正念干预创伤后应激障碍的研究进展

Research Advances in Mindfulness Interventions in Therapy of Posttraumatic Stress Disorder

创伤后应激障碍的治疗一直是创伤心理研究领域的重点问题。研究表明,正念干预对各种创伤后应激障碍群体均有良好的治疗效果。对实证研究梳理总结后发现,监控与接纳理论和创伤复原力模型是正念干预创伤后应激障碍的理论基础。正念干预对创伤后应激障碍的四个典型症状均具有特异性作用。正念对前扣带回等脑区和自主神经系统的调节是其缓解症状的生理机制,正念对认知融合和认知抑制的改善以及情绪的调节是其缓解症状的心理机制。

The treatment of Posttraumatic Stress Disorder has always been the focus of attention in the field of traumaticpsychological research.A large number of empirical studies have shown that mindfulness interventions have a good therapeutic effect on posttraumatic stress disorder caused by different types of traumatic events.This study sorts out the empirical research of mindfulness interventions in Posttraumatic Stress Disorder.Monitor and Acceptance Theory and Trauma Resiliency Model are the theoretical basis for mindfulness to interfere with PTSD.Mindfulness intervention has a specific rolein symptoms of Intrusion,Avoidance,Negative Cognition,Emotion Alteration and Hyper-arousal.The physiological mechanism for relieving Posttraumatic Stress Disorder symptoms is that the mindfulness exercise promotes the anterior cingulatecortex and autonomic nervous system.It reduces cognitive fusion and thought suppression,and enhances individual’s emotion regulation ability,which are psychological mechanisms for relieving Posttraumatic Stress Disorder symptoms.On thisbasis,this study reviews current research progress and existing deficiencies,and provides ideas for future research to betterserve for clinical practice.