在线正念可能针对新冠疫情期间的心理困扰和心理健康。
Online Mindfulness May Target Psychological Distress and Mental Health during COVID-19.
作者信息
Farris Suzan R, Grazzi Licia, Holley Miya, Dorsett Anna, Xing Kelly, Pierce Charles R, Estave Paige M, O'Connell Nathaniel, Wells Rebecca Erwin
机构信息
Wake Forest School of Medicine, Winston-Salem, North Carolina.
IRCCS Foundation, "Carlo Besta" Neurological Institute via Celoria, Milan, Italy.
出版信息
Glob Adv Health Med. 2021 Mar 17;10:21649561211002461. doi: 10.1177/21649561211002461. eCollection 2021.
BACKGROUND
The COVID-19 pandemic has dramatically affected mental health, creating an urgent need for convenient and safe interventions to improve well-being. Online mindfulness interventions show promise for improving depression, anxiety, and general well-being.
OBJECTIVE
To assess: 1) the impact of online mindfulness on psychological distress, 2) altruistic efforts, and 3) the quantity, quality, and availability of online mindfulness resources during the COVID-19 pandemic.
METHODS
233 participants (203 U.S.; 20 international; 10 unknown) participated in this prospective, single-arm, non-randomized clinical trial of a single online mindfulness meditation session with pre- and post-surveys.
MAIN OUTCOME MEASURES
(a) Mindfulness session helpfulness, online platform effectiveness, and immediate pre- to post-session changes in momentary stress, anxiety, and COVID-19 concern; (b) qualitative themes representing how people are helping others during the pandemic; (c) absolute changes in quantity of mindfulness-oriented web content and free online mindfulness resource availability from May to August 2020.
RESULTS
Most participants felt the online mindfulness session was helpful and the electronic platform effective for practicing mindfulness (89%, 95% CI: [82 to 93%]), with decreased momentary anxiety (76%; 95% CI: [69 to 83%]), stress (80%; [72 to 86%]), and COVID-19 concern (55%; [46 to 63%]), (p < 0.001 for each measure). Participants reported helping others in a variety of ways during the pandemic, including following public health guidelines, conducting acts of service and connection, and helping oneself in hopes of helping others. "Mindfulness + COVID" search results increased by 52% from May to August 2020. Most (73%) Academic Consortium for Integrative Medicine and Health member websites offer free online mindfulness resources.
CONCLUSIONS
Virtual mindfulness is an increasingly accessible intervention available world-wide that may reduce psychological distress during this isolating public health crisis. Kindness and altruism are being demonstrated during the pandemic. The consolidated online mindfulness resources provided may help guide clinicians and patients.
背景
新冠疫情对心理健康产生了巨大影响，迫切需要便捷且安全的干预措施来改善幸福感。在线正念干预在改善抑郁、焦虑和总体幸福感方面显示出前景。
目的
评估：1）在线正念对心理困扰的影响；2）利他行为；3）新冠疫情期间在线正念资源的数量、质量和可获取性。
方法
233名参与者（203名来自美国；20名来自国际；10名信息不明）参与了这项前瞻性、单臂、非随机临床试验，该试验包含一次在线正念冥想课程以及课前和课后调查。
主要结局指标
（a）正念课程的帮助程度、在线平台的有效性，以及课程前后瞬间压力、焦虑和对新冠疫情的担忧的即时变化；（b）代表人们在疫情期间帮助他人方式的定性主题；（c）2020年5月至8月期间正念导向网络内容数量和免费在线正念资源可获取性的绝对变化。
结果
大多数参与者认为在线正念课程有帮助，且电子平台对练习正念有效（89%，95%置信区间：[82%至93%]），瞬间焦虑有所降低（76%；95%置信区间：[69%至83%]），压力有所降低（80%；[72%至86%]），对新冠疫情的担忧有所降低（55%；[46%至63%]），（每项指标p<0.001）。参与者报告在疫情期间通过多种方式帮助他人，包括遵守公共卫生指南、进行服务和联系行为，以及通过帮助自己来希望帮助他人。“正念+新冠”的搜索结果在2020年5月至8月间增加了52%。大多数（73%）综合医学与健康学术联盟成员网站提供免费在线正念资源。
结论
虚拟正念是一种在全球范围内越来越容易获得的干预措施，可能会在这场隔离的公共卫生危机期间减轻心理困扰。疫情期间人们展现出了善良和利他精神。所提供的整合在线正念资源可能有助于指导临床医生和患者。
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