Zusammenfassung
Vor dem Hintergrund des stark gestiegenen Interesses an achtsamkeitsbasierten Interventionen sowohl im Bereich der Forschung als auch der Integration in den klinischen Alltag gibt der vorliegende Artikel einen Überblick über eines der bislang am besten untersuchten achtsamkeitsbasierten Gruppeninterventionsprogramme: MBSR (Mindfulness-based Stress Reduction). Es werden die theoretischen Hintergründe der Achtsamkeitspraxis, das Vorgehen bei den Übungen sowie mögliche Wirkfaktoren dargestellt. Der Artikel enthält auch einen kurzen Exkurs zum MBCT-Programm (Mindfulness-based Cognitive Therapy), welches störungsspezifisch für die Rückfallprophylaxe bei depressiven Erkrankungen entwickelt wurde. Der Artikel endet mit einem Fazit für die klinische Praxis.
Abstract
In the context of an increasing interest in mindfulness-based approaches both in clinical application as well as in the field of research the present paper introduces MBSR (Mindfulness-based Stress Reduction), illustrates the theoretical background of mindfulness practice and reviews the procedures during the cultivation of mindfulness and possible impacting factors. The article also reviews Mindfulness-based Cognitive Therapy (MBCT), which was specifically developed to prevent relapse in patients with depressive disorders. The paper ends with a conclusion for clinical practice.
Schlüsselwörter
Achtsamkeit - Akzeptanz - Gruppeninterventionen - Achtsamkeit des Therapeuten - Mindfulness-based Stress Reduction - Mindfulness-based Cognitive Therapy
Keywords
mindfulness - acceptance - group intervention - mindful therapist - mindfulness-based stress reduction - mindfulness-based cognitive therapy
Literatur
-
1
Heidenreich T, Michalak J.
Achtsamkeit („Mindfulness”) als Therapieprinzip in Verhaltenstherapie und Verhaltensmedizin.
Verhaltenstherapie.
2003;
13
264-274
-
2 Kabat-Zinn J. Full catastrophe living: The program of the Stress Reduction Clinic at the University of Massachusetts Medical Center.. New York: Delta; 1990
-
3
Baer R A.
Mindfulness training as a clinical intervention: A conceptual and empirical review.
Clin Psychol.
2003;
10
125-143
-
4
Bishop S R.
What do we really know about Mindfulness-Based Stress Reduction?.
Psychosom Med.
2002;
64
71-84
-
5
Grossman P, Niemann L, Schmidt S et al.
Mindfulness-based stress reduction and health benefits: A meta-analysis.
J Psychosom Res.
2004;
57
35-43
-
6
Shigaki C L, Glass B, Schopp L H.
Mindfulness-Based Stress Reduction in Medical Settings.
J Clin Psychol Med Settings.
2006;
13
209-216
-
7
Hofmann S G, Sawyer A T, Witt A A et al.
The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review.
J Consult Clin Psychol.
2010;
78
169-183
-
8
Weiss M et al.
Mindfulness-Based Stress Reduction as an Adjunct to Outpatient Psychotherapy.
Psychother Psychosom.
2005;
74
108-112
-
9
Shapiro S L, Oman D, Thoresen C E et al.
Cultivating Mindfulness: Effects on Well-Being.
J Clin Psychol.
2008;
64
840-862
-
10
Anderson N D, Lau M A, Segal Z V et al.
Mindfulness-Based Stress Reduction and Attentional Control.
Clin Psychol Psychother.
2007;
14
449-463
-
11
Davidson R J, Kabat-Zinn J, Schumacher J et al.
Alterations in brain and immune function produced by mindfulness meditation.
Psychosomatic Medicine.
2003;
65
564-570
-
12
Michalsen A, Grossman P, Lehmann N et al.
Psychological and Quality-of-Life Outcomes from a Comprehensive Stress Reduction and Lifestyle Program in Patients with Coronary Artery Disease: Results of a Randomized Trial.
Psychother Psychosom.
2005;
74
344-352
-
13
Shapiro S L, Brown K W, Thoresen C et al.
The Moderation of Mindfulness-Based Stress Reduction Effects by Trait Mindfulness: Results from a Randomized Controlled Trial.
J Clin Psychol.
2011;
67
267-277
-
14
Speca M, Carlson L E, Goodey E et al.
A randomized, wait-list controlled clinical trial: The effect of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer outpatients.
Psychosom Med.
2000;
62
613-622
-
15 Kabat-Zinn J. Whereever you go, there you are: Mindfulness Meditation in everyday life.. New York: Hyperion; 1994
-
16
Walach H.
Achtsamkeit als therapeutische Tugend.
Forsch Komplementmed.
2008;
15
105-112
-
17
Grepmair L, Mitterlehner F, Loew T et al.
Promoting Mindfulness in Psychotherapists in Training Influences the Treatment Results of their Patients: A randomized, double-blind control study.
Psychother Psychosom.
2007;
76
332-338
-
18 Lehrhaupt L, Meibert P. Stress bewältigen mit Achtsamkeit. Zu innerer Ruhe kommen mit MBSR.. München: Kösel; 2010
-
19 Segal Z, Williams J MG, Teasdale J D. Mindfulnesss-Based Cognitive Therapy for Depression. A New Approach to Preventing Relapse.. New York: Guilford; 2002
-
20
Segal Z V, Bieling P, Young T et al.
Antidepressant Monotherapy vs Sequential Pharmacotherapy and Mindfulness-Based Cognitive Therapy, or Placebo, for Relapse Prophylaxis in Recurrent Depression.
Arch Gen Psychiatry.
2010;
67
1256-1264
-
21
Arch J J, Craske M G.
Mechanisms of mindfulness: emotion regulation following a focused breathing induction.
Behav Res Ther.
2006;
44
1849-1858
-
22 Zeidler W. Achtsamkeit und ihr Einfluss auf die Emotionsverarbeitung. Eine experimentelle Untersuchung der Wirkmechanismen.. Saarbrücken: Verlag Dr. Müller; 2007
-
23
Michalak J, Hölz A, Teismann T.
Psychology and Psychotherapy: Theory, research and Practice.
Psychol Psychother.
2011;
84
230-226
-
24
Teasdale J D, Moore R G, Hayhurst H et al.
Metacognitive awareness and prevention of relapse in depression: Empirical evidence.
J Consult Clin Psychol.
2002;
70
275-287
-
25
Kuyken W, Watkins E, Holden E et al.
How does mindfulness-based cognitive therapy work?.
Behav Res Ther.
2010;
48
1105-1112
-
26
Michalak J, Troje N F, Heidenreich T.
Embodied effects of mindfulness-based cognitive therapy.
J Psychosom Res.
2010;
68
312-313
-
27
Michalak J, Troje N, Heidenreich T.
The effects of Mindfulness-Based Cognitive Therapy on depressive gait patterns.
J Cogn Behav Psychother.
2011;
11
13-27
-
28
Meibert P, Michalak J, Heidenreich T.
Achtsamkeit in kognitiv-behavioralen Therapien.
Psychotherapie.
2010;
15
98-116
Petra Meibert, Dipl.-Psych.
Laurastraße 87
45289 Essen
Email: J.P.Meibert@t-online.de
