正念对自杀意念的影响:基于单被试实验的效果和可行性研究  

The Influence of Mindfulness on Suicidal Ideation: An Investigation of the Efficacy and Feasibility Based on a Single-Subject Experiment

作　　者：徐少卿 渠改萍 刘兴华[2] 李波[3] 韩峰 刘小英 刘芳 符仲芳 XU Shaoqing;QU Gaiping;LIU Xinhua;LI Bo;HAN Feng;LIU Xiaoying;LIU Fang;FU Zhongfang(Department of Education,Taiyuan University,Taiyuan 030012,China;School of Psychological and Cognitive Sciences,Peking University,Beijing 100871,China;School of Humanities and Social Sciences,Beijing Institute of Technology,Beijing 100081,China;Taiyuan Anding Hospital,Taiyuan 030013,China)

机构地区：[1]太原学院教育系,太原030012 [2]北京大学心理与认知科学学院,北京100871 [3]北京理工大学人文与社会科学学院,北京100081 [4]太原安定医院,太原030013

出　　处：《心理技术与应用》2024年第6期343-356,共14页Psychology(Techniques and Applications)

基　　金：国家自然科学基金青年项目(32300930);山西省社科联重点课题研究项目(SSKLZDKT2022124);太原学院校企合作项目(JYX-2022100501)。

摘　　要：为检验个体咨询情境下运用正念干预自杀意念的效果和可行性,采用单被试实验A-B-A设计,筛选2名合格被试,借鉴《正念第八天》设计干预措施,对被试的自杀意念和心理痛苦进行连续测量,通过视觉分析和非重叠对占比,结合书面访谈,分析干预措施的效果、安全性和接受度。结果显示被试对干预不存在强烈消极体验,获得了“冷静”情绪、促进接纳和激发领悟等效果,总体上接受干预;被试的自杀意念在趋势上出现了由上升到下降的积极变化,1名被试出现了自杀意念和心理痛苦的分离。表明个体咨询情境下,可借鉴《正念第八天》的结构和内容作为自杀意念的干预措施。To examine the efficacy and feasibility of employing mindfulness interventions to address suicidal ideation within individual counseling contexts,this study utilized a single-subject A-B-A design.Two eligible participants were selected and interventions inspired by“On the Mindfulness Eighth Day”were implemented.Continuous assessment of suicidal ideation and psychological pain was conducted,employing visual analysis and non-overlap of all pairs,alongside written interviews,to evaluate the intervention's efficacy,safety,and acceptance.Results indicated that participants did not experience significant adverse reactions to the intervention,achieving a state of"calmness,"fostering acceptance,and eliciting insights.Overall,the intervention was well-accepted;a positive shift from increasing to decreasing trends in suicidal ideation was observed,with one participant showing a separation between suicidal ideation and psychological pain.This suggests that the structure and content of"On the Mindfulness Eighth Day"can be effectively adapted for interventions targeting suicidal ideation in individual counseling settings.

关 键 词：正念 自杀意念 单被试实验 可行性 

分 类 号：B849[哲学宗教—应用心理学]