Mindfulness-based treatments for posttraumatic stress disorder: a review of the treatment literature and neurobiological evidence

被引:226
作者
Boyd, Jenna E. [2 ,3 ,4 ]
Lanius, Ruth A. [4 ,5 ,6 ,7 ]
McKinnon, Margaret C. [1 ,3 ,4 ]
机构
[1] McMaster Univ, Dept Psychiat & Behav Neurosci, 100 West 5th St, Hamilton, ON, Canada
[2] McMaster Univ, Dept Psychol Neurosci & Behav, Hamilton, ON, Canada
[3] St Josephs Healthcare, Mood Disorders Program, Hamilton, ON, Canada
[4] Homewood Res Inst, Guelph, ON, Canada
[5] Western Univ, Dept Psychiat, London, ON, Canada
[6] Western Univ, Dept Neurosci, London, ON, Canada
[7] Lawson Hlth Res Inst, Imaging Div, London, ON, Canada
来源
JOURNAL OF PSYCHIATRY & NEUROSCIENCE | 2018年 / 43卷 / 01期
基金
加拿大健康研究院;
关键词
DEFAULT MODE NETWORK; INTRINSIC CONNECTIVITY NETWORKS; LOVING-KINDNESS MEDITATION; COGNITIVE THERAPY; FUNCTIONAL CONNECTIVITY; DISSOCIATIVE SUBTYPE; PTSD SYMPTOMS; NEUROCIRCUITRY MODELS; NEURAL MECHANISMS; EXPOSURE THERAPY;
D O I
10.1503/jpn.170021
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Mindfulness-based treatments for posttraumatic stress disorder (PTSD) have emerged as promising adjunctive or alternative intervention approaches. A scoping review of the literature on PTSD treatment studies, including approaches such as mindfulness-based stress reduction, mindfulness-based cognitive therapy and metta mindfulness, reveals low attrition with medium to large effect sizes. We review the convergence between neurobiological models of PTSD and neuroimaging findings in the mindfulness literature, where mindfulness interventions may target emotional under- and overmodulation, both of which are critical features of PTSD symptomatology. Recent emerging work indicates that mindfulness-based treatments may also be effective in restoring connectivity between large-scale brain networks among individuals with PTSD, including connectivity between the default mode network and the central executive and salience networks. Future directions, including further identification of the neurobiological mechanisms of mindfulness interventions in patients with PTSD and direct comparison of these interventions to first-line treatments for PTSD are discussed.
引用
收藏
页码:7 / 25
页数:19
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