基于互联网的指导员主导的正念训练对工作相关的反刍思维、疲劳和睡眠的影响:评估正念的各个方面作为变化的机制。一项随机等待期对照试验。

Internet-based instructor-led mindfulness for work-related rumination, fatigue, and sleep: Assessing facets of mindfulness as mechanisms of change. A randomized waitlist control trial.

机构信息

School of Psychology, University of Surrey.

出版信息

J Occup Health Psychol. 2017 Apr;22(2):153-169. doi: 10.1037/ocp0000028. Epub 2016 Apr 7.

Abstract

This study aimed to extend our theoretical understanding of how mindfulness-based interventions exert their positive influence on measures of occupational health. Employing a randomized waitlist control study design, we sought to (a) assess an Internet-based instructor-led mindfulness intervention for its effect on key factors associated with "recovery from work," specifically, work-related rumination, fatigue, and sleep quality; (b) assess different facets of mindfulness (acting with awareness, describing, nonjudging, and nonreacting) as mechanisms of change; and (c) assess whether the effect of the intervention was maintained over time by following up our participants after 3 and 6 months. Participants who completed the mindfulness intervention (n = 60) reported significantly lower levels of work-related rumination and fatigue, and significantly higher levels of sleep quality, when compared with waitlist control participants (n = 58). Effects of the intervention were maintained at 3- and 6-month follow-up with medium to large effect sizes. The effect of the intervention was primarily explained by increased levels of only 1 facet of mindfulness (acting with awareness). This study provides support for online mindfulness interventions to aid recovery from work and furthers our understanding with regard to how mindfulness interventions exert their positive effects. (PsycINFO Database Record

摘要

本研究旨在深入了解正念干预如何对职业健康测量产生积极影响。我们采用随机等待名单对照研究设计,(a)评估基于互联网的指导员主导的正念干预对与“从工作中恢复”相关的关键因素(即工作相关的反刍思维、疲劳和睡眠质量)的影响;(b)评估正念的不同方面(觉察行动、描述、不评判和不反应)作为变化的机制;(c)通过在 3 个月和 6 个月后对参与者进行随访,评估干预的效果是否随着时间的推移而保持。与等待名单对照组(n = 58)相比,完成正念干预的参与者(n = 60)报告的工作相关反刍思维和疲劳水平显著降低,睡眠质量显著提高。在 3 个月和 6 个月的随访中,干预效果得以维持,具有中等到较大的效应量。干预的效果主要归因于正念的一个方面(觉察行动)水平的提高。本研究为在线正念干预促进从工作中恢复提供了支持,并进一步加深了我们对正念干预如何产生积极效果的理解。

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