The University of Texas at Austin, School of Nursing, Austin, Texas, United States of America.
The University of Texas at Austin, Dell Medical School, Austin, Texas, United States of America.
J Pediatr Adolesc Gynecol. 2022 Jun;35(3):305-313. doi: 10.1016/j.jpag.2021.10.016. Epub 2021 Nov 4.
The purpose of this study was to examine the feasibility, acceptability, and preliminary efficacy of a mindfulness-based healthy lifestyle self-management intervention with adolescents and young adults diagnosed with polycystic ovary syndrome (PCOS).
A pilot randomized controlled trial using a pre-post design was used.
Central Texas.
Individuals aged 14-23 with a diagnosis of PCOS.
The PCOS Kind Mind Program integrates a manualized mindfulness training program (Taming the Adolescent Mind) with health education in 4 key areas of self-management and health promotion: (1) medication adherence, (2) nutrition, (3) physical activity, and (4) sleep.
Psychological distress, mindfulness, physical activity strategies, nutrition, and exercise self-efficacy.
Linear regression models revealed that those in the PCOS Kind Mind condition reported significantly higher nutrition self-efficacy (β = 6.50, 95% CI, 1.71-11.28, P = 0.013, d = 0.48), physical activity strategies (β = 0.41, 95% CI, 0.04-0.79, P = 0.040, d = 0.67), and physical activity self-efficacy (β = 0.48, 95% CI, 0.07-0.88, P = 0.028, d = 0.46).
The PCOS Kind Mind Program improved self-efficacy in the key areas of nutrition and physical activity and increased physical activity strategies in adolescents and young people with PCOS. These findings are encouraging and suggest the need for larger-scale, randomized controlled trials with longer-term follow-up to more robustly evaluate the effects of the PCOS Kind Mind Program on the psychological and physiological health of adolescents and young people with PCOS.
本研究旨在探讨基于正念的健康生活方式自我管理干预在多囊卵巢综合征（PCOS）青少年和年轻人中的可行性、可接受性和初步疗效。
采用预前后设计的试点随机对照试验。
德克萨斯州中部。
被诊断患有 PCOS 的 14-23 岁个体。
PCOS Kind Mind 计划将经过验证的正念训练计划（Taming the Adolescent Mind）与 4 个自我管理和健康促进的关键领域的健康教育相结合：（1）药物依从性，（2）营养，（3）身体活动，和（4）睡眠。
心理困扰、正念、身体活动策略、营养和锻炼自我效能。
线性回归模型显示，PCOS Kind Mind 组的个体报告的营养自我效能（β=6.50，95%CI，1.71-11.28，P=0.013，d=0.48）、身体活动策略（β=0.41，95%CI，0.04-0.79，P=0.040，d=0.67）和身体活动自我效能（β=0.48，95%CI，0.07-0.88，P=0.028，d=0.46）显著更高。
PCOS Kind Mind 计划提高了 PCOS 青少年和年轻人在营养和身体活动的关键领域的自我效能，并增加了身体活动策略。这些发现令人鼓舞，表明需要进行更大规模、随机对照试验，并进行更长时间的随访，以更有力地评估 PCOS Kind Mind 计划对 PCOS 青少年和年轻人的心理和生理健康的影响。
