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正念冥想训练对在职健康女教师生活质量、免疫功能和谷胱甘肽代谢的影响:一项随机试点临床试验

Mindfulness meditation training effects on quality of life, immune function and glutathione metabolism in service healthy female teachers: A randomized pilot clinical trial.

作者信息

Rodrigues de Oliveira Daniela, Wilson David, Palace-Berl Fanny, de Mello Ponteciano Bárbara, Fungaro Rissatti Luciana, Sardela de Miranda Flávia, Piassa Pollizi Valéria, Fuscella José Carlos, Mourão Terzi Alex, Lepique Ana Paula, D'Almeida Vânia, Demarzo Marcelo

机构信息

Mente Aberta - Brazilian Center for Mindfulness and Health Promotion, Departamento de Medicina Preventiva, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Departamento de Patologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

出版信息

Brain Behav Immun Health. 2021 Oct 21;18:100372. doi: 10.1016/j.bbih.2021.100372. eCollection 2021 Dec.

Abstract

BACKGROUND

Despite the crucial role of educators in encourage students' academic learning, addressing educator stress inside the classroom remains a significant challenge in the educational context. Mindfulness Meditation training (MM) has been recommended as an environmental enrichment strategy in schools to help teachers cope with stress and cultivating a state of awareness in daily life. Although studies have shown that MM can improve immune system dynamics the biological mechanism underlying glutathione metabolism in a healthy human is unclear.

OBJECTIVE

The purpose of this study was to determine whether MM training benefits psychological and behavioral response, immunological functions and glutathione metabolism in service healthy female teachers from public schools.

METHODS

We randomly assigned 76 teachers to an 8-week Mindfulness-Based Health Program for Educators (MBHPEduca) or Neuroscience for Education program (Neuro-Educa; active control group). Using the quality of life as our primary outcome, perceived stress, negative affectivity, and resilience as our secondary outcome, and pro-inflammatory cytokines and glutathione levels as our third outcome at baseline and post-intervention that occurred in public schools. Blood samples were collected for the measurement of three proinflammatory markers, including interleukin-1β (IL-1β), interleukin-6 (IL-6), and interleukin-8 (IL-8) and three GSH metabolism, including Cysteine (Cys), Homocysteine (HCys) and GSH were conducted at pre-and post-intervention, with selfreported assessments over time. Treatment effects were analyzed using generalized estimating equations (GEE) with to intention to treat.

RESULTS

We observed statistically significant improvements to the MBHP-Educa group compared to active control in perceived stress, resilience, positive and negative affect, and quality of life after 8-weeks MM (p ​< ​0.0001). Further, the MBHP-Educa group exhibited lower circulating IL-6 production accompanied by high circulating GSH, and Cys (p ​< ​0.0001). Additional analyses indicated that enhancing quality of life through mindfulness meditation training was mediated by reducing perceived stress and serum levels of IL- 6 and increasing resilience and teachers 'plasma GSH levels.

CONCLUSIONS

The present study is a pilot trial with low-power and provides preliminary evidence that mindfulness meditation training help teachers to cope with stress in the school environment with an impact on the quality of life, immune function, and glutathione metabolism.

摘要

背景

尽管教育工作者在促进学生学业学习方面发挥着关键作用,但在教育环境中应对课堂内教育工作者的压力仍然是一项重大挑战。正念冥想训练(MM)已被推荐为学校的一种环境优化策略,以帮助教师应对压力并培养日常生活中的觉察状态。尽管研究表明MM可以改善免疫系统动态,但健康人体内谷胱甘肽代谢的生物学机制尚不清楚。

目的

本研究的目的是确定MM训练是否有益于公立学校在职健康女教师的心理和行为反应、免疫功能及谷胱甘肽代谢。

方法

我们将76名教师随机分配到为期8周的教育工作者正念健康计划(MBHPEduca)或教育神经科学计划(Neuro-Educa;积极对照组)。以生活质量作为主要结局,感知压力、消极情感和心理韧性作为次要结局,在公立学校干预前后,将促炎细胞因子和谷胱甘肽水平作为第三结局。采集血样以测量三种促炎标志物,包括白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)和白细胞介素-8(IL-8),并在干预前后进行三种谷胱甘肽代谢物的检测,包括半胱氨酸(Cys)、同型半胱氨酸(HCys)和谷胱甘肽(GSH),同时进行随时间的自我报告评估。使用广义估计方程(GEE)进行意向性治疗分析治疗效果。

结果

我们观察到,与积极对照组相比,MM训练8周后,MBHP-Educa组在感知压力、心理韧性、积极和消极情感以及生活质量方面有统计学上的显著改善(p<0.0001)。此外,MBHP-Educa组循环中IL-6的产生较低,同时循环中GSH和Cys水平较高(p<0.0001)。进一步分析表明,通过正念冥想训练提高生活质量是通过降低感知压力和血清IL-6水平以及提高心理韧性和教师血浆GSH水平来介导的。

结论

本研究是一项低效能的试点试验,提供了初步证据表明正念冥想训练有助于教师应对学校环境中的压力,对生活质量、免疫功能和谷胱甘肽代谢产生影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11dd/8566766/c894f975b8db/gr1.jpg

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