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Loving‐Kindness Meditation for Posttraumatic Stress Disorder: A Pilot Study

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Journal of Traumatic Stress

Published online on

Abstract

Loving‐kindness meditation is a practice designed to enhance feelings of kindness and compassion for self and others. Loving‐kindness meditation involves repetition of phrases of positive intention for self and others. We undertook an open pilot trial of loving‐kindness meditation for veterans with posttraumatic stress disorder (PTSD). Measures of PTSD, depression, self‐compassion, and mindfulness were obtained at baseline, after a 12‐week loving‐kindness meditation course, and 3 months later. Effect sizes were calculated from baseline to each follow‐up point, and self‐compassion was assessed as a mediator. Attendance was high; 74% attended 9–12 classes. Self‐compassion increased with large effect sizes and mindfulness increased with medium to large effect sizes. A large effect size was found for PTSD symptoms at 3‐month follow‐up (d = −0.89), and a medium effect size was found for depression at 3‐month follow‐up (d = −0.49). There was evidence of mediation of reductions in PTSD symptoms and depression by enhanced self‐compassion. Overall, loving‐kindness meditation appeared safe and acceptable and was associated with reduced symptoms of PTSD and depression. Additional study of loving‐kindness meditation for PTSD is warranted to determine whether the changes seen are due to the loving‐kindness meditation intervention versus other influences, including concurrent receipt of other treatments. 標題:一個治療創傷後壓力症的 ⌈愛與慈悲⌋ 冥想的先導研究 撮要: ⌈愛與慈悲⌋ 冥想加強待人待己的慈悲和同情心,練習包括重覆默念一些對自己和他人有正向的語句。本研究為一開放先導研究,是關於患有創傷後壓力症(PTSD)退役軍人中使用 ⌈愛與慈悲⌋ 冥想。我們在基綫,12週 ⌈愛與慈悲⌋ 冥想療程後,和治療3個月後,評估患者的PTSD、自身同情心和靜觀正念。從基綫到每一個評估點計算效應值,而自身同情心則評估其中介者角色。治療的出席率高,有74%人出席9到12節治療。自身同情心隨着高效應值增加,而中至高效應值則令靜觀正念增長。在3個月後評估點的PTSD症狀則有高效應(d = ‐0.89),但同期抑鬱症狀只有中效應值(d = ‐0.49)。加強自身同情心則在PTSD和抑鬱症狀減少中有中介角色。總括而言, ⌈愛與慈悲⌋ 冥想安全及易被接受,亦與PTSD和抑鬱症狀減退有關連。更多使用 ⌈愛與慈悲⌋ 冥想治療PTSD的研究有助決定這些改變只是由於 ⌈愛與慈悲⌋ 冥想介入治療,或只是其他影响(包括同期的其他治療) 。 标题:一个治疗创伤后压力症的 ⌈爱与慈悲⌋ 冥想的先导研究 撮要: ⌈爱与慈悲⌋ 冥想加强待人待己的慈悲和同情心,练习包括重复默念一些对自己和他人有正向的语句。本研究为一开放先导研究,是关于患有创伤后压力症(PTSD)退役军人中使用 ⌈爱与慈悲⌋ 冥想。我们在基线,12周 ⌈爱与慈悲⌋ 冥想疗程后,和治疗3个月后,评估患者的PTSD、自身同情心和静观正念。从基线到每一个评估点计算效应值,而自身同情心则评估其中介者角色。治疗的出席率高,有74%人出席9到12节治疗。自身同情心随着高效应值增加,而中至高效应值则令静观正念增长。在3个月后评估点的PTSD症状则有高效应(d = ‐0.89),但同期抑郁症状只有中效应值(d = ‐0.49)。加强自身同情心则在PTSD和抑郁症状减少中有中介角色。总括而言, ⌈爱与慈悲⌋ 冥想安全及易被接受,亦与PTSD和抑郁症状减退有关连。更多使用 ⌈爱与慈悲⌋ 冥想治疗PTSD的研究有助决定这些改变只是由于 ⌈爱与慈悲⌋ 冥想介入治疗,或只是其他影响(包括同期的其他治疗) 。