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基于正念的应激减少对青少年精神障碍的影响:一项随机临床试验。

Mindfulness-based stress reduction in adolescents with mental disorders: A randomised clinical trial.

机构信息

Hospital Infanta Margarita de Cabra (Córdoba).

出版信息

Psicothema. 2018 May;30(2):165-170. doi: 10.7334/psicothema2017.259.

Abstract

BACKGROUND

Currently, there is a strong movement to implement mindfulness interventions with young people. The objective of this randomised clinical trial was to assess the potential effects of a mindfulness-based stress reduction (MBSR) programme for adolescent outpatients in mental health facilities in Cordoba, Spain.

METHOD

A total of 101 adolescents aged 13-16 years old, receiving psychological or psychiatric treatment for various disorders, were eligible for the study. The participants’ scores on mindfulness, self-esteem, perceived stress, state-trait anxiety and other psychological symptoms were examined at two time-points. Eighty adolescents completed the study (MBSR+TAU group = 41; TAU group = 39).

RESULTS

The MBSR+TAU group showed a statistically significant decrease in anxiety state compared to the treatment-as-usual (TAU) group. No statistically significant differences were found between groups on the other scores, but the intervention was observed to have a greater impact on the MBSR+TAU group than in the TAU group, especially in reducing symptoms of depression, anxiety, paranoia and perceived stress.

CONCLUSION

These results suggest that MBSR may be a useful adjunct treatment for adolescents in mental health facilities.

摘要

背景

目前,有一股强烈的运动趋势,即针对年轻人实施正念干预。本随机临床试验的目的是评估正念减压(MBSR)方案对西班牙科尔多瓦心理健康机构青少年门诊患者的潜在影响。

方法

共有 101 名年龄在 13-16 岁之间的青少年符合条件,他们正在接受各种心理或精神疾病的心理治疗。在两个时间点对参与者的正念、自尊、感知压力、状态-特质焦虑和其他心理症状进行了评估。80 名青少年完成了研究(MBSR+TAU 组=41;TAU 组=39)。

结果

MBSR+TAU 组的焦虑状态明显低于常规治疗(TAU)组。组间其他评分无统计学差异,但干预措施对 MBSR+TAU 组的影响大于 TAU 组,特别是在降低抑郁、焦虑、偏执和感知压力的症状方面。

结论

这些结果表明,MBSR 可能是心理健康机构青少年的一种有用的辅助治疗方法。

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