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正念练习可增强心率变异性:一项为期 10 天的基于网络的正念干预的随机对照试验。

Heart rate variability is enhanced during mindfulness practice: A randomized controlled trial involving a 10-day online-based mindfulness intervention.

机构信息

Department of Psychology, University of Southern Denmark, Odense, Denmark.

出版信息

PLoS One. 2020 Dec 17;15(12):e0243488. doi: 10.1371/journal.pone.0243488. eCollection 2020.

Abstract

OBJECTIVES

The goal of the present study was to probe the effects of mindfulness practice in a naturalistic setting as opposed to a lab-based environment in the presence of continuous heart rate variability (HRV) measurements. The specific experimental goals were to examine the effects of a brief 10-day online-based mindfulness intervention on both chronic and acute HRV responses.

METHOD

We conducted a fully randomized 10-day longitudinal trial of mindfulness practice, explicitly controlling for practice effects with an active-control group (music listening) and a non-intervention control group. To assess chronic cardiovascular effects, we asked participants in the 3 groups to complete 2-day HRV pre- and post-intervention measurement sessions. Using this experimental setup enabled us to address training effects arising from mindfulness practice to assess physiological impact on daytime as well as nighttime (i.e. assessing sleep quality) on the underlying HRV response. To assess acute cardiovascular effects, we measured HRV in the 2 active intervention groups during each of the 10 daily mindfulness or music sessions. This allowed us to track the development of purported training effects arising from mindfulness practice relative to the active-control intervention in terms of changes in the HRV slope over the 10-day time-course.

RESULTS

Firstly, for the acute phase we found increased HRV during the daily practice sessions in both the mindfulness and active-control group indicating that both interventions were effective in decreasing acute physiological stress. Secondly, for the chronic phase we found increased HRV in both the day- and nighttime indicating increased sleep quality, specifically in the mindfulness group.

CONCLUSION

These results suggest causal effects in both chronic and acute phases of mindfulness practice in formerly naïve subjects and provides support for the argument that brief online-based mindfulness interventions exert positive impact on HRV.

摘要

目的

本研究旨在探究在存在连续心率变异性(HRV)测量的自然环境而非实验室环境中进行正念练习的效果。具体的实验目的是检验为期 10 天的在线正念干预对慢性和急性 HRV 反应的影响。

方法

我们进行了一项完全随机的 10 天纵向正念练习试验,明确地通过积极对照组(音乐聆听)和非干预对照组来控制练习效果。为了评估慢性心血管效应,我们要求 3 组参与者在干预前后进行为期 2 天的 HRV 测量。使用这种实验设置,我们能够解决正念练习产生的训练效应,以评估对基础 HRV 反应的日间和夜间(即评估睡眠质量)的生理影响。为了评估急性心血管效应,我们在 10 天的正念或音乐每日练习中测量了 2 个活跃干预组的 HRV。这使我们能够根据正念练习相对于主动控制干预的 HRV 斜率在 10 天时间过程中的变化,追踪所谓的训练效应的发展。

结果

首先,对于急性阶段,我们发现正念和积极对照组在每日练习期间的 HRV 增加,表明这两种干预措施都有效地降低了急性生理应激。其次,对于慢性阶段,我们发现白天和夜间的 HRV 都增加,表明睡眠质量提高,特别是在正念组。

结论

这些结果表明,在以前没有经验的受试者中,正念练习的慢性和急性阶段都有因果效应,并为简短的在线正念干预对 HRV 产生积极影响的论点提供了支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e6f3/7746169/a3cce1bcd648/pone.0243488.g001.jpg

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