Changes in facets of mindfulness and posttraumatic stress disorder treatment outcome

被引:58
作者
Boden, Matthew Tyler [1 ,2 ]
Bernstein, Amit [3 ]
Walser, Robyn D. [2 ,4 ]
Bui, Leena [2 ]
Alvarez, Jennifer [2 ]
Bonn-Miller, Marcel O. [1 ,2 ,4 ,5 ]
机构
[1] Ctr Hlth Care Evaluat, Menlo Pk, CA USA
[2] VA Palo Alto Hlth Care Syst, Palo Alto, CA USA
[3] Univ Haifa, Dept Psychol, IL-31999 Haifa, Israel
[4] Natl Ctr PTSD, Menlo Pk, CA USA
[5] Philadelphia VA Med Ctr, Ctr Excellence Subst Abuse Treatment & Educ, Philadelphia, PA USA
关键词
Mindfulness; Posttraumatic Stress Disorder; PTSD; Acceptance; Awareness; Treatment outcome; COGNITIVE-PROCESSING THERAPY; TRAUMA-EXPOSED ADULTS; CLINICAL-SIGNIFICANCE; SELF-REPORT; VETERANS; EMOTION;
D O I
10.1016/j.psychres.2012.07.011
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Though there has been a recent surge of interest in the relations between facets of mindfulness and Posttraumatic Stress Disorder (PTSD), there has been a dearth of empirical studies investigating the impact of changes in facets of mindfulness on PTSD treatment outcomes. The present study tested the prospective associations between pre- to post-treatment changes in facets of mindfulness and PTSD and depression severity at treatment discharge, among 48 military Veterans in residential PTSD treatment adhering to a cognitive-behavioral framework. Together, changes in facets of mindfulness significantly explained post-treatment PTSD and depression severity (19-24% of variance). Changes in acting with awareness explained unique variance in post-treatment PTSD severity and changes in nonjudgmental acceptance explained unique variance in post-treatment depression severity. These results remained significant after adjusting for shared variance with length of treatment stay. Published by Elsevier Ireland Ltd.
引用
收藏
页码:609 / 613
页数:5
相关论文
共 28 条
[1]   The Comparative Effectiveness of Cognitive Processing Therapy for Male Veterans Treated in a VHA Posttraumatic Stress Disorder Residential Rehabilitation Program [J].
Alvarez, Jennifer ;
McLean, Caitlin ;
Harris, Alex H. S. ;
Rosen, Craig S. ;
Ruzek, Josef I. ;
Kimerling, Rachel .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2011, 79 (05) :590-599
[2]  
[Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787
[3]   Using self-report assessment methods to explore facets of mindfulness [J].
Baer, RA ;
Smith, GT ;
Hopkins, J ;
Krietemeyer, J ;
Toney, L .
ASSESSMENT, 2006, 13 (01) :27-45
[4]   Assessment of mindfulness by self-report - The Kentucky inventory of mindfulness skills [J].
Baer, RA ;
Smith, GT ;
Allen, KB .
ASSESSMENT, 2004, 11 (03) :191-206
[5]   PSYCHOMETRIC PROPERTIES OF THE BECK DEPRESSION INVENTORY - 25 YEARS OF EVALUATION [J].
BECK, AT ;
STEER, RA ;
GARBIN, MG .
CLINICAL PSYCHOLOGY REVIEW, 1988, 8 (01) :77-100
[6]   Concurrent Relations Between Mindful Attention and Awareness and Psychopathology Among Trauma-Exposed Adults: Preliminary Evidence of Transdiagnostic Resilience [J].
Bernstein, Amit ;
Tanay, Galia ;
Vujanovic, Anka .
JOURNAL OF COGNITIVE PSYCHOTHERAPY, 2011, 25 (02) :99-113
[7]   Mindfulness: A proposed operational definition [J].
Bishop, SR ;
Lau, M ;
Shapiro, S ;
Carlson, L ;
Anderson, ND ;
Carmody, J ;
Segal, ZV ;
Abbey, S ;
Speca, M ;
Velting, D ;
Devins, G .
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 2004, 11 (03) :230-241
[8]   The benefits of being present: Mindfulness and its role in psychological well-being [J].
Brown, KW ;
Ryan, RM .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 2003, 84 (04) :822-848
[9]   Treatment of acute stress disorder: A comparison of cognitive-behavioral therapy and supportive counseling [J].
Bryant, RA ;
Harvey, AG ;
Dang, ST ;
Sackville, T ;
Basten, C .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1998, 66 (05) :862-866
[10]   Defining an agenda for future research on the clinical application of mindfulness practice [J].
Dimidjian, S ;
Linehan, MM .
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 2003, 10 (02) :166-171