体验的觉察力,正念训练对改善不良饮食行为的积极作用正日益受到研究者的广泛关注。本文对正念在改善不良饮食行为中的积极作用与机理,以及基于正念的不良饮食行为矫正方法进行了梳理与归纳。在已有研究的基础上,未来研究需要进一步探索正念对健康饮食行为的作用、从生命周期的视角考察正念对饮食行为的影响、基于思维压抑视角探讨正念的作用机制以及检验正念不良饮食矫正效果的边界。     

正念禅修与成瘾行为

在矫正成瘾行为的研究中,正念禅修作为一种更为有益的尝试,受到研究者们日益广泛的关注。正念禅修指个体自觉地将注意力集中于体验其思想、情绪和身体感觉上,并以觉察、接纳和非批判的态度关注于当下体验的训练方式。目前,研究者主要就正念禅修在成瘾行为矫正中的积极作用、渴望与压力在其中所扮演的作用以及从神经机制三方面对其进行阐述,由于当前的研究大多是初步性的,未来可从研究方法学、解释机制和应用研究等方面展开进一步的探究。     

正念干预在癌症康复中的临床应用

<正>念是当我们以一种开放、接纳和洞察的方式,有意地对此时此刻加以注意时涌现出的觉知。正念干预已被应用于多种心理学与临床情境,并且十分适合癌症人群面临的特殊困境。面向癌症人群的正念干预多从传统正念项目发展而来,大多有所调整以适应不同病人的需要。许多研究发现了正念干预应用于癌症康复的积极结果,体现在心理社会(抑郁、焦虑、压力、生活质量等)、癌症相关症状(如疼痛、疲劳、睡眠)和生物指标(如免疫、内分泌、自主神经系统、端粒)等方面。未来研究需着重探讨正念癌症康复的心理和生物学机制,为精细化干预提供理论支撑。同时,正念干预还应在多种癌症类型、多个治疗阶段和康复阶段中得到更广泛的应用。     

特质正念与大学生焦虑和攻击性的纵向关系：心理弹性的中介和留守经历的调节

基于心理弹性的整合模型和压力与健康关系的终生发展模型,以629名大学生为被试,进行间隔时间为三个月的两次施测,探讨特质正念与大学生焦虑和攻击性的关系及其作用机制。研究发现:(1)特质正念对大学生焦虑和攻击性具有显著的负向预测作用;(2)特质正念通过心理弹性的中介作用预测大学生焦虑和攻击性;(3)留守经历调节了特质正念→心理弹性→焦虑/攻击性的后半段,具体来说,相对于有留守经历的大学生而言,无留守经历大学生心理弹性对焦虑和攻击性的保护作用更为显著。研究结果强调了特质正念和心理弹性是大学生内外化问题的保护因素,而童年期的留守经历是成年后个体心理资源和内外化问题的风险因素,这对大学生内外化问题的干预具有重要的参考价值。     

网络教学情境下正念对学业拖延的影响：心理韧性和自我控制的链式中介作用

本研究以157名大学生为对象,选用正念五因素量表、心理韧性量表、自我控制量表和Aitken拖延量表,探索在网络教学情境下正念对学业拖延的作用机制。结果表明：正念能够直接对网络教学情境下的大学生学业拖延产生影响,也能够通过心理韧性和自我控制的链式中介作用对大学生学业拖延产生影响。研究结论为发挥正念的作用,改善网络教学情境下的学业拖延提供了参考。     

正念冥想训练水平对情绪加工的影响

越来越多的研究表明,正念冥想训练影响情绪加工。本文从正念冥想训练水平（包括临时训练、短时训练和长期训练）角度出发,系统回顾了不同水平的正念冥想训练对情绪加工的调节效应。综述发现,不同水平正念冥想训练都能够提高个体情绪调节能力,临时正念冥想训练作为一种有效的情绪调节方法影响情绪加工,而短期正念冥想训练和长期禅修训练通过增加个体正念意识,增强个体情绪接受力影响情绪加工。未来的研究需进一步在区分正念冥想训练时间和正念冥想训练类别基础上,探讨正念冥想训练影响情绪加工的认知神经机制。     

The Moderating Effects of Mindfulness on Psychological Distress and Emotional Eating Behaviour

Current evidence and theory suggests that emotional eating resulting from attempts to manage psychological distress, such as anxiety, depression, and stress, is considered to be a major contributor to obesity. Mindfulness has been shown to be related to disordered eating behaviours. Employing a non‐clinical sample of 42 males and 115 females, the present study investigated the contribution of mindfulness as a potential moderator between psychological distress and engagement in emotional eating, while controlling for the effects of gender and general nutrition knowledge. Consistent with predictions, psychological distress was positively associated with engagement in emotional eating, while mindfulness was found to share an inverse relationship. Moreover, after controlling for gender and general nutrition knowledge, the interaction between psychological distress and mindfulness was found to significantly predict the tendency to engage in emotional eating over and above the individual effects of these variables. The findings from the current study add to the current literature supporting the use of mindfulness‐based interventions for treatment of emotional eating practices in individuals experiencing anxiety, stress, and lower levels of depression.     

Can Acceptance,Mindfulness, and Self-Compassion Be Learned by Smartphone Apps? A Systematic and Meta-Analytic Review of Randomized Controlled Trials

The potential health benefits of acceptance, mindfulness, and self-compassion are well-documented. However, interventions that teach these principles typically rely on face-to-face delivery, which can limit their dissemination. Delivering these interventions through smartphone apps could help overcome this. This meta-analysis examined whether principles of acceptance, mindfulness, and self-compassion can be learned through smartphone apps. Twenty-seven randomized controlled trials were included. Smartphone apps that included acceptance and/or mindfulness components resulted in significantly higher levels of acceptance/mindfulness than comparison conditions (k = 33; g = 0.29; 95% CI = 0.17, 0.41). These effects were moderated by the type of comparison and whether reminders to engage were offered. Smartphone apps also resulted in significantly lower levels of psychological distress than comparisons (k = 22; g = −0.32; 95% CI = −0.48, −0.16). Meta-regression revealed a negative relationship between the effect sizes for mindfulness/acceptance and the effect sizes for distress. Smartphone apps produced significantly greater increases in self-compassion than comparisons (k = 9; g = 0.31; 95% CI = 0.07, 0.56), although the quality of RCTs in this analysis was poor. Findings suggest that principles of acceptance, mindfulness, and self-compassion may be learned through cheap, easily accessible, and low-intensity interventions delivered via smartphone apps. However, the quality of available evidence is poor, as low risk of bias was noted in few trials (18%) and the observed effects were likely explained by a digital placebo.     

Intensive mindfulness training-related changes in cognitive and emotional experience

This study examined the role of intensive mindfulness training on changes in day-to-day experiential processing, psychological symptoms, resilience, and well-being in two groups of community adults (N = 69). Using both quasi-experimental and longitudinal methods, the study found that intensive training, operationalized as 10–12 hours of formal mindfulness practice per day for 1 month, was significantly related to increases in training-specific experiential processing capacities, namely trait mindfulness and decentering (reperceiving), in comparison to pre–post-training wait-list controls. In both training groups combined, mindfulness, decentering, and acceptance increased over the pre-training to 1-month follow-up period. Intensive mindfulness training was also related to declines in anxiety and enhanced both subjective well-being and self-compassion from pre-training to follow-up in the two training groups. Finally, increases in trait mindfulness and acceptance were related to improvements in psychological symptoms, well-being, and resilience. Future directions for this novel area of mindfulness research are discussed.     

Mindfulness and Emotional Distress: the Mediating Role of Psychological well-Being

The present cross-sectional study aimed to clarify the relationships among specific facets of dispositional mindfulness, psychological well-being, and emotional distress. To understand the relationships among these variables is crucial in order to expand the knowledge of the processes underlying mindfulness effects and to develop effective interventions. The participants (119 Italian males and females; mean age = 29 years) completed self-report questionnaires assessing mindfulness (i.e., observing, describing, acting with awareness, non-judging of inner experience, non-reactivity to inner experience), emotional distress, and psychological well-being. Path analysis revealed that each facet of mindfulness played a unique role in influencing emotional suffering. In line with our prediction, no significant correlation emerged between the observing facet and either psychological well-being or emotional distress. Both the capacity to describe inner events and to act with awareness had an indirect effect on emotional distress, which was fully mediated by the perception of psychological well-being. On the other hand, the capacity for non-reacting to emotions and thoughts directly influenced emotional distress. Interestingly, non-judging inner events showed both a direct and indirect effect on the outcome variable. These findings confirmed the significant role of psychological well-being in mediating the relationship between some facets of mindfulness and emotional distress. Moreover, different mindfulness abilities play specific roles in reducing emotional distress, so mindfulness should be considered as a multidimensional construct.     

The Effect of a Brief Mindfulness Training on Distress Tolerance and Stress Reactivity

Poor distress tolerance (DT) is considered an underlying facet of anxiety, depression, and a number of other psychological disorders. Mindfulness may help to increase DT by fostering an attitude of acceptance or nonjudgment toward distressing experiences. Accordingly, the present study examined the effects of a brief mindfulness training on tolerance of different types of distress, and tested whether trait mindfulness moderates the effect of such training. Undergraduates (n = 107) naïve to mindfulness completed a measure of trait mindfulness and underwent a series of stress tasks (cold pressor, hyperventilation challenge, neutralization task) before and after completing a 15-minute mindfulness training or a no-instruction control in which participants listened to relaxing music. Participants in the mindfulness condition demonstrated greater task persistence on the hyperventilation task compared to the control group, as well as a decreased urge to neutralize the effects of writing an upsetting sentence. No effect on distress ratings during the tasks were found. Overall trait mindfulness did not significantly moderate task persistence, but those with lower scores on the act with awareness facet of mindfulness demonstrated greater relative benefit of mindfulness training on the hyperventilation challenge. Mediation analyses revealed significant indirect effects of mindfulness training on cold pressor task persistence and urges to neutralize through the use of the nonjudge and nonreact facets of mindfulness. These results suggest that a brief mindfulness training can increase DT without affecting the subjective experience of distress.     

The Roles of Cognitive Flexibility and Experiential Avoidance in Explaining Psychological Distress in Survivors of Interpersonal Victimization

The long-term negative psychological consequences associated with interpersonal victimization are significant; however a history of interpersonal victimization alone does not necessarily lead to greater long-term psychological distress. The current study examined the relationship between cognitive flexibility, experiential avoidance, and psychological distress among 92 women who reported a history of interpersonal victimization. The findings indicate that both cognitive flexibility and experiential avoidance are significantly related to posttraumatic stress symptomology and depression in this sample. Preliminary evidence is also presented suggesting experiential avoidance maybe a potential mediator between cognitive flexibility and psychological distress in this sample. The current findings suggest that treatments targeting greater emotional acceptance and mindfulness might be useful approaches in working with survivors of interpersonal victimization.     

Effects of Mindfulness-Based Stress Reduction on Psychological Symptoms and Telomere Length: A Randomized Active-Controlled Trial

Much research has demonstrated the beneficial effects of mindfulness-based stress reduction (MBSR) on psychological and physical health, but it is not known whether MBSR may impact cellular aging in healthy populations. Further, little research has evaluated MBSR against an active control condition, which precludes strong conclusions regarding the unique effects of mindfulness on psychological functioning. The present study examined the effects of MBSR versus music therapy–based stress reduction (MTSR) on trait mindfulness, self-compassion, and several psychological health outcomes, as well as leukocyte telomere length (LTL). One hundred and fifty eight Singaporean Chinese adults were recruited and randomly assigned to an eight-week MBSR or MTSR course. Participants provided blood samples and completed a battery of self-report measures pre- and post-intervention. Analyses showed that participants in the MBSR condition demonstrated significantly greater improvements in depressive symptoms, trait mindfulness, and self-compassion compared to the control condition. Treatment condition did not predict changes in LTL, anxiety, stress, or happiness, though there was a trend for duration of home mindfulness practice to predict increases in LTL. Overall, the study demonstrated MBSR’s unique effects in reducing depressive symptoms. Improvements in trait mindfulness and self-compassion correspond with theorized mechanisms of change underlying mindfulness training. The lack of intervention effect with regards to LTL suggests that a more intensive intervention may be required for mindfulness to exert noticeable impact on aging at the cellular level, or that the effect may only emerge over a longer term.     

The modification of attentional bias to emotional information: A review of the techniques,mechanisms, and relevance to emotional disorders

A negative bias in the deployment of attention to emotional stimuli is commonly found in both anxiety and depression. Recent work has highlighted that such biases are causally related to emotional vulnerability, suggesting that interventions that ameliorate them may be therapeutic. Here, we review the evidence that attentional bias can be modified using both pharmacological and psychological interventions. We highlight the behavioral and neuroimaging studies that suggest that these interventions impact upon attention via alteration of distinct neural mechanisms. Specifically, pharmacological interventions appear to influence the initial deployment of attention via an effect on the amygdala-based stimulus appraisal system, whereas psychological interventions influence attention at later time points and may alter activity in the lateral prefrontal cortex. Finally, we suggest a conceptual framework that embraces both pharmacological and psychological approaches and consider the possible implications of this work for future research and treatment development.     

Les effets de la mindfulness et des interventions psychologiques basées sur la pleine conscience

A growing interest in the human sciences has emerged in the last twenty years with respect to mindfulness. Until recently, there were confusions of the concept of mindfulness with the meditation practices. According to Brown and Ryan (2003), mindfulness is an innate tendency of all individuals, present at different degrees, that demonstrated both conceptual and empirical utility in the last years, in studies on psychological well-being, physical health, work and sport performance, and the field of the interpersonal relationships. The object of this article is to present this psychological concept as well as the results of the studies relating to the effects of this attribute on well-being and on emotional and behavioural regulation. In the second part of the article, we present a review of the literature of the principal therapeutic interventions based on mindfulness. Several meta-analyses show moderate to important effect sizes of this type of approach on the symptoms of depression and anxiety (Hofmann et al., 2010). Lastly, we propose orientations for future research on mindfulness and on related interventions.