Hintz Samuel, Frazier Patricia A, Meredith Liza
VA Medical Center.
Department of Psychology, University of Minnesota.
J Couns Psychol. 2015 Apr;62(2):137-47. doi: 10.1037/cou0000014. Epub 2014 Mar 17.
The goal of this study was to assess the feasibility and effectiveness of a theory-based online intervention designed to improve stress management in undergraduate students. The intervention focused on present control because it has been found to be associated with a range of positive outcomes, including lower levels of depression, anxiety, and stress, controlling for a range of other variables (e.g., Frazier et al., 2011, 2012). Two pilot studies were first conducted to confirm that our intervention could increase present control. We then randomly assigned psychology students (n = 292) who were prescreened to have lower scores on the present control subscale of the Perceived Control Over Stressful Events Scale (Frazier et al., 2011) to 1 of 3 conditions: the present control intervention, the present control intervention plus feedback, and stress-information only. Seventy-six percent (n = 223) began the intervention, and 87% (n = 195) of those completed the posttest and 3-week follow-up. The 2 present control intervention groups had lower levels of stress, depression, and anxiety symptoms (on the Depression Anxiety Stress Scales; Lovibond & Lovibond, 1995) and perceived stress (on the Perceived Stress Scale; Cohen, Kamarck, & Mermelstein, 1983) relative to the stress-information-only group at posttest and 3-week follow-up (mean between group d at follow-up = .35, mean within group d for intervention groups at follow-up = -.46). Further, mediation analyses revealed that these effects were mediated by changes in present control. Our intervention represents a potentially valuable tool for college mental health services.
本研究的目的是评估一种基于理论的在线干预措施在改善本科生压力管理方面的可行性和有效性。该干预措施侧重于当下的掌控感,因为研究发现它与一系列积极结果相关,包括较低水平的抑郁、焦虑和压力,同时控制了一系列其他变量(例如,弗雷泽等人,2011年、2012年)。首先进行了两项试点研究,以确认我们的干预措施能够增强当下的掌控感。然后,我们将预先筛选出在压力事件感知控制量表(弗雷泽等人,2011年)的当下控制子量表上得分较低的心理学专业学生(n = 292)随机分配到3种条件中的一种:当下控制干预、当下控制干预加反馈,以及仅提供压力信息。76%(n = 223)的学生开始了干预,其中87%(n = 195)完成了后测和3周随访。在干预后测和3周随访时,相对于仅提供压力信息的组,两个当下控制干预组的压力、抑郁和焦虑症状水平(使用抑郁焦虑压力量表;洛维邦德和洛维邦德,1995年)以及感知压力(使用感知压力量表;科恩、卡马克和梅尔梅斯坦,1983年)较低(随访时组间平均d值 = 0.35,干预组随访时组内平均d值 = -0.46)。此外,中介分析表明,这些效应是由当下控制的变化介导的。我们的干预措施是大学心理健康服务的一个潜在有价值的工具。