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一项针对持续照料退休社区老年人的适应性正念减压计划:一项试点随机对照试验的定量和定性结果

An adapted mindfulness-based stress reduction program for elders in a continuing care retirement community: quantitative and qualitative results from a pilot randomized controlled trial.

作者信息

Moss Aleezé S, Reibel Diane K, Greeson Jeffrey M, Thapar Anjali, Bubb Rebecca, Salmon Jacqueline, Newberg Andrew B

机构信息

Thomas Jefferson University, Philadelphia, PA, USA

Thomas Jefferson University, Philadelphia, PA, USA.

出版信息

J Appl Gerontol. 2015 Jun;34(4):518-38. doi: 10.1177/0733464814559411. Epub 2014 Dec 9.

Abstract

The purpose of this study was to test the feasibility and effectiveness of an adapted 8-week Mindfulness-Based Stress Reduction (MBSR) program for elders in a continuing care community. This mixed-methods study used both quantitative and qualitative measures. A randomized waitlist control design was used for the quantitative aspect of the study. Thirty-nine elderly were randomized to MBSR (n = 20) or a waitlist control group (n = 19), mean age was 82 years. Both groups completed pre-post measures of health-related quality of life, acceptance and psychological flexibility, facets of mindfulness, self-compassion, and psychological distress. A subset of MBSR participants completed qualitative interviews. MBSR participants showed significantly greater improvement in acceptance and psychological flexibility and in role limitations due to physical health. In the qualitative interviews, MBSR participants reported increased awareness, less judgment, and greater self-compassion. Study results demonstrate the feasibility and potential effectiveness of an adapted MBSR program in promoting mind-body health for elders.

摘要

本研究的目的是测试一项针对持续护理社区老年人的为期8周的适应性正念减压疗法(MBSR)项目的可行性和有效性。这项混合方法研究采用了定量和定性测量方法。研究的定量部分采用随机等待列表对照设计。39名老年人被随机分为MBSR组(n = 20)或等待列表对照组(n = 19),平均年龄为82岁。两组均完成了与健康相关的生活质量、接纳与心理灵活性、正念的各个方面、自我同情以及心理困扰的前后测。MBSR组的一部分参与者完成了定性访谈。MBSR组参与者在接纳和心理灵活性以及因身体健康导致的角色限制方面有显著更大的改善。在定性访谈中,MBSR组参与者报告称意识增强、评判减少且自我同情增加。研究结果证明了适应性MBSR项目在促进老年人身心健康方面的可行性和潜在有效性。

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