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    題名: 基於正念療法干預效果之視覺化文獻回顧與後設分析
    Visualization Analysis of Literature Review and Meta-analysis of the Effects of Mindfulness-based Approaches Interventions
    作者: 林雯
    Lin, Wen
    貢獻者: 吳政達
    郭昭佑
    林雯
    Lin, Wen
    關鍵詞: 基於正念療法
    干預效果
    視覺化文獻回顧
    後設分析
    網狀後設分析
    mindfulness-based interventions
    effect size
    visualization analysis of literature review
    meta-analysis
    network meta-analysis
    日期: 2021
    上傳時間: 2021-08-04 16:13:36 (UTC+8)
    摘要: 20世紀初，瑜伽、靜坐、冥想等東方宗教活動逐漸映入人們的眼簾，被引用借鑒為心理治療的媒介。卡巴金博士將正念從佛學語境中引入心理學領域，開創了基於正念療法的先河。本研究旨在系統性整合以正念為治療理念的心理干預方法，採用文獻計量分析方法，應用視覺化的知識圖譜呈現目前基於正念療法的前沿熱點及未來發展趨勢，針對非臨床參與者採用傳統後設分析和網狀後設分析方法整合分析其於個體心理健康的干預效果，並對不同正念療法進行量化排序，以得到最優方案。正念研究呈現逐年遞增趨勢，結果表明，正念治療研究領域呈逐年增長趨勢。American Psychiatric Association（2013），Hofman et al.（2010）以及A-Tjak et al.（2015）發表論文被學者們廣泛引用。被引分析的聚類結果顯現出正念治療介入研究的熱門主題分別為commitment therapy承諾療法、mindfulness-based stress reduction正念減壓療法、acceptance commitment therapy接納與承諾療法、mindfulness-based commitment therapy正念承諾療法、borderline personality disorder邊緣性人格障礙和dialectical behavior therapy辯證行為療法。關鍵字共現分析顯示，在正念治療研究領域中出現詞頻較高的詞彙有正念mindfulness、抑鬱depression、辯證行為療法dialectical behavior therapy、治療intervention和冥想meditation等詞彙。美國在這一領域具有絕對的學術領導地位，且以它為中心，與其他發文量大國之間形成緊密的合作網路。其中，美國的Washington大學和Nevada大學為重要的研究機構，發表文獻被廣泛採納引用。採用CMA軟體分別計算基於正念療法干預（正念減壓療法MBSR、正念認知療法MBCT、接納與承諾療法ACT）于心理健康效果變項（壓力感知、抑鬱、焦慮、正念、幸福感和自我關愛）的效果量，共納入81項研究（MBSR：36項；MBCT：13項；ACT：32項）並做討論分析。結果顯示，三種基於正念治療干預均可以有效減少壓力感知，減緩抑鬱與焦慮，提升正念。另外，MBSR和ACT療法能有效提升幸福感，MBSR和MBCT能提升自我關愛能力。採用STATA軟體對三種正念療法進行量化排序以探尋提升個體心理健康的最優治療方案。結果顯示，三種治療方案干預效果均優於對照組，MBSR為壓力管理的最優方案，其次是MBCT和ACT；MBCT為緩解焦慮與抑鬱的最優干預方案，其次分別為MBSR和ACT；在提升正念水準上，MBSR的干預效果最佳，其次為MBCT和ACT。本研究對未來正念療法干預效果研究提供了建議。
    During 20th century, many spiritual workers from the East went to the West to preach. Mindfulness research shows an increasing trend year by year. This research aims to systematically integrate the effects of mindfulness-based intervention ((Mindfulness based stress reduction, MBSR; Mindfulness based cognitive therapy, MBCT; Acceptance and commitment therapy, ACT) using bibliometric analysis, meta-analysis and network meta-analysis. Mindfulness research shows an increasing trend year by year. The results showed that the papers of American Psychiatric Association (2013), Hofman et al. (2010) and A-Tjak et al. (2015) were widely cited . The clustering of the co-citation analysis showed that the popular themes of interventional research on mindfulness therapy are commitment therapy, mindfulness-based stress reduction, acceptance commitment therapy, mindfulness-based commitment therapy, mindfulness-based stress reduction, mindfulness-based stress reduction, borderline personality disorder and dialectical behavior therapy. The keywords of co-occurrence analysis shows that the highest frequency words contained mindfulness, depression, dialectical behavior therapy, therapeutic intervention, and meditation meditation. The United States had absolute academic leadership in this field, and it has formed a close cooperation network with other countries with a large amount of papers. Among them, the University of Washington and the University of Nevada in the United States were important research institutions, and their published literatures were widely cited. A total of 81 studies were included (MBSR: 36; MBCT: 13; ACT: 32). The results showed that three types of mindfulness-based interventions (MBSR, MBCT, and ACT) have significant effects on reducing perceived stress, anxiety and depression, and improving mindfulness. In addition, MBSR has a moderate to high effect on improving well-being and self-compassion; MBCT has a moderate effect on improving self-compassion; ACT has a small effect on improving well-being. The results of network meta-analysis showed that MBSR was most effective in reducing stress perception and improving mindfulness, ranking before MBCT and ACT. And MBCT was most effective in reducing anxiety and depression symptoms, ranking before MBSR and ACT. In addition, the study provided suggestions for the future study of mindfulness-based interventions.
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    納入後設分析文獻
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    描述: 博士
    國立政治大學
    教育學系
    106152520
    資料來源: http://thesis.lib.nccu.edu.tw/record/#G0106152520
    資料類型: thesis
    DOI: 10.6814/NCCU202101044
    顯示於類別:[教育學系] 學位論文

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