Publication
Contributo da regulação emocional implícita para a eficácia do treino de Mindfulness na população com perturbação de uso de substâncias
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Advisor(s)
Abstract(s)
As perturbações de uso de substâncias caracterizam-se particularmente pela
incapacidade dos sujeitos em regularem as suas emoções. O mindfulness tem sido
identificado como uma estratégia de regulação emocional adaptativa que promove um
aumento do controlo emocional e comportamental através do fortalecimento dos
processos cognitivos explícitos (top-down), permitindo aos indivíduos interromper os
comportamentos automáticos inadaptados (bottom-up). As intervenções que promovem
a prática do mindfulness são eficazes na redução do consumo de substâncias, no entanto,
pouco se conhece acerca dos mecanismos ativados pela prática do mindfulness. De
forma a investigarmos o contributo da regulação emocional implícita para a eficácia do
treino de mindfulness em sujeitos com perturbação de uso de substâncias estabelecemos
dois objetivos. O primeiro consistiu em avaliar o contributo da evolução da capacidade
de regulação emocional implícita para a evolução das competências de mindfulness,
afeto e craving no decorrer de um programa de prática de mindfulness; o segundo,
pretendeu avaliar se a capacidade de regulação emocional implícita dos sujeitos, antes
de iniciarem o treino de mindfulness, contribuía para a evolução das competências de
mindfulness, do afeto e do craving. Para a prossecução destes objetivos, foram incluídos
19 participantes que se encontravam em tratamento numa comunidade terapêutica,
tendo completado um programa de seis sessões de mindfulness. Os resultados fornecem
sustentação à hipótese explorada no segundo objetivo, sugerindo que a adaptação
emocional implícita atua como variável moderadora, facilitando a aquisição das
competências de mindfulness relativas à capacidade de descrever, e proporcionando
uma melhoria nas estratégias de coping para lidar com os afetos negativos e a
diminuição do craving.
Substance use disorders are particularly characterized by the inability of subjects to regulate their emotions. Mindfulness has been identified as an adaptive emotional regulation strategy that promotes an increase in emotional and behavioral control through the strengthening of top-down cognitive processes, allowing individuals to disrupt automatic maladaptive behaviors (bottom-up). Interventions that promote the practice of mindfulness are effective in reducing substance use, however, little is known about the mechanisms activated by the practice of mindfulness. In order to investigate the contribution of implicit emotional regulation to the effectiveness of mindfulness training in subjects with substance use disorders, we have established two objectives. The first aims to evaluate the contribution of the evolution of the capacity of implicit emotional regulation to the evolution of the mindfulness competences, affect and craving in the course of a mindfulness program; the second one was intended to evaluate whether the subjects' ability to implicit emotional regulation, before beginning the training of mindfulness, contributed to the evolution of mindfulness, affect and craving competences. To achieve these goals, we included 19 participants who were being treated in a therapeutic community, having completed a six-session mindfulness program. The results provide support for the hypothesis explored in the second objective, suggesting that implicit emotional adaptation acts as a moderating variable, facilitating the acquisition of mindfulness skills related to the ability to describe, and providing an improvement in coping strategies to deal with negative affect and the decrease of craving.
Substance use disorders are particularly characterized by the inability of subjects to regulate their emotions. Mindfulness has been identified as an adaptive emotional regulation strategy that promotes an increase in emotional and behavioral control through the strengthening of top-down cognitive processes, allowing individuals to disrupt automatic maladaptive behaviors (bottom-up). Interventions that promote the practice of mindfulness are effective in reducing substance use, however, little is known about the mechanisms activated by the practice of mindfulness. In order to investigate the contribution of implicit emotional regulation to the effectiveness of mindfulness training in subjects with substance use disorders, we have established two objectives. The first aims to evaluate the contribution of the evolution of the capacity of implicit emotional regulation to the evolution of the mindfulness competences, affect and craving in the course of a mindfulness program; the second one was intended to evaluate whether the subjects' ability to implicit emotional regulation, before beginning the training of mindfulness, contributed to the evolution of mindfulness, affect and craving competences. To achieve these goals, we included 19 participants who were being treated in a therapeutic community, having completed a six-session mindfulness program. The results provide support for the hypothesis explored in the second objective, suggesting that implicit emotional adaptation acts as a moderating variable, facilitating the acquisition of mindfulness skills related to the ability to describe, and providing an improvement in coping strategies to deal with negative affect and the decrease of craving.
Description
Keywords
Mindfulness Regulação emocional implícita Perturbação uso de substâncias Craving Afeto