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回顧台灣正念效果研究與臨床應用:實證與實務的反思

A Review of Mindfulness Outcome Studies and Clinical Applications in Taiwan: Reflections on Empirical Evidence and Practice

摘要


正念訓練在臺灣實務與研究的推展已有多年,本文回顧近十年臺灣中文期刊與碩博士論文有關的正念效果研究45篇,綜合西方研究發展的效益與議題,以了解臺灣這十年的研究成果與限制。研究先將各篇論文依據作者、年代、題目、研究目的、對象、研究介入設計、評量工具、量化與質性結果等進行內容彙編,再綜合分析。結果發現研究的特色包括:1.研究的對象相當多元,探討的議題豐富,對特殊對象或臨床患者的貢獻可與國外交流;2.短期效果在有對照組設計的研究中可以發現,參與者感受到認知效益有注意力、身體覺察的提升,情緒效益在症狀之改善、調節力增加,心理健康效益上則可提升自我慈悲、生活品質;3.需要有清楚的研究設計、執行與適當的評量才能從效果研究結果中帶出應用;4.無效益的原因,可從質性研究結果得知之外,亦需考慮個別差異的議題以及正念治療或訓練者執行的效能。

關鍵字

正念 回顧 效果研究

並列摘要


Mindfulness training has been developed in research and practicum for many years in Taiwan. This paper provides a review of 45 mindfulness outcome studies from journals and dissertations in Taiwan. The researchers first categorize each study by author, publication year, study aims, participants, design, measurements, and outcomes. Then, they provide an overview of the salutary effects of mindfulness. Results show that: 1. The 45 studies explore widespread aspects and people, drawing upon research findings that are comparable with research in Western contexts; 2. Empirical research that includes between-subjects design has found that the short-term effects of mindfulness include cognitive, emotional, and mental health benefits; 3. Clear and effective research design, correct execution, and adequate assessments are imperative for outcome research to provide practical applications; 4. When no significant effects are found, qualitative research shows that subject variability and the effectiveness of mindfulness training/trainers should be considered.

並列關鍵字

mindfulness review outcome studies

參考文獻


王素敏(2015):《正念瑜伽認知治療對高焦慮大學生正念、焦慮感與幸福感之效果研究》。國立臺南大學諮商與輔導學系研究所,碩士論文。[Wang, S.M. (2015). The effectiveness of mindfulness-yoga-cognitive therapy on highly anxious college students’ mindfulness, anxiety and well-being (Unpublished master’s thesis). National Tainan University, Tainan, Taiwan.]
江岑(釋淨淳)(2014):《心理助人工作者學習正念療法對其專業成長之研究》。南華大學生死學系,碩士論文。[Jiang, C. (2014). The effect of MBSR-MBCT program on psychological helpers’ professional growth (Unpublished master’s thesis). Nanhua University, Chiayi, Taiwan.]
何曉嵐(2011):《負向自我思考習慣、心智專注覺察、自我監控覺察與憂鬱的關係及內觀認知治療效果之研究》。輔仁大學心理學研究所,碩士論文。[Ho, H. L. (2011). The relationship among negative self-thinking habits, mindful attention awareness self- metacognition and depression and the outcome study of mindfulness-based cognitive therapy (Unpublished master’s thesis). Fu Jen University, New Taipei City, Taiwan.]
余德慧(2010):《宗教療癒與身體人文空間》。台北:心靈工坊。[Yu, D. H. (2010). Religious healing humanistic horizon of the body. Taipei City, Taiwan: Psygarden,]
林仁儀(2014):《應用正念減壓法於照服員工作壓力之研究》。中臺科技大學醫療暨健康產業管理系研究所,碩士論文。[Lin, R. Y. (2014). Effects of mindfulness-based stress reduction on work stress for nursing aides (Unpublished master’s thesis). Central Taiwan University of Science and Technology, Taichung, Taiwan.]

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李佳容、許佳茵、翁紹綺(2023)。運用正念認知療法於一位雙相情緒障礙症鬱症發作個案之護理經驗精神衛生護理雜誌18(1),44-50。https://doi.org/10.6847/TJPMHN.202308_18(1).06
廖偉舟(2022)。正念融入青少年三級輔導模式之探討輔導與諮商學報44(1),101-130。https://doi.org/10.53106/181815462022054401004
李香君、蔣宜倩、林秋子、朱宗藍、蕭雅竹(2023)。新冠疫情下護理師靈性、正念與自我悲憫之相關性研究中華心理衛生學刊36(3),235-260。https://doi.org/10.30074/FJMH.202309_36(3).0001

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