hrvatski

Kognitivna terapija pune svjesnosti

Mindfulness-based cognitive therapy (MBCT) is one of the novel “third wave” approaches within the family of cognitive-behavioural therapies (CBT). It represents a combination of mindfulness meditation practice and CBT delivered in a form of an 8-week group program. Rationale for using mindfulness in treating PTSD can be found in CBT model of PTSD. According to this model, PTSD is developed and maintained by, among other factors, negative appraisals of trauma sequelae (PTSD symptoms) and dysfunctional strategies aimed at reducing distress. Research has shown that mindfulness may reduce judging of uncomfortable inner experiences. Through practicing awareness and acceptance of PTSD symptoms such as re- experiencing, anxiety, and numbing, one may decrease the use of dysfunctional strategies such as thought suppression, rumination, and avoidance. There are also some suggestions that mindfulness may help in the prevention of PTSD. Namely, being dissociated and detached during traumatic experiences is associated with data- driven processing which facilitates intrusive memories. Hence, being mindful might be associated with contextual processing which facilitates intentional retrieving. Several propositions for adapting MBCT for traumatic stress were suggested so far. Initial studies have found that these adapted MBCT programs result in a decrease in PTSD symptoms. But more empirical evidence is needed, especially in respect with civilian trauma. MBCT may also be helpful as a supplement PTSD treatment: either as a part of a broader program which also includes exposure, or as a preparatory training in emotional regulation to be followed by trauma processing.

kognitivna terapija pune svjesnosti ; trauma ; mindfulness ; KBT model PTSP-a ; tretman

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