A Proof of Concept and Feasibility Trial of Compassion Meditation for PTSD

同情冥想治疗创伤后应激障碍的概念验证和可行性试验

• 批准号: 8702880
• 负责人: Ariel J Lang
• 金额: $ 14.24万
• 依托单位: VETERANS MEDICAL RESEARCH FDN/SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2017-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8702880
• 关键词: Address; Adherence; Affect; Anger; Brain; Cognitive; Compassion; Complement; Data; Development; Disease; Educational process of instructing; Emotional; Emotions; Evaluation; Event; Exposure to; Feedback; Feeling; Fostering; Fright; Future; Goals; Individual; Intervention; Length; Life; Literature; Meditation; Outcome; Participant; Patients; Phase; Pilot Projects; Post-Traumatic Stress Disorders; Protocols documentation; Quality of life; Reaction; Recovery; Relaxation; Research; Research Project Grants; Safety; Sampling; Schizophrenia; Social support; Staging; Symptoms; Techniques; Veterans; Work; alternative treatment; base; coping; design; dysphoria; efficacy trial; emotional distress; improved; information gathering; interest; positive emotional state; public health relevance; randomized trial; resilience; satisfaction; social; treatment response; trial comparing

DESCRIPTION (provided by applicant): There is considerable public and professional interest in complementary and alternative approaches, including meditation, for managing posttraumatic stress disorder (PTSD), but there is little empirical support to guide their use. Multiple meditatie techniques can be applied to the amelioration of this disorder, and the literature suggests that they operate by different mechanisms. Compassion meditation is a meditative practice focused on the wish that others and the self may be free of suffering. Because this particular form of meditation has been shown to elicit positive emotion and feelings of connection with other people, it is uniquely well suited to addressing PTSD, which is characterized by strong negative affect, deficits in positive emotion and social connectedness. Compassion meditation has not been evaluated for use with PTSD patients; therefore, the goal of this project is to refine an existing compassion meditation protocol for individuals with PTSD and to examine the safety and feasibility of this approach and to collect data to make initial estimates of efficacy. The proposed project will be completed in two phases. In phase one, the compassion meditation protocol will be executed with individuals with PTSD and iteratively refined based on therapist and participant feedback. In addition, a relaxation protocol that was used in a previous PTSD trial will be modified to match the length and format of the meditative practice. In phase two, we will complete a pilot study to examine the feasibility of conducting a randomized trial comparing these interventions and to provide information that will allow us to better design future projects. Ultimately, the research informed by this project may provide an additional option for treatment of PTSD, which would be an important contribution because existing treatment approaches are not universally acceptable or effective.

描述（由申请人提供）：公众和专业人士对治疗创伤后应激障碍（PTSD）的补充和替代方法（包括冥想）有相当大的兴趣，但几乎没有经验支持来指导其使用。多种冥想技术可用于改善这种疾病，文献表明它们通过不同的机制发挥作用。慈悲冥想是一种专注于希望他人和自己摆脱痛苦的冥想练习。由于这种特殊形式的冥想已被证明可以引发积极情绪和与他人的联系感，因此它非常适合解决创伤后应激障碍（PTSD），其特点是强烈的负面情绪、积极情绪和社会联系的缺陷。慈悲冥想尚未被评估用于 PTSD 患者；因此，该项目的目标是完善针对 PTSD 患者的现有同情冥想方案，并检查该方法的安全性和可行性，并收集数据以对功效进行初步估计。拟议项目将分两期完成。在第一阶段，同情冥想协议将与患有创伤后应激障碍的个人一起执行，并根据治疗师和参与者的反馈进行迭代完善。此外，之前 PTSD 试验中使用的放松方案将被修改，以匹配冥想练习的长度和形式。在第二阶段，我们将完成一项试点研究，以检验进行比较这些干预措施的随机试验的可行性，并提供使我们能够更好地设计未来项目的信息。 最终，该项目的研究可能会为 PTSD 的治疗提供额外的选择，这将是一个重要的贡献，因为现有的治疗方法并未被普遍接受或有效。