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简短正念冥想对自杀意念、压力和睡眠质量的影响。

The Effect of Brief Mindfulness Meditation on Suicidal Ideation, Stress and Sleep Quality.

出版信息

Arch Suicide Res. 2023 Apr-Jun;27(2):215-230. doi: 10.1080/13811118.2021.1982800. Epub 2021 Oct 6.

Abstract

OBJECTIVES

Suicide is the fourth leading cause of death for individuals aged 15-29 years, and early intervention on suicidal ideation and risk factors should be priortized. Brief mindfulness meditation (BMM) is convenient and cost-effective in improving physical and mental well-being, but less is known about its efficacy for suicidal ideation, stress and sleep quality. We investigated the effects of BMM on suicidal ideation, stress, and sleep quality for individuals with suicide risk.

METHODS

Sixty-four college students with high suicidal ideation (aged 18-30 years) were randomly allocated to either a BMM ( = 32) or control group ( = 32). The BMM was based on Anapanasati and core mindfulness concepts. Sixty participants completed all scheduled sessions including pretest, one month of intervention or waiting, and posttest. Suicidal ideation was measured with the Beck Scale for Suicidal Ideation. Stress was evaluated using the Perceived Stress Scale and salivary cortisol levels. Sleep was measured using the Pittsburgh Sleep Quality Index and actigraphy accompanied with 7-day sleep diaries.

RESULTS

Post-intervention, the BMM group showed significant decrease in suicidal ideation with a large effect size; the decrease showed a medium effect size in the control group. The BMM group, but not the control group, showed significant decrease in morning salivary cortisol and sleep latency, and improved sleep efficiency.

CONCLUSIONS

BMM could help reduce suicidal ideation, stress, and sleep disturbance for individuals with high suicidal ideation and it may implicate effective suicide prevention strategy.

摘要

目的

自杀是 15-29 岁人群的第四大死因,应当优先对自杀意念和危险因素进行早期干预。简短正念冥想(BMM)在改善身心健康方面方便且具有成本效益,但对于其对自杀意念、压力和睡眠质量的疗效知之甚少。我们调查了 BMM 对有自杀风险的个体自杀意念、压力和睡眠质量的影响。

方法

64 名有自杀意念的大学生(年龄 18-30 岁)被随机分配到 BMM 组(n=32)或对照组(n=32)。BMM 基于安般念和正念核心概念。60 名参与者完成了所有预定的课程,包括前测、一个月的干预或等待期和后测。自杀意念用贝克自杀意念量表进行评估。压力用感知压力量表和唾液皮质醇水平进行评估。睡眠用匹兹堡睡眠质量指数和伴随 7 天睡眠日记的活动记录仪进行评估。

结果

干预后,BMM 组自杀意念显著下降,效应量较大;对照组自杀意念下降,效应量中等。BMM 组,而不是对照组,早晨唾液皮质醇和睡眠潜伏期显著下降,睡眠效率提高。

结论

BMM 可能有助于减少有自杀意念的个体的自杀意念、压力和睡眠障碍,它可能暗示了一种有效的自杀预防策略。

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