一项基于网络的接受与承诺疗法（ACT）方案促进大学生心理健康的随机对照试验。
Randomized controlled trial of a web-based Acceptance and Commitment Therapy (ACT) program to promote mental health in university students.
机构信息
Doctor of Philosophy, School of Psychology, University of Queensland, Brisbane, Queensland, Australia.
Professor of Clinical and Health Psychology, School of Psychology, University of Queensland, Brisbane, Queensland, Australia.
出版信息
J Clin Psychol. 2020 Jun;76(6):929-951. doi: 10.1002/jclp.22848. Epub 2019 Aug 30.
OBJECTIVE
This study evaluated a 4-week web-based Acceptance and Commitment Therapy (ACT) mental health promotion intervention for university students.
METHOD
Participants were randomized to intervention (n = 596) or waitlist control (n = 566). Assessment of primary outcomes (depression, anxiety, stress, well-being, self-compassion, life satisfaction, and academic performance) and ACT processes (acceptance, cognitive fusion, education values, valued living, and present moment awareness) occurred at pre- and post-intervention and 12-week follow-up for intervention participants, and the same pre-post interval for waitlist control participants.
RESULTS
Analyses showed significant improvements from pre- to post-intervention compared with waitlist control on all primary outcomes and ACT processes. All intervention gains were maintained at follow-up. Improvements on all primary outcomes were mediated by three or more ACT processes in both samples. Intervention effects were consistent across both sample groupings.
CONCLUSION
Findings provide support for a web-based ACT mental health promotion intervention for university students.
目的
本研究评估了一项为期 4 周的基于网络的接受与承诺疗法（ACT）心理健康促进干预措施对大学生的效果。
方法
参与者被随机分配到干预组（n=596）或等待名单对照组（n=566）。在干预前、干预后和 12 周随访时评估主要结局（抑郁、焦虑、压力、幸福感、自我同情、生活满意度和学业成绩）和 ACT 过程（接纳、认知融合、教育价值观、有价值的生活和当下意识），等待名单对照组则在相同的时间间隔内进行评估。
结果
与等待名单对照组相比，干预组在所有主要结局和 ACT 过程上均显示出从干预前到干预后的显著改善。所有干预效果在随访时均得到维持。在两个样本中，所有主要结局的改善均由三个或更多的 ACT 过程介导。干预效果在两个样本分组中均一致。
结论
研究结果为大学生提供了基于网络的接受与承诺疗法心理健康促进干预的支持。
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