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针对大学生酗酒者的简短正念干预:一项试点研究。

A brief mindfulness intervention for college student binge drinkers: A pilot study.

作者信息

Mermelstein Liza C, Garske John P

机构信息

Department of Psychology, Ohio University.

出版信息

Psychol Addict Behav. 2015 Jun;29(2):259-69. doi: 10.1037/adb0000040. Epub 2014 Nov 17.

Abstract

The current study sought to evaluate the feasibility and efficacy of a brief mindfulness intervention aimed to reduce rates and consequences of binge drinking among college students. Participants were 76 undergraduate students assigned to a mindfulness/cue exposure group (MG) or a control/cue exposure only group (CG). Assessments were administered at the beginning of the initial session (i.e., baseline), the end of the initial session (i.e., posttreatment) and weekly for the subsequent 4 weeks. During the initial session, participants engaged in a cue exposure protocol that differed by group. The MG participated in a 60-min individual mindfulness intervention composed of didactic and experiential activities during the initial session. They participated in a mindfulness practice during the Week 2 follow-up assessment and were asked to engage in 1 hr of out-of-session mindfulness meditation each week during the 4-week assessment period. Treatment outcome examined changes in frequency of binge episodes, consequences of alcohol use, readiness to change alcohol use, alcohol refusal self-efficacy, and dispositional mindfulness between groups over time. Group differences in readiness to change, self-efficacy, and dispositional mindfulness were not found from baseline to posttreatment. Four weeks after the initial intervention, the MG reported significantly less binge episodes, fewer consequences of alcohol use, higherself-efficacy and higher dispositional mindfulness than the CG. Feasibility and participant acceptability of the intervention was demonstrated by consistent attendance, low attrition and high satisfaction ratings by the MG. Results provide initial support for the efficacy of a brief, mindfulness-based intervention among college students who report binge drinking. (PsycINFO Database Record

摘要

当前研究旨在评估一种简短的正念干预措施的可行性和有效性,该干预旨在降低大学生暴饮的发生率及其后果。参与者为76名本科生,他们被分配到正念/线索暴露组(MG)或仅对照组/线索暴露组(CG)。评估在初始疗程开始时(即基线)、初始疗程结束时(即治疗后)进行,并在随后的4周内每周进行一次。在初始疗程中,参与者参与了因组而异的线索暴露方案。MG在初始疗程中参加了一个由讲授和体验活动组成的60分钟个人正念干预。他们在第2周的随访评估中进行了正念练习,并被要求在4周的评估期内每周进行1小时的课外正念冥想。治疗结果考察了两组之间随着时间推移在暴饮发作频率、饮酒后果、改变饮酒意愿、酒精拒绝自我效能以及特质正念方面的变化。从基线到治疗后,在改变意愿、自我效能和特质正念方面未发现组间差异。初始干预四周后,MG报告的暴饮发作次数显著少于CG,饮酒后果更少,自我效能更高,特质正念更高。干预的可行性和参与者的可接受性通过MG的持续出勤、低损耗率和高满意度评分得到了证明。研究结果为针对报告有暴饮行为的大学生进行简短的基于正念的干预的有效性提供了初步支持。(PsycINFO数据库记录)

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