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心理社会弹性训练的可行性和有效性:READY 计划的初步研究。

Feasibility and effectiveness of psychosocial resilience training: a pilot study of the READY program.

机构信息

School of Human Movement Studies, The University of Queensland, St Lucia, Brisbane, Australia.

出版信息

Psychol Health Med. 2010 May;15(3):266-77. doi: 10.1080/13548501003758710.

DOI:10.1080/13548501003758710
PMID:20480432
Abstract

Despite many studies on the characteristics associated with resilience, there is little research on interventions to promote resilience in adults. The aims of this study were to gather preliminary information regarding the feasibility of implementing a group psychosocial resilience training program (REsilience and Activity for every DaY, READY) in a workplace setting, and to assess if program would potentially promote well-being. The program targets five protective factors identified from empirical evidence: Positive emotions, cognitive flexibility, social support, life meaning, and active coping. Resilience enhancement strategies reflect core acceptance and commitment therapy (ACT) processes and cognitive behavior therapy strategies. Sessions involve psychoeducation, discussions, experiential exercises, and home assignments. Sixteen participants completed 11 x two h group sessions over 13 weeks. Baseline and post-intervention assessment included self-administered questionnaires, pedometer step counts, and physical and hematological measures. Data were analyzed using standardized mean differences and paired t-tests. There was a significant improvement between baseline and post intervention scores on measures of mastery (p = 0.001), positive emotions (p = 0.002), personal growth (p = 0.004), mindfulness (p = 0.004), acceptance (p = 0.012), stress (p = 0.013), self acceptance (p = 0.016), valued living (p = 0.022), autonomy (p = 0.032) and total cholesterol (p = 0.025). Participants rated the program and materials very highly. These results indicate that the READY program is feasible to implement as a group training program in a workplace setting to promote psychosocial well-being.

摘要

尽管有许多关于与韧性相关的特征的研究,但很少有研究关注促进成年人韧性的干预措施。本研究的目的是收集关于在工作场所环境中实施团体心理社会韧性培训计划(REsilience and Activity for every DaY,READY)的可行性的初步信息,并评估该计划是否有可能促进幸福感。该计划针对从实证证据中确定的五个保护因素:积极情绪、认知灵活性、社会支持、生活意义和积极应对。韧性增强策略反映了核心接受和承诺治疗(ACT)过程和认知行为治疗策略。课程包括心理教育、讨论、体验式练习和家庭作业。16 名参与者完成了 13 周内 11 次每次 2 小时的团体课程。基线和干预后评估包括自我管理问卷、计步器步数、身体和血液测量。使用标准化平均差异和配对 t 检验分析数据。在掌握(p = 0.001)、积极情绪(p = 0.002)、个人成长(p = 0.004)、正念(p = 0.004)、接受(p = 0.012)、压力(p = 0.013)、自我接受(p = 0.016)、有价值的生活(p = 0.022)、自主(p = 0.032)和总胆固醇(p = 0.025)方面,与干预前相比,干预后得分显著提高。参与者对该计划和材料的评价非常高。这些结果表明,READY 计划在工作场所环境中作为团体培训计划实施是可行的,可以促进心理社会幸福感。

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