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基于学校的正念训练对健康青少年冲动性的有益影响:一项初步随机对照试验的结果。

Beneficial Effects of School-based Mindfulness Training On Impulsivity in Healthy Adolescents: Results From a Pilot Randomized Controlled Trial.

机构信息

Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Brown University School of Medicine, CORO West, Suite 309, One Hoppin Street, Providence, RI 02903, United States.

Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, United States.

出版信息

Explore (NY). 2019 Mar-Apr;15(2):160-164. doi: 10.1016/j.explore.2018.07.003. Epub 2018 Aug 22.

Abstract

BACKGROUND

Since impulsivity is associated with unhealthy behaviors in adolescents, interventions targeting impulsivity could positively affect such behaviors. Whether integrating mindfulness training (MT) into standard school-based health education could improve impulsivity is unknown.

PURPOSE

To obtain preliminary estimates of effect of MT integrated in standard high school health education on impulsivity.

METHODS

Two high schools in Massachusetts were randomized to school-based health education plus MT (HE-MT) or to health education plus attention control (HE-AC). The outcome was change in impulsivity at end of treatment (EOT) and 6 months after EOT.

RESULTS

Students (n = 53; 30 HE-MT, 23 HE-AC) were on average 14.5 years old and 40% belonged to ethnic minorities. Compared to the control condition, HE-MT had significant effects on impulsivity at EOT (beta = -9.7; SE = 3.8, p = 0.01), while smaller, non-significant differences were seen 6 months after EOT.

CONCLUSION

This rigorous pilot study suggests that MT could have a beneficial effect on impulsivity in adolescents. Improvements in impulsivity could have important implications should future larger studies show that such improvements result in healthier behaviors.

摘要

背景

由于冲动与青少年的不健康行为有关,针对冲动的干预措施可能会对这些行为产生积极影响。将正念训练(MT)融入标准的学校健康教育中是否能改善冲动还不得而知。

目的

初步评估将 MT 融入标准高中健康教育中对冲动的影响。

方法

马萨诸塞州的两所高中被随机分为学校健康教育加 MT(HE-MT)或健康教育加注意力控制(HE-AC)组。结局是治疗结束时(EOT)和 EOT 后 6 个月的冲动变化。

结果

学生(n=53;30 名 HE-MT,23 名 HE-AC)的平均年龄为 14.5 岁,40%属于少数民族。与对照组相比,HE-MT 在 EOT 时对冲动有显著影响(β= -9.7;SE=3.8,p=0.01),而在 EOT 后 6 个月时则出现较小但无统计学意义的差异。

结论

这项严格的试点研究表明,MT 可能对青少年的冲动有有益的影响。如果未来更大规模的研究表明,这种改善会导致更健康的行为,那么冲动的改善可能会产生重要影响。

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