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Prospects for a Clinical Science of Mindfulness-Based Intervention

机译:基于正念的干预临床科学的前景

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Mindfulness-based interventions (MBIs) are at a pivotal point in their future development. Spurred on by an ever-increasing number of studies and breadth of clinical application, the value of such approaches may appear self-evident. We contend, however, that the public health impact of MBIs can be enhanced significantly by situating this work in a broader framework of clinical psychological science. Utilizing the National Institutes of Health stage model (Onken, Carroll, Shoham, Cuthbert, & Riddle, 2014), we map the evidence base for mindfulness-based cognitive therapy and mindfulness-based stress reduction as exemplars of MBIs. From this perspective, we suggest that important gaps in the current evidence base become apparent and, furthermore, that generating more of the same types of studies without addressing such gaps will limit the relevance and reach of these interventions. We offer a set of 7 recommendations that promote an integrated approach to core research questions, enhanced methodological quality of individual studies, and increased logical links among stages of clinical translation in order to increase the potential of MBIs to impact positively the mental health needs of individuals and communities.
机译:基于正念的干预(MBI)处于其未来发展的关键时刻。在不断增加的研究和广泛的临床应用的刺激下,这种方法的价值似乎是不言而喻的。但是,我们认为,通过将这项工作置于临床心理学的更广泛框架中,可以显着增强MBI的公共卫生影响。利用美国国立卫生研究院的阶段模型(Onken,Carroll,Shoham,Cuthbert和Riddle,2014),我们将基于正念的认知疗法和基于正念的压力减少作为MBIs的范例进行了映射。从这个角度来看,我们认为当前证据基础中的重要空白变得显而易见,此外,如果不解决此类空白而开展更多相同类型的研究将限制这些干预措施的相关性和范围。我们提供了7条建议,以促进针对核心研究问题的综合方法,提高个体研究的方法学质量以及增强临床翻译各阶段之间的逻辑联系,从而增加MBI对个体的心理健康需求产生积极影响的潜力和社区。

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