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基于正念的移动应用程序可减少医学生的焦虑并增加其自我关怀:一项随机对照试验。

Mindfulness-based mobile app reduces anxiety and increases self-compassion in healthcare students: A randomised controlled trial.

机构信息

Psychiatry, Clinical Psychology and Mental Health Department, La Paz University Hospital, Madrid, Spain.

Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain.

出版信息

Med Teach. 2021 Jun;43(6):686-693. doi: 10.1080/0142159X.2021.1887835. Epub 2021 Feb 28.

Abstract

OBJECTIVE

To compare the effect of a mindfulness-based mobile application versus an in-person mindfulness-based training program in terms of reducing anxiety and increasing empathy, self-compassion, and mindfulness in a population of healthcare students.

METHODS

The authors conducted a single-blind, randomised controlled trial with three parallel groups. Participants were allocated to the mobile app, the in-person mindfulness-based program (IMBP), or a control group. Assessments at baseline and postintervention (8 weeks) included measures of anxiety, empathy, self-compassion, and mindfulness.

RESULTS

Of 168 students randomised, 84 were analysed on an intention-to-treat basis (app:  = 31; IMBP:  = 23; control:  = 30). The mobile app group showed a large effect size for reductions in trait anxiety compared with controls ( = 0.85,  = 0.003), and a medium, nonsignificant effect compared with the IMBP group ( = 0.52,  = 0.152). Participants from both interventions experienced a significant increase in self-compassion and mindfulness compared with controls. Levels of empathy remained unchanged for the 3 arms.

CONCLUSIONS

A mobile app can be as effective as an IMBP in reducing anxiety and increasing self-compassion and mindfulness among healthcare students.

摘要

目的

比较基于正念的移动应用程序与面对面的基于正念的培训计划在降低焦虑和提高同理心、自我同情和正念方面对医疗保健学生群体的影响。

方法

作者进行了一项单盲、随机对照试验,共有三个平行组。参与者被分配到移动应用组、面对面的基于正念的计划组(IMBP)或对照组。基线和干预后(8 周)的评估包括焦虑、同理心、自我同情和正念的测量。

结果

在随机分配的 168 名学生中,有 84 名进行了意向治疗分析(应用组: = 31;IMBP 组: = 23;对照组: = 30)。与对照组相比,移动应用组的特质焦虑评分降低具有较大的效应量( = 0.85,  = 0.003),与 IMBP 组相比则具有中等但无统计学意义的效应( = 0.52,  = 0.152)。与对照组相比,两个干预组的自我同情和正念均显著增加。三个组的同理心水平保持不变。

结论

移动应用程序在降低焦虑、提高自我同情和正念方面可以与面对面的基于正念的培训计划一样有效。

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