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此刻觉察冥想方案的有效性:来自冷压任务的证据
作者:齐臻臻  刘兴华 
单位:首都师范大学北京市学习与认知重点实验室  北京 100089 
关键词:冥想 此刻觉察 疼痛 随机 对照 
分类号:R395.5
出版年,卷(期):页码:2016,24(3):566-571
摘要:

目的:探讨此刻觉察(Present Awareness,PA)冥想的镇疼效果,并与专注式冥想(Focused Attention,FA)进行比较。方法:招募67名健康在校大学生,随机分为FA、PA和疼痛教育组(Education Group,EDU)。分别进行20分钟的训练。训练前后进行冷压任务,测试冰水期和恢复期的疼痛、痛苦程度。结果:PA组在冰水期的疼痛、痛苦改善程度显著优于FA组和EDU组;在恢复期同样优于FA组和EDU组,恢复期痛苦改善程度上,FA组也优于EDU组。结论:本研究从冷压任务疼痛、痛苦改善方面提供证据,说明了短期PA的有效性。

Objective: This study aimed to compare effects of pain management with FA (Focused Attention) and PA (Present Awareness) in cold pressor test.Methods: Sixty-seven healthy university students were recruited and randomized assigned as FA group,PA group,and Pain education group (EDU group).Twenty-minute trainings were conducted between the pre-test and post-test.Pain intensity and distress were measured in the cold water period and recovery period.Results: In the cold water period,PA group showed greater improvement than FA group and EDU group in pain intensity and distress;In the recovery period,PA group also showed greater improvement than the other two groups,and FA group was also more effective than EDU group.Conclusion: Short-term PA is efficient in reducing pain intensity and distress,as well as in recovering from pain.

基金项目:
国家自然科学基金(31271114)
作者简介:
参考文献:

1 Grant JA. Meditative analgesia:the current state of the field. Annals of the New York Academy of Sciences, 2014, 1307:55-63
2 Brown CA, Jones, AKP. Meditation experience predicts less negative appraisal of pain:Electrophysiological evidence for the involvement of anticipatory neural responses. Pain, 2010, 150(3):428-438
3 Cassidy EL, Atherton RJ, Robertson N, et al. Mindfulness, functioning and catastrophizing after multidisciplinary pain management for chronic low back pain. Pain, 2012, 153(3):644-650
4 Praissman S. Mindfulness-based stress reduction:A literature review and clinician's guide. Journal of the American Academy of Nurse Practitioners, 2008, 20(4):212-216
5 Masedo AI, Esteve RM. Effects of suppression, acceptance and spontaneous coping on pain tolerance, pain intensity and distress. Behavioural Research Therapy, 2007, 45(2):199-209
6 王玉正, 刘欣, 徐慰, 等. 正念训练提升参与者对疼痛的接纳程度. 中国临床心理学杂志, 2015, 23(3):567-570
7 Shapiro SL, Carlson LE. The art and science of mindfulness:Integrating mindfulness into psychology and the helping professions. American Psychological Association, 2009
8 Travis F, Shear J. Focused attention, open monitoring and automatic self-transcending:Categories to organize meditations from Vedic, Buddhist and Chinese traditions. Conscious Cogn, 2010, 19(4):1110-1118
9 Lutz A, Slagter HA, Dunne JD et al. Attention regulation and monitoring in meditation. Trends in Cognitive Sciences, 2008, 12(4):163-169
10 Cahn BR, Polish J. Meditation states and traits:EEG, ERP, and neuroimaging studies. Psychological Bulletin, 2006, 132 (2):180-211
11 Grant JA, Rainville P. Pain sensitivity and analgesic effects of mindful states in Zen meditators:A cross-sectional study. Psychosom Med, 2009, 71(1):106-114
12 Perlman DM, Salomons TV, Davidson RJ, et al. Differential effects on pain intensity and unpleasantness of two meditation practices. Emotion, 2010, 10(1):65-71
13 刘兴华, 徐钧, 张琴, 等."此刻觉察"正念训练的定义、操作及可行性. 中国心理健康杂志,印刷中。
14 Wade JB, Dougherty LM, Archer CR, et al. Assessingthe stagesof pain processing:a multivariate analytical approach. Pain, 1996, 68(1):157-167
15 Nouwen A, Cloutier C, Kappas A, et al. Effects of Focusing and Distraction on Cold Pressor Induced Pain in Chronic Back Pain Patients and Control Subjects. The Journal of Pain, 2006, 7(1):62-71
16 Ahles TA, Blanchard EB, Lcvcnthai H. Cognitive Control of Pain:Attention to the Sensory Aspect of the Cold Pressor Stimulus. Cognitive Therapy and Research, 1983, 7(2):159-177
17 Hamner JW, Villamar MF, Fregni F, et al. Transcranial direct current stimulation(tDCS) and the cardiovascular responses to acute pain in humans. Clinical Neurophysiology, 2015, 126(5):1039-1046
18 McCaul KD, Haugtvedt C. Attention, distraction and coldpressor pain. Journal of Personality and Socical Psychology, 1982, 43:154-162
19 Mitchell LA, MacDonald, RAR, Brodie, EE. Temperture and the cold pressor test. Journal of Pain, 2004, 5(4):233-237
20 Mitchell TD, Carter TR, Jones PD, et al. A comprehensive set of high-resolution grids of monthly climate for Europe and the globe:the observed record(1901-2000) and 16 scenarios(2001-2100). Tyndall Working Paper 55, 2004, 55(1):25
21 Jackson T, Yang Z, Li X, Chen H, et al. Coping when pain is a potential threat:The efficacy of acceptance versus cognitive distraction. European Journal of Pain, 2012, 16(3):390-400
22 Zeidan F, Martucci KT, Kraft RA, et al. Brain mechanisms supporting the modulation of pain by mindfulness meditation. The Journal of Neuroscience, 2011, 31(14):5540-5548
23 Kakigi R, Nakata H, Inui K, et al. Intracerebral pain processing in a Yoga Master who claims not to feel pain during meditation. European Journal of Pain, 2005, 9(5):581-581
24 McCaul KD, Monson N, Maki RH. Does distraction reduce pain-produced distress among college students? Health Psychology, 1992, 11(4):210
25 Melzack R, Casey K. Sensory, motivational, and central control determinants of pain, ed Kenshalo DR(Charles C. Thomas, Springfield), 1968. 423-439

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