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驯服青少年的心灵:一项针对临床诊断各异的青少年心理健康问题的正念心理干预初步报告。

Taming the adolescent mind: preliminary report of a mindfulness-based psychological intervention for adolescents with clinical heterogeneous mental health diagnoses.

作者信息

Tan Lucy, Martin Graham

机构信息

Northwest Child and Youth Mental Health Services, Royal Children's Hospital, 49 Corrigan St, Keperra, Brisbane, Australia.

出版信息

Clin Child Psychol Psychiatry. 2013 Apr;18(2):300-12. doi: 10.1177/1359104512455182. Epub 2012 Dec 4.

Abstract

BACKGROUND

Mindfulness-based interventions such as Mindfulness-based Stress Reduction (MBSR) and Mindfulness Cognitive Behavior Therapy (MCBT) have been used to treat adults with psychiatric disorders. This article describes initial modification and development of a mindfulness-based intervention group program for adolescents with psychiatric disorders. It was hypothesized that the intervention would improve mindfulness, mental health outcomes and decrease psychological distress and symptoms.

METHOD

Adolescents from a mental health clinic attended a 5-week group pilot mindfulness-based intervention. Adolescents and parents completed questionnaires at pre- and post-intervention and at 3-month follow-up. Baseline measures indicated moderate to severe range of mental health symptoms.

RESULTS

After the intervention, adolescents reported significant decreases in psychological distress and increases in mindfulness and self-esteem. Qualitative data revealed the intervention to be engaging and beneficial. Parents also reported significant overall improvements of adolescents' functioning.

CONCLUSIONS

These promising preliminary results suggest that the intervention was feasible, acceptable and offered positive impact on mental health problems, and the intervention warrants further research in a randomized controlled study.

摘要

背景

基于正念的干预措施,如基于正念的减压疗法(MBSR)和正念认知行为疗法(MCBT),已被用于治疗患有精神疾病的成年人。本文描述了针对患有精神疾病的青少年的基于正念的干预小组项目的初步修改和开发。研究假设该干预措施将提高正念水平、改善心理健康结果,并减少心理困扰和症状。

方法

来自一家心理健康诊所的青少年参加了为期5周的基于正念的小组试点干预。青少年和家长在干预前、干预后以及3个月随访时完成问卷调查。基线测量表明心理健康症状处于中度至重度范围。

结果

干预后,青少年报告心理困扰显著减少,正念和自尊水平提高。定性数据显示该干预措施具有吸引力且有益。家长也报告青少年的功能有显著的整体改善。

结论

这些有前景的初步结果表明,该干预措施是可行的、可接受的,并且对心理健康问题产生了积极影响,该干预措施值得在随机对照研究中进一步研究。

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