Bechard Elizabeth, Evans John, Cho Eunji, Lin Yufen, Kozhumam Arthi, Jones Jill, Grob Sydney, Glass Oliver
Duke Integrative Medicine, 3475 Erwin Road, Durham, NC, 27705, USA.
Vanderbilt University School of Nursing, 461 21st Avenue South, Nashville, TN, 37240, USA.
Complement Ther Clin Pract. 2021 Nov;45:101460. doi: 10.1016/j.ctcp.2021.101460. Epub 2021 Jul 27.
BACKGROUND & PURPOSE: The COVID-19 pandemic has negatively impacted mental health in the general population. In this trial, our objective was to assess whether a 6-week expressive writing intervention improves resilience in a sample from the general population in the midst of the COVID-19 pandemic.
MATERIALS & METHODS: This 6-week trial was conducted online. Eligible participants (n=63) were a sample of adults who self-identified as having been significantly affected by the COVID-19 pandemic.
Connor-Davidson Resilience Scale (CD-RISC).
Perceived Stress Scale - 10-Item (PSS-10); Center for Epidemiologic Studies Depression Scale - Revised (CESD-R); Post-Traumatic Growth Inventory (PTGI).
Resilience measures (CD-RISC) increased from baseline (66.6 ± 14.9) to immediately post-intervention (73.0 ± 12.4; p=0.014; Cohen's d =0.31), and at a 1- month follow-up (72.9 ± 13.6; p=0.024; Cohen's d =0.28). Across the same timepoints, perceived stress scores (PSS-10) decreased from baseline (21.8 ± 6.6) to immediately post-intervention (18.3 ± 7.0; p=0.008; Cohen's d =0.41), and at the 1- month follow-up to (16.8 ± 6.7; p=0.0002; Cohen's d =0.56). Depression symptoms (CESD-R) decreased from baseline (23.3 ± 15.3) at 6 weeks (17.8 ± 15.4; p=0.058; Cohen's d =0.22), and 10 weeks (15.5 ± 12.7; p=0.004; Cohen's d =0.38). Posttraumatic growth (PTGI) increased from baseline (41.7 ± 23.4) at 6 weeks (55.8 ± 26.4; p=0.004; Cohen's d =0.44), and at the 1-month follow-up (55.9 ± 29.3; p=0.008; Cohen's d =0.49).
An online expressive writing intervention was effective at improving resilience in the midst of the COVID-19 pandemic. NCT#: NCT04589104.
新冠疫情对普通人群的心理健康产生了负面影响。在本试验中，我们的目标是评估一项为期6周的表达性写作干预措施是否能提高新冠疫情期间普通人群样本的心理韧性。
这项为期6周的试验通过在线方式进行。符合条件的参与者（n = 63）是自我认定受到新冠疫情显著影响的成年人样本。
康纳-戴维森心理韧性量表（CD-RISC）。
感知压力量表-10项版（PSS-10）；流行病学研究中心抑郁量表-修订版（CESD-R）；创伤后成长量表（PTGI）。
心理韧性指标（CD-RISC）从基线时的（66.6±14.9）提高到干预后即刻的（73.0±12.4；p = 0.014；科恩d值 = 0.31），以及1个月随访时的（72.9±13.6；p = 0.024；科恩d值 = 0.28）。在相同时间点，感知压力得分（PSS-10）从基线时的（21.8±6.6）降至干预后即刻的（18.3±7.0；p = 0.008；科恩d值 = 0.41），并在1个月随访时降至（16.8±6.7；p = 0.0002；科恩d值 = 0.56）。抑郁症状（CESD-R）从基线时的（23.3±15.3）在6周时降至（17.8±15.4；p = 0.058；科恩d值 = 0.22），10周时降至（偏差值15.5±12.7；p = 0.004；科恩d值 = 0.38）。创伤后成长（PTGI）从基线时的（41.7±23.4）在6周时升至（55.8±26.4；p = 0.004；科恩d值 = 0.44），并在1个月随访时升至（55.9±29.3；p = 0.008；科恩d值 = 0.49）。
在新冠疫情期间，一项在线表达性写作干预措施在提高心理韧性方面是有效的。临床试验注册号：NCT04589104 。
（注：原文中“偏差值15.5±12.7”表述有误，推测为“15.5±12.7”，译文已按推测修正。）
