Effects of Participation in a Mindfulness Program for Veterans With Posttraumatic Stress Disorder: A Randomized Controlled Pilot Study

被引：122

作者：

Kearney, David J. ^{[1
]}

McDermott, Kelly ^{[1
]}

Malte, Carol ^{[1
]}

Martinez, Michelle ^{[1
]}

Simpson, Tracy L. ^{[1
]}

机构：

[1] VA Puget Sound Hlth Care Syst, Seattle, WA USA

来源：

JOURNAL OF CLINICAL PSYCHOLOGY | 2013年 / 69卷 / 01期

关键词：

mindfulness; posttraumatic stress disorder; acceptance; depression; meditation; QUALITY-OF-LIFE; COGNITIVE-PROCESSING THERAPY; NATIONAL COMORBIDITY SURVEY; CLINICAL-SIGNIFICANCE; ANXIETY DISORDERS; DEPRESSIVE SYMPTOMS; THOUGHT SUPPRESSION; PROLONGED EXPOSURE; CONTROLLED-TRIAL; MEDITATION;

D O I：

10.1002/jclp.21911

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Objective To assess outcomes associated with Mindfulness-Based Stress Reduction (MBSR) for veterans with PTSD. MethodsForty-seven veterans with posttraumatic stress disorder (PTSD; 37 male, 32 Caucasian) were randomized to treatment as usual (TAU; n = 22), or MBSR plus TAU (n = 25). PTSD, depression, and mental health-related quality of life (HRQOL) were assessed at baseline, posttreatment, and 4-month follow-up. Standardized effect sizes and the proportion with clinically meaningful changes in outcomes were calculated. ResultsIntention-to-treat analyses found no reliable effects of MBSR on PTSD or depression. Mental HRQOL improved posttreatment but there was no reliable effect at 4 months. At 4-month follow-up, more veterans randomized to MBSR had clinically meaningful change in mental HRQOL, and in both mental HRQOL and PTSD symptoms. Completer analyses (= 4 classes attended) showed medium to large between group effect sizes for depression, mental HRQOL, and mindfulness skills. ConclusionsAdditional studies are warranted to assess MBSR for veterans with PTSD.

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页码：14 / 27

页数：14

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