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探究基于正念的在线自助干预对压力及潜在机制的特定影响。

Investigating the Specific Effects of an Online Mindfulness-Based Self-Help Intervention on Stress and Underlying Mechanisms.

作者信息

Gu Jenny, Cavanagh Kate, Strauss Clara

机构信息

1School of Psychology, University of Sussex, Falmer, East Sussex, BN1 9QH UK.

2Sussex Partnership NHS Foundation Trust, Hove, BN3 7HZ UK.

出版信息

Mindfulness (N Y). 2018;9(4):1245-1257. doi: 10.1007/s12671-017-0867-y. Epub 2017 Dec 18.

Abstract

Previous research examining the effects of mindfulness-based interventions (MBIs) and their mechanisms of change has been hampered by failure to control for non-specific factors, such as social support and interaction with group members, facilitator contact and expectation of benefit, meaning that it remained possible that benefits of MBIs could have been attributable, perhaps entirely, to non-specific elements. This experimental study examined the effects of a 2-week online mindfulness-based self-help (MBSH) intervention compared to a well-matched classical music control condition and a waitlist control condition on perceived stress. This study also tested mindfulness, self-compassion and worry as mechanisms of the effects of MBSH versus both control conditions on stress. University students and staff ( = 214) were randomised to MBSH, classical music, or waitlist conditions and completed self-report measures pre-, mid- and post-intervention. Post-intervention, MBSH was found to significantly reduce stress compared to both control conditions. Bootstrapping-based mediation analyses used standardised residualised change scores for all variables, with mediators computed as change from baseline to mid-intervention, and the outcome computed as change from baseline to post-intervention. Changes in mindfulness, self-compassion and worry were found to significantly mediate the effects of MBSH versus both control conditions on changes in stress. Findings suggest that cultivating mindfulness specifically confers benefits to stress and that these benefits may occur through improving theorised mechanisms.

摘要

以往关于基于正念的干预措施(MBIs)及其改变机制的研究,因未能控制非特异性因素而受到阻碍,这些因素包括社会支持、与小组成员的互动、指导者的接触以及对益处的期望,这意味着MBIs的益处有可能(或许完全)归因于非特异性因素。这项实验研究比较了为期两周的在线基于正念的自助干预(MBSH)与匹配良好的古典音乐对照条件和等待列表对照条件对感知压力的影响。本研究还测试了正念、自我同情和担忧作为MBSH相对于两种对照条件对压力影响的机制。大学生和工作人员(n = 214)被随机分配到MBSH、古典音乐或等待列表条件,并在干预前、干预中期和干预后完成自我报告测量。干预后发现,与两种对照条件相比,MBSH能显著减轻压力。基于自抽样的中介分析对所有变量使用标准化残差变化分数,中介变量计算为从基线到干预中期的变化,结果变量计算为从基线到干预后的变化。发现正念、自我同情和担忧的变化显著中介了MBSH相对于两种对照条件对压力变化的影响。研究结果表明,培养正念能特别减轻压力,且这些益处可能通过改善理论机制而产生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26ac/6061241/69d737c01e2e/12671_2017_867_Fig1_HTML.jpg

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