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https://ah.lib.nccu.edu.tw/handle/140.119/136629| 題名: | 基於正念療法干預效果之視覺化文獻回顧與後設分析 Visualization Analysis of Literature Review and Meta-analysis of the Effects of Mindfulness-based Approaches Interventions |
作者: | 林雯 Lin, Wen |
貢獻者: | 吳政達<br>郭昭佑 林雯 Lin, Wen |
關鍵詞: | 基於正念療法 干預效果 視覺化文獻回顧 後設分析 網狀後設分析 mindfulness-based interventions effect size visualization analysis of literature review meta-analysis network meta-analysis |
日期: | 2021 | 上傳時間: | 4-八月-2021 | 摘要: | 20世紀初，瑜伽、靜坐、冥想等東方宗教活動逐漸映入人們的眼簾，被引用借鑒為心理治療的媒介。卡巴金博士將正念從佛學語境中引入心理學領域，開創了基於正念療法的先河。本研究旨在系統性整合以正念為治療理念的心理干預方法，採用文獻計量分析方法，應用視覺化的知識圖譜呈現目前基於正念療法的前沿熱點及未來發展趨勢，針對非臨床參與者採用傳統後設分析和網狀後設分析方法整合分析其於個體心理健康的干預效果，並對不同正念療法進行量化排序，以得到最優方案。正念研究呈現逐年遞增趨勢，結果表明，正念治療研究領域呈逐年增長趨勢。American Psychiatric Association（2013），Hofman et al.（2010）以及A-Tjak et al.（2015）發表論文被學者們廣泛引用。被引分析的聚類結果顯現出正念治療介入研究的熱門主題分別為commitment therapy承諾療法、mindfulness-based stress reduction正念減壓療法、acceptance commitment therapy接納與承諾療法、mindfulness-based commitment therapy正念承諾療法、borderline personality disorder邊緣性人格障礙和dialectical behavior therapy辯證行為療法。關鍵字共現分析顯示，在正念治療研究領域中出現詞頻較高的詞彙有正念mindfulness、抑鬱depression、辯證行為療法dialectical behavior therapy、治療intervention和冥想meditation等詞彙。美國在這一領域具有絕對的學術領導地位，且以它為中心，與其他發文量大國之間形成緊密的合作網路。其中，美國的Washington大學和Nevada大學為重要的研究機構，發表文獻被廣泛採納引用。採用CMA軟體分別計算基於正念療法干預（正念減壓療法MBSR、正念認知療法MBCT、接納與承諾療法ACT）于心理健康效果變項（壓力感知、抑鬱、焦慮、正念、幸福感和自我關愛）的效果量，共納入81項研究（MBSR：36項；MBCT：13項；ACT：32項）並做討論分析。結果顯示，三種基於正念治療干預均可以有效減少壓力感知，減緩抑鬱與焦慮，提升正念。另外，MBSR和ACT療法能有效提升幸福感，MBSR和MBCT能提升自我關愛能力。採用STATA軟體對三種正念療法進行量化排序以探尋提升個體心理健康的最優治療方案。結果顯示，三種治療方案干預效果均優於對照組，MBSR為壓力管理的最優方案，其次是MBCT和ACT；MBCT為緩解焦慮與抑鬱的最優干預方案，其次分別為MBSR和ACT；在提升正念水準上，MBSR的干預效果最佳，其次為MBCT和ACT。本研究對未來正念療法干預效果研究提供了建議。 During 20th century, many spiritual workers from the East went to the West to preach. Mindfulness research shows an increasing trend year by year. This research aims to systematically integrate the effects of mindfulness-based intervention ((Mindfulness based stress reduction, MBSR; Mindfulness based cognitive therapy, MBCT; Acceptance and commitment therapy, ACT) using bibliometric analysis, meta-analysis and network meta-analysis. Mindfulness research shows an increasing trend year by year. The results showed that the papers of American Psychiatric Association (2013), Hofman et al. (2010) and A-Tjak et al. (2015) were widely cited . The clustering of the co-citation analysis showed that the popular themes of interventional research on mindfulness therapy are commitment therapy, mindfulness-based stress reduction, acceptance commitment therapy, mindfulness-based commitment therapy, mindfulness-based stress reduction, mindfulness-based stress reduction, borderline personality disorder and dialectical behavior therapy. The keywords of co-occurrence analysis shows that the highest frequency words contained mindfulness, depression, dialectical behavior therapy, therapeutic intervention, and meditation meditation. The United States had absolute academic leadership in this field, and it has formed a close cooperation network with other countries with a large amount of papers. Among them, the University of Washington and the University of Nevada in the United States were important research institutions, and their published literatures were widely cited. A total of 81 studies were included (MBSR: 36; MBCT: 13; ACT: 32). The results showed that three types of mindfulness-based interventions (MBSR, MBCT, and ACT) have significant effects on reducing perceived stress, anxiety and depression, and improving mindfulness. In addition, MBSR has a moderate to high effect on improving well-being and self-compassion; MBCT has a moderate effect on improving self-compassion; ACT has a small effect on improving well-being. The results of network meta-analysis showed that MBSR was most effective in reducing stress perception and improving mindfulness, ranking before MBCT and ACT. And MBCT was most effective in reducing anxiety and depression symptoms, ranking before MBSR and ACT. In addition, the study provided suggestions for the future study of mindfulness-based interventions. |
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Occupational Medicine, 66(8), 630-635.\nDaigle, S., Talbot, F., & French, D. J. (2018). Mindfulness‐based stress reduction training yields improvements in well‐being and rates of perceived nursing errors among hospital nurses. Journal of Advanced Nursing, 74(10), 2427-2430.\nDavison, T. E., Eppingstall, B., Runci, S., & O`Connor, D. W. (2017). A pilot trial of acceptance and commitment therapy for symptoms of depression and anxiety in older adults residing in long-term care facilities. Aging Ment Health, 21(7), 766-773.\nDereix-Calonge, I., Ruiz, F. J., Sierra, M. A., Peña-Vargas, A., & Ramírez, E. S. (2019). Acceptance and commitment training focused on repetitive negative thinking for clinical psychology trainees: A randomized controlled trial. Journal of Contextual Behavioral Science, 12, 81-88.\nEsmaeilian, N., Dehghani, M., Dehghani, Z., & Lee, J. (2017). Mindfulness-Based Cognitive Therapy Enhances Emotional Resiliency in Children with Divorced Parents. Mindfulness.\nFrogeli, E., Djordjevic, A., Rudman, A., Livheim, F., & Gustavsson, P. (2016). A randomized controlled pilot trial of acceptance and commitment training (ACT) for preventing stress-related ill health among future nurses. Anxiety Stress Coping, 29(2), 202-218.\nFrostadottir, A. D., & Dorjee, D. (2019). Effects of Mindfulness Based Cognitive Therapy (MBCT) and Compassion Focused Therapy (CFT) on Symptom Change, Mindfulness, Self-Compassion, and Rumination in Clients With Depression, Anxiety, and Stress. Front Psychol, 10, 1099.\nGloster, A. T., Klotsche, J., Aggeler, T., Geisser, N., Juillerat, G., Schmidlin, N., et al. (2019). Psychoneuroendocrine evaluation of an acceptance and commitment based stress management training. Psychother Res, 29(4), 503-513.\nGregoire, S., Lachance, L., Bouffard, T., & Dionne, F. (2018). The Use of Acceptance and Commitment Therapy to Promote Mental Health and School Engagement in University Students: A Multisite Randomized Controlled Trial. Behav Ther, 49(3), 360-372.\nGuo, D., Sun, L., Yu, X., Liu, T., Wu, L., Sun, Z., et al. (2019). Mindfulness-based stress reduction improves the general health and stress of Chinese military recruits: A pilot study. Psychiatry Res, 281, 112571.\nHahs, A. D., Dixon, M. R., & Paliliunas, D. (2019). Randomized controlled trial of a brief acceptance and commitment training for parents of individuals diagnosed with autism spectrum disorders. Journal of Contextual Behavioral Science, 12, 154-159.\nHazlett-Stevens, H., & Oren, Y. (2017). Effectiveness of Mindfulness-Based Stress Reduction Bibliotherapy: A Preliminary Randomized Controlled Trial. Journal of Clinical Psychology, 73(6), 626-637.\nHelmes, E., & Ward, B. G. (2015). Mindfulness-based cognitive therapy for anxiety symptoms in older adults in residential care. Aging & Mental Health, 21(3), 272-278.\nHofer, P. D., Waadt, M., Aschwanden, R., Milidou, M., Acker, J., Meyer, A. H., et al. (2017). Self-help for stress and burnout without therapist contact: An online randomised controlled trial. Work & Stress, 32(2), 189-208.\nHölzel, B. K., Brunsch, V., Gard, T., Greve, D. N., Koch, K., Sorg, C., et al. (2016). Mindfulness-Based Stress Reduction, Fear Conditioning, and The Uncinate Fasciculus: A Pilot Study. Frontiers in Behavioral Neuroscience, 10.\nJames, K., & Rimes, K. A. (2017). Mindfulness-Based Cognitive Therapy Versus Pure Cognitive Behavioural Self-Help for Perfectionism: a Pilot Randomised Study. Mindfulness, 9(3), 801-814.\nJansen, P., Dahmen-Zimmer, K., Kudielka, B. M., & Schulz, A. (2016). Effects of Karate Training Versus Mindfulness Training on Emotional Well-Being and Cognitive Performance in Later Life. Research on Aging, 0164027516669987.\nKaraca, A., & Sisman, N. Y. (2019). Effects of a Stress Management Training Program With Mindfulness-Based Stress Reduction. J Nurs Educ, 58(5), 273-280.\nKeng, S.-L., Looi, P. S., Tan, E. L. Y., Yim, O.-S., Lai, P. S., Chew, S. H., et al. (2020). Effects of Mindfulness-Based Stress Reduction on Psychological Symptoms and Telomere Length: A Randomized Active-Controlled Trial. Behavior Therapy, 51(6), 984-996.\nKrafft, J., Potts, S., Schoendorff, B., & Levin, M. E. (2019). A Randomized Controlled Trial of Multiple Versions of an Acceptance and Commitment Therapy Matrix App for Well-Being. Behav Modif, 43(2), 246-272.\nKyllönen, H. M., Muotka, J., Puolakanaho, A., Astikainen, P., Keinonen, K., & Lappalainen, R. (2018). A brief Acceptance and Commitment Therapy intervention for depression: A randomized controlled trial with 3-year follow-up for the intervention group. Journal of Contextual Behavioral Science, 10, 55-63.\nLevin, M. E., Haeger, J., & Cruz, R. A. (2018). Tailoring Acceptance and Commitment Therapy Skill Coaching in the Moment Through Smartphones: Results from a Randomized Controlled Trial. Mindfulness, 10(4), 689-699.\nLevin, M. E., Haeger, J. A., Pierce, B. G., & Twohig, M. P. (2017). Web-Based Acceptance and Commitment Therapy for Mental Health Problems in College Students: A Randomized Controlled Trial. Behav Modif, 41(1), 141-162.\nLevin, M. E., Hayes, S. C., Pistorello, J., & Seeley, J. R. (2016). Web-Based Self-Help for Preventing Mental Health Problems in Universities: Comparing Acceptance and Commitment Training to Mental Health Education. J Clin Psychol, 72(3), 207-225.\nLevin, M. E., Krafft, J., Hicks, E. T., Pierce, B., & Twohig, M. P. (2020). A randomized dismantling trial of the open and engaged components of acceptance and commitment therapy in an online intervention for distressed college students. Behav Res Ther, 126, 103557.\nLilly, M., Calhoun, R., Painter, I., Beaton, R., & Meischke, H. (2019). Destress 9-1-1—an online mindfulness-based intervention in reducing stress among emergency medical dispatchers: a randomised controlled trial. Occupational and Environmental Medicine, 76(10), oemed-2018-105598.\nLin, L., He, G., Yan, J., Gu, C., & Xie, J. 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Improving emotion regulation and mood in teacher trainees: Effectiveness of two mindfulness trainings. Brain and Behavior, 9(9).\nWright, K. M., Roberts, R., & Proeve, M. J. (2019). Mindfulness-Based Cognitive Therapy for Children (MBCT-C) for Prevention of Internalizing Difficulties: a Small Randomized Controlled Trial with Australian Primary School Children. Mindfulness, 10(11), 2277-2293.\nXu, X.-P., Zhu, X.-W., & Liu, Q.-Q. (2019). Can Self-training in Mindfulness-based Cognitive Therapy Alleviate Mild Depression Among Chinese Adolescents? Social Behavior and Personality: an international journal, 47(4), 1-7.\nYang, J., Tang, S., & Zhou, W. (2018). Effect of Mindfulness-Based Stress Reduction Therapy on Work Stress and Mental Health of Psychiatric Nurses. Psychiatr Danub, 30(2), 189-196.\nYuksel, A., & Bahadir Yilmaz, E. (2020). The Effects of Group Mindfulness-Based Cognitive Therapy in Nursing Students: A quasi-experimental study. Nurse Education Today.\nZarenejad, M., Yazdkhasti, M., Rahimzadeh, M., Mehdizadeh Tourzani, Z., & Esmaelzadeh-Saeieh, S. (2020). The effect of mindfulness-based stress reduction on maternal anxiety and self-efficacy: A randomized controlled trial. Brain Behav, 10(4), e01561.\nZhang, J.-Y., Cui, Y.-X., Zhou, Y.-Q., & Li, Y.-L. (2018). Effects of mindfulness-based stress reduction on prenatal stress, anxiety and depression. Psychology, Health & Medicine, 24(1), 51-58. | 描述: | 博士 國立政治大學 教育學系 106152520 |
資料來源: | http://thesis.lib.nccu.edu.tw/record/#G0106152520 | 資料類型: | thesis |
| Appears in Collections: | 學位論文 |
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