MBSR 논문 (원문 및 해석) - 사회 불안 장애의 감정 조절과 관련된 MBSR의 효과

소개

`사회 불안 장애의 감정 조절과 관련된 MBSR의 효과`
저자명 Philippe R. Goldin and James J. Gross

논문의 원문과 그에따른 해석한 자료입니다.

목차

Ⅰ. MBSR 원문
- Emotion regulation in social anxiety disorder associated with the effects of MBSR
1) Mindfulness-based stress reduction
2) MBSR and emotion regulation
3) A recent study
4) How
5) Inclusion and exclusion criteria
6) Clinical Evaluation
7) Procedure
8) Mindfulness-based stress reduction
9) Negative self-beliefs regulation
10) Image Acquisition
11) FMRI data processing
12) Result
13) The difference between the clinical categories and neurologic category
14) Conclusion
15) Clinical
16) Behavioral measures
17) Care measures
18) Clinical
19) Limitations and future research directions

Ⅱ. 해석
1) 마음챙김을 기반으로 한 스트레스 감소
2) MBSR과 감정 규제
3) MBSR, 감정 규제와 사회 불안 장애
4) 최근 연구
5) 방법
6) 포함 및 제외 기준
7) 임상 평가
8) 절차
9) 마음챙김을 기반으로 한 스트레스 감소
10) 부정적인 자기 신념 규제
11) 이미지 수집
12) FMRI 데이터 처리
13) 결과
14) 임상적 범주와 신경학적 범주의 차이
15) 결론
16) 임상 대책
17) 행동 대책
18) 신경 대책
19) 임상 중재
20) 한계 및 향후 연구 방향

본문내용

>> Mindfulness-based stress reduction
Hatha Yoga as well as the official MBSR informal, including the various forms of meditation consists of mindfulness training. (Kabat-Zinn, 1990) in the sense of formal training is focused on the breath, every moment changing nature reign over emotion to focus on what you feel your body scan and walking therapy, diet therapy, and more. The practice of informal and easy to change from moment to moment awareness leads due to the premature interruption. Point that we observed in the immediate experience, ability and transient nature of the thoughts, feelings, memories, mental images, etc. to enhance the body`s sense of purpose, the two will combine the two.

<중 략>

대조적으로 호흡으로의 집중을 병행한 MBSR의 변화 신호의 결여는 어떤 상황에 대해 명백한 관련이 있습니다. 게다가, 사회 불안 증상 심각도에 MBSR과 관련된 감소는 연수 및 시각과 관련한 중간 후두부의 영역의 증가 관계가 있습니다. 이것은 두 가지로 해석될 수 있습니다. 첫째, MBSR이 사회 불안 장애이 가지는 부정적인 자기 신념에 도움이 될 수 있다는 것입니다. 두 번째는, 집중과 관련된 뇌 영역의 신호 체계 또한 코에서의 호흡의 움직임을 정제하는 것입니다.
수많은 연구들이 편도에서의 극심한 반응을 보였습니다. 사회 불안과 관련된 자극에 대한 응답으로 사회 불안 장애 환자의 사나운 얼굴 표정과 비관적인 의견을 포합합니다. 어떤 연구는 약물과 CGBT의 치료로 분류하였습니다.
MBSR과 관련된 편도선의 신호 응답 시간의 변화는 반응과 구성 요쇼의 규제 강화를 제안하고 초기 감정 반응이나 검출된 정서적 특징을 입증하여 편도의 활동을 관찰하였습니다. 이 반응의 결과 편도의 활동에 감소와 호흡으로 관심을 이동하는 신호를 보이기 시작하였고 MBSR의 잠재적인 변화를 기대할 수 있습니다.

참고자료

· Alcazar, Rodriguez,J.O & Saura, “Treatments for social phobia and their influence on clinical and personality variables" (2002).
· Allen, Chambers,R & Knight "A review of conceptual foundations, empirical evidence and practical considerations. Australian and New Zealand Journal of Psychiatry" (2006).
· Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for Beck Depression Inventory II. San Antonio, TX: Psychological Corporation.
· Blair, K., Geraci, M., Devido, J., McCaffrey, D., Chen, G., Vythilingam, M., . . . Pine, D. S. (2008). Neural response to self and other referential praise and criticism in generalized social phobia. Archives of General Psychiatry, 65, 1176 1184.
· Carmody, J. (2009). Evolving conceptions of mindfulness in clinical settings. Journal of Cognitive Psychotherapy, 23, 270 280.
· Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: An integrative review. Clinical Psychology Review, 29, 560 572.
· Chiesa, A., & Serretti, A. (2009). Mindfulness based stress reduction for stress management in healthy people: A review and meta analysis. Journal of Alternative and Complementary Medicine, 15, 593 600.
· Cohen, M. S. (1997). Parametric analysis of fMRI data using linear systems methods. NeuroImage, 6, 93 103.
· Cox, R. W. (1996). AFNI: Software for analysis and visualization of functional magnetic resonance neuroimages. Computers and Biomedical Research, 29, 162 173.
· Davidson, R. J., Kabat Zinn, J., Schumacher, J., Rosenkranz, M., Muller,
· D. Santorelli, Sheridan, J. F. (2003). Alterations in brain and immune function produced by mindfulness meditation. PsychosomaticMedicine, 65, 564 570.
· DiNardo, P. A., Brown, T. A., & Barlow, D. H. (1994). Anxiety Disorders Interview Schedule for DSM IV: Lifetime version (ADIS IV L). New York: Oxford University Press. Evans, S., Ferrando, S., Findler, M., Stowell, C., Smart, C., & Haglin, D. (2008). Mindfulness based cognitive therapy for generalized anxiety disorder. Journal of Anxiety Disorders
· Fan, J., McCandliss, B. D., Fossella, J., Flombaum, J. I., & Posner, M. I. (2005). The activation of attentional networks.
· Farb, N. A., Segal, Z. V., Mayberg, H., Bean, J., McKeon, D., Fatima, Z.
· & Anderson, A. K. (2007). Attending to the present: Mindfulness meditation reveals distinct neural modes of self reference. Social Cognitive and Affective Neuroscience
· Furmark, Tillfors, M., Marteinsdottir, I., Fischer, H., Pissiota, A., Langstrom, B., & Fredrikson, M. (2002). Common changes in cerebral blood flow in patients with social phobia treated with citalopram or cognitive. behavioral therapy. Archives of General Psychiatry,
· Glover, G. H., & Law, C. S. (2001). Spiral in/out BOLD fMRI for increased SNR and reduced susceptibility artifacts. Magnetic Resonance in Medicine
· Goldin, P. R., Manber Ball, T., Werner, K., Heimberg, R. G., & Gross, J. J.(2009). Neural mechanisms of cognitive reappraisal of negative selfbeliefs in social anxiety disorder. Biological Psychiatry
· Goldin, P. R., Manber, T., Hakimi, S., Canli, T., & Gross, J. J. (2009). Neural bases of social anxiety disorder: Emotional reactivity and cognitive regulation during social and physical threat. Archives of General Psychiatry
· Goldin, P. R., McRae, K., Ramel, W., & Gross, J. J. (2008). The neural bases of emotion regulation: Reappraisal and suppression of negative emotion. Biological Psychiatry
· Goldin, P., Ramel, W., & Gross, J. J. (2009). Mindfulness meditation training and self referential processing in social anxiety disorder: Behavioral and neural effects. Journal of Cognitive Psychotherapy
· Gross, J. J. (1998). The emerging field of emotion regulation: An integrative review. Review of General Psychology
· Gross, J. J. (Ed.). (2007). The handbook of emotion regulation. New York:Guilford Press. Heimberg, R. G., & Becker,R.E. (2002). Cognitive behavioral group therapy for social phobia: Basic mechanisms and clinical strategies. New York: Guilford Press.
· Hofmann, S. G., & Asmundson, G. J. (2008). Acceptance and mindfulnessbased therapy: New wave or old hat Clinical Psychology Review
· Jefferys, D. (1997). Social phobia: The most common anxiety disorder. Australian Family Physician
· Jha, A. P., Krompinger, J., & Baime, M. J. (2007). Mindfulness training modifies subsystems of attention. Cognitive Affective and Behavioral Neuroscience
· Kabat Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell Publishing.
· Koszycki, D., Benger, M., Shlik, J., & Bradwejn, J. (2007). Randomized trial of a meditation based stress reduction program and cognitive. behavior therapy in generalized social anxiety disorder. Behavior Research and Therapy, 45, 2518.2526.
· Liebowitz, M. R. (1987). Social phobia. Modern Problems in Pharmacopsychiatry, 22, 141.173.
· Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008). Attention regulation and monitoring in meditation. Trends in Cognitive Sciences, 12, 163.169.
· Lykins, E. L. B., & Baer, R. A. (2009). Psychological functioning in a sample of long term practitioners of mindfulness meditation. Journal of Cognitive Psychotherapy, 23, 226.241.
· Mueller, E. M., Hofmann, S. G., Santesso, D. L., Meuret, A. E., Bitran, S., & Pizzagalli, D. A. (2008). Electrophysiological evidence of attentional biases in social anxiety disorder. Psychological Medicine, 39, 1.12.
· Nolen Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569.582.
· Northoff, G., Heinzel, A., de Greck, M., Bermpohl, F., Dobrowolny, H., & Panksepp, J. (2006). Self referential processing in our brain.A metaanalysis of imaging studies on the self. NeuroImage, 31, 440.457.
· Phan, K. L., Fitzgerald, D. A., Nathan, P. J., & Tancer, M. E. (2006). Association between amygdala hyperactivity to harsh faces and severity of social anxiety in generalized social phobia. Biological Psychiatry, 59,424.429.
· Ramel, W., Goldin, P. R., Carmona, P. E., & McQuaid, J. R. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive Therapy and Research, 28,433.455.
· Rosenberg, M. (1965). Society and the adolescent self image. Princeton, NJ: Princeton University Press. Schultz, L. T., & Heimberg, R. G. (2008). Attentional focus in social anxiety disorder: Potential for interactive processes. Clinical Psychology
· Review, 28, 1206.1221.
· Segal,Z.V.,Williams,J.M.G.&Teasdale,J.D. (2002). Mindfulnessbased cognitive therapy for depression: A new approach to preventing
· relapse. New York: Guilford Press.
· Slagter, H. A., Lutz, A., Greischar, L. L., Nieuwenhuis, S., & Davidson, R. J. (2008). Theta phase synchrony and conscious target perception:Impact of intensive mental training. Journal of Cognitive Neuroscience,
· 21, 1536.1549.
· Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1970). Manual for the State Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
· Stein, M. B., Goldin, P. R., Sareen, J., Zorrilla, L. T., & Brown, G. G. (2002). Increased amygdala activation to angry and contemptuous faces in generalized social phobia. Archives of General Psychiatry, 59, 1027.1034.
· Talairach, J., & Tournoux, P. (1988). Co planar stereotaxic atlas of the human brain. New York: Thieme.
· Teasdale, J. T., Segal, Z. V., Williams, J. M. G., Ridgeway, V. A., Soulsby, J. M., & Lau, M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615.623.