基于互联网的正念减压对新冠疫情期间乳腺癌幸存者的心理影响

The Psychological Effect of Internet-Based Mindfulness-Based Stress Reduction on the Survivors of Breast Cancer During the COVID-19.

作者信息

Kang Chuanyuan, Sun Shufang, Yang Zhuangqing, Fan Xinxin, Yuan Jing, Xu Li, Wei Yujun, Tong Huiqi, Yang Jianzhong

机构信息

Department of Psychosomatic Medicine, Tongji University School of Medicine, Shanghai East Hospital, Shanghai, China.

Mindfulness Center at Brown University, Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, United States.

出版信息

Front Psychiatry. 2021 Sep 30;12:738579. doi: 10.3389/fpsyt.2021.738579. eCollection 2021.

Abstract

To examine the efficacy and the role of engagement of an internet-based Mindfulness-based Stress Reduction (iMBSR) for survivors of breast cancer (BC) during the COVID-19 period from January to March in 2020 in China. 48 survivors of BC were divided into the absentees group and the iMBSR groups according to their attending to the standardized, group-based, 8-week iMBSR. Based on practice time, survivors of BC in the iMBSR were categorized into three subgroups: group 1 (<30 min/day), group 2 (30-60 min/day), and group 3 (>60 min/day). In addition, participants were classified as partial attendees (<4 sessions) and completers (more than 4 sessions) of the iMBSR groups. All participants were evaluated for symptoms of depression, anxiety and insomnia at baseline, mid-intervention, and post-intervention. After an 8-week iMBSR practice, at mid-intervention and post-intervention, participants in iMBSR group had significant improvement in scores and reduction rates of depression, anxiety, and insomnia compared to absentees. Scores of depression and insomnia, reduction rates of depression at post-intervention, scores of anxiety, reduction rates of anxiety and insomnia at mid-intervention and post-intervention, had significant differences among subgroups of practice time. Daily practice time was positively related to reduction rates of depression, anxiety and insomnia at post-intervention in the iMBSR group. Internet-based MBSR showed efficacy in reducing psychological symptoms among survivors of BC. For survivors of BC, iMBSR practice has a potential dose-response efficacy, with a threshold of >30 min daily practice for most optimal symptoms reduction. Registration number is [ChiCTR2100044309].

摘要

为研究2020年1月至3月中国新冠疫情期间基于互联网的正念减压疗法(iMBSR)对乳腺癌(BC)幸存者的疗效及作用。48名BC幸存者根据是否参加标准化、为期8周的团体iMBSR被分为未参加组和iMBSR组。根据练习时间,iMBSR组的BC幸存者被分为三个亚组:第1组(<30分钟/天)、第2组(30 - 60分钟/天)和第3组(>60分钟/天)。此外,参与者被分为iMBSR组的部分参加者(<4次课程)和完成者(>4次课程)。所有参与者在基线、干预中期和干预后均接受抑郁、焦虑和失眠症状评估。经过8周的iMBSR练习,在干预中期和干预后,iMBSR组参与者的抑郁、焦虑和失眠评分及降低率与未参加者相比有显著改善。抑郁和失眠评分、干预后抑郁降低率、焦虑评分、干预中期和干预后焦虑及失眠降低率在练习时间亚组间有显著差异。iMBSR组的每日练习时间与干预后抑郁、焦虑和失眠降低率呈正相关。基于互联网的MBSR在减轻BC幸存者心理症状方面显示出疗效。对于BC幸存者,iMBSR练习具有潜在的剂量反应疗效,每日练习>30分钟为最优化症状减轻的阈值。注册号为[ChiCTR2100044309]。

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