设为首页 | 加入收藏
网站首页 本刊简介 编委会 投稿指南 过刊浏览 广告合作 网上订购 下载专区 联系我们  
正念防复吸治疗在物质成瘾中的应用
作者:王姗姗  赵敏 
单位:上海交通大学医学院附属精神卫生中心  上海 200030 
关键词:物质成瘾 正念防复吸治疗 正念冥想 
分类号:R395.5
出版年,卷(期):页码:2016,24(1):188-190
摘要:

成瘾是一种慢性复发的脑疾病,复发率很高,会产生一系列的生物、社会、心理等问题。正念防复吸治疗是由正念冥想和认知行为的防复吸技术结合形成的一种特定的针对物质使用障碍的干预方法,主要强调对高危认知,情绪,想法和躯体状况的接纳,来达到预防复吸的效果。目前,正念防复吸治疗在物质成瘾领域正受到越来越多的关注,本文介绍了正念防复吸的理论基础及基本内容,探讨其实证效果及神经影像学研究,希望为其将来在物质成瘾领域的应用提供更好的理论支持。

Addiction, defined as a chronic brain disease with high relapse rate, can lead to a series of biological, social, psychological problems.Mindfulness-Based Relapse Prevention(MBRP) combines mindfulness meditation practices with re-lapse prevention skills, emphasizing the nonjudgmental acceptance of challenging cognition, emotions, thoughts and body condition to prevent relapse.Recently, MBRP has attracted more and more attention.In this study, we reviewed the theoretical basis of MBRP and the treatment process, discussed its empirical effect and neurophysiological mechanism, to support its future application in substance addiction.

基金项目:
上海市卫生计生委适宜技术(2013SY011);上海市卫生计生委联合攻关项目(2014ZYJB0002)
作者简介:
参考文献:

1 赵敏,郝伟. 酒精与药物滥用成瘾. 人民卫生出版社, 2011. 64-95
2 Bowen S, Chawla N, Witkiewitz K. Chapter 7-mindfulness-based relapse prevention for addictive behaviors, in mindfulness-based treatment approaches(Second Edition). Baer RA, Editor. Academic Press:San Diego, 2014. 141-157
3 Witkiewitz K, Bowen S. Depression, craving and substance use following a randomized trial of mindfulness-based relapse prevention. Journal of Consulting and Clinical Psychology, 2010, 78(3):362-374
4 Kabat-Zinn J. Mindfulness-based interventions in context:Past, present, and future. Clinical Psychology:Science and Practice, 2003, 10(2):144-156
5 王淑霞,郑睿敏,吴久玲,等. 正念减压疗法在医学领域中的应用. 中国临床心理学杂志,2014,22(5):947-949
6 Witkiewitz K, Marlatt GA, Walker D. Mindfulness-based relapse prevention for alcohol and substance use disorders. J Cognit Psychother, 2005, 19(3):211-228
7 汪芬,黄宇霞. 正念的心理和脑机制. 心理科学进展, 2011,19(11):1635-1644
8 Pashaei T, et al. Effectiveness of relapse prevention cognitive-behavioral model in opioid-dependent patients participating in the methadone maintenance treatment in iran. Iranian Journal of Public Health, 2013, 42(8):896-902
9 Witkiewitz K, Bowen S, Douglas H, et al. Mindfulness-based replase prevention for substance carving. Addictive Behaviors, 2013, 32(2):1563-1571
10 Moore A, Malinowski P. Meditation, mindfulness and cognitive flexibility. Consciousness and Cognition, 2009, 18(1):176-186
11 Chiesa A, Calati R, Serretti A. Does mindfulness training improve cognitive abilities? A systematic review of neuropsychological findings. Clinical Psychology Review, 2011, 31(3):449-464
12 Bowen S, et al. Mindfulness-based relapse prevention for substance use disorders:A pilot efficacy trial. Substance Abuse, 2009, 30(4):295-305
13 Witkiewitz K, Bowen S, Douglas H, et al. Mindfulness-based replase prevention for substance carving. Addictive Behaviors, 2013, 32(2):1563-1571
14 Carpentier D, Romo L, et al. Mindfulness-based-relapse prevention(MBRP):Evaluation of the impact of a group of Mindfulness Therapy in alcohol relapse prevention for alcohol use disorders. L'Encéphale, 2015, 5:3
15 Grow JC, Susan EC, Erin NH, et al. Enactment of home practice following mindfulness-based relapse prevention and its association with substance-use outcomes. Addict Behav, 2015, 40:16-20
16 Lazar SW, Kerr C, Wasserman RH. Meditation experience is associated with increased cortical thickness. NeuroReport, 2005, 16:1893-1897
17 Hölzel BK, Ott U, Hempel H, et al. Differential engagement of anterior cingulate and adjacent medial frontal cortex in adept meditators and non-meditators. Neuroscience Letters, 2007, 421:16-21
18 Volkow ND, et al. Cognitive control of drug craving inhibits brain reward regions in cocaine abusers. NeuroImage, 2010, 49(3):2536
19 Janes AC, et al. Brain reactivity to smoking cues prior to smoking cessation predicts ability to maintain tobacco abstinence. Biological Psychiatry, 2010, 67(8):722-729
20 Witkiewitz K, Lustyk MKB, Bowen S. Re-training the addicted brain:A review of hypothesized neurobiological mechanisms of mindfulness-based relapse prevention. Psychology of Addictive Behaviors:Journal of the Society of Psychologists in Addictive Behaviors, 2013, 27(2):351-365

服务与反馈:
文章下载】【加入收藏
您是第访问者

《中国临床心理学杂志》编辑部
地址:湖南省长沙市中南大学湘雅二医院内, 410011
电 话:0731-85292472    电子邮件:cjcp_china@163.com
本系统由北京博思汇文数字科技有限公司设计开发 技术服务电话:400-921-9838