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改良的基于正念减压疗法(MBSR)对阈下抑郁青少年心理健康的影响:一项随机对照试验。

Effects Of Modified Mindfulness-Based Stress Reduction (MBSR) On The Psychological Health Of Adolescents With Subthreshold Depression: A Randomized Controlled Trial.

作者信息

Zhang Jia-Yuan, Ji Xiang-Zi, Meng Li-Na, Cai Yun-Jiang

机构信息

Department of Psychological Nursing Science, Harbin Medical University, Daqing, Heilongjiang Province, People's Republic of China.

Department of Nursing Science, Suzhou Vocational Health College, Suzhou, Jiangsu Province, People's Republic of China.

出版信息

Neuropsychiatr Dis Treat. 2019 Sep 17;15:2695-2704. doi: 10.2147/NDT.S216401. eCollection 2019.

DOI:10.2147/NDT.S216401
PMID:31571885
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6758632/
Abstract

BACKGROUND

Sub-threshold depression (SD) has been associated with impairments in adolescent health which increase the rate of major depression. Researchers have shown the effectiveness of mindfulness on mental health, however whether the traditional mindful skills were suitable for youngsters, it was not clear. This study investigated the effects of a tailed Mindfulness-based stress reduction (MBSR) on their psychological state.

METHODS

A double-blind, randomized controlled trial was carried out. 56 participants who met the inclusion criteria agreed to be arranged randomly to either the MBSR group (n=28) or the control group (n=28). Participants in MBSR group received a tailored 8-week, one time per week, one hour each time group intervention. The effectiveness of intervention was measured using validated scales, which including BDI-II, MAAS, RRS at three times (T1-before intervention; T2-after intervention; T3-three months after intervention). A repeated-measures analysis of variance model was used to analyze the data.

RESULTS

The results showed significant improvements in MBSR group comparing with control group that depression level decreased after the 8-week intervention and the follow up ( =17.721, < 0.00). At the same time, RRS score was significantly decreased at T2 and T3(= 28.277, < 0.00). The results also showed that MBSR promoted the level of mindfulness and the effect persisted for three months after intervention (=13.489, < 0.00).

CONCLUSION

A tailored MBSR intervention has positive effects on psychology health among SD youngsters, including decrease depression and rumination level, cultivate mindfulness.

摘要

背景

阈下抑郁(SD)与青少年健康受损有关,这会增加重度抑郁的发生率。研究人员已证明正念对心理健康有效,然而传统的正念技巧是否适用于青少年尚不清楚。本研究调查了量身定制的基于正念的减压疗法(MBSR)对他们心理状态的影响。

方法

进行了一项双盲随机对照试验。56名符合纳入标准的参与者同意被随机安排到MBSR组(n = 28)或对照组(n = 28)。MBSR组的参与者接受了为期8周、每周一次、每次一小时的量身定制的团体干预。使用经过验证的量表测量干预效果,这些量表包括在三个时间点(T1 - 干预前;T2 - 干预后;T3 - 干预后三个月)的BDI-II、MAAS、RRS。采用重复测量方差分析模型对数据进行分析。

结果

结果显示,与对照组相比,MBSR组有显著改善,即8周干预及随访后抑郁水平降低(= 17.721,< 0.00)。同时,RRS评分在T2和T3时显著降低(= 28.277,< 0.00)。结果还表明,MBSR提高了正念水平,且干预后三个月效果持续存在(= 13.489,< 0.00)。

结论

量身定制的MBSR干预对SD青少年的心理健康有积极影响,包括降低抑郁和反刍水平、培养正念。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caa5/6758632/b56b64b10603/NDT-15-2695-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caa5/6758632/b56b64b10603/NDT-15-2695-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caa5/6758632/b56b64b10603/NDT-15-2695-g0001.jpg

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