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一项简短的基于正念和慈悲的大学生减压方案的可行性、有效性及其机制:一项试点随机对照试验。

Feasibility, Effectiveness, and Mechanisms of a Brief Mindfulness- and Compassion-Based Program to Reduce Stress in University Students: A Pilot Randomized Controlled Trial.

机构信息

Psicoforma, Integral Psychology Center, C/Maestro Clavé, 3, 2°, 3a, 46001 Valencia, Spain.

Excellence Research Network PROMOSAM (PSI2014-56303-REDT), 28029 Madrid, Spain.

出版信息

Int J Environ Res Public Health. 2021 Dec 23;19(1):154. doi: 10.3390/ijerph19010154.

Abstract

The mental health of university students is a public health concern, as psychopathology has significantly risen among this population. Mindfulness-based programs may support their mental health, though more research is needed. We used a two-armed pilot randomized controlled trial to study the feasibility, preliminary effectiveness, and potential mechanisms of a brief 6-week instructor-led mindfulness- and compassion-based program (MCBP for University Life) on perceived stress and psychological distress. Thirty undergraduate psychology students participated (15 in the intervention group, and 15 as wait-list controls). Those in the intervention arm engaged well with the course and formal at-home practice, attending at least five sessions and meditating between 4-6 days per week. Significant improvements in perceived stress, psychological distress, mindfulness skills, decentering, self-compassion, and experiential avoidance were found at the end of the intervention, while the wait-list group remained unchanged. There were significant differences between the two groups in those variables at post-test, favoring the intervention arm with major effects. Reductions in stress were mediated by improvements in mindfulness skills, decentering, and self-compassion; meanwhile reductions in psychological distress were mediated by improvements in decentering. These results suggest that this intervention might be feasible and effective for university students, but more high-quality research is needed.

摘要

大学生的心理健康是一个公共卫生关注点,因为这一人群中心理病理学显著上升。基于正念的项目可能会支持他们的心理健康,但需要更多的研究。我们使用双臂先导随机对照试验来研究为期 6 周的简短、由导师指导的正念和慈悲为基础的项目(大学生活的 MCBP)对感知压力和心理困扰的可行性、初步效果和潜在机制。30 名本科心理学学生参与了研究(15 名在干预组,15 名作为候补对照组)。干预组的学生很好地参与了课程和正式的家庭练习,至少参加了五次课程,并每周冥想 4-6 天。在干预结束时,发现感知压力、心理困扰、正念技能、去中心化、自我慈悲和体验回避显著改善,而候补对照组则没有变化。在这些变量中,两组在测试后存在显著差异,干预组效果明显。压力的降低是通过正念技能、去中心化和自我慈悲的改善来介导的;同时,心理困扰的降低是通过去中心化的改善来介导的。这些结果表明,这种干预对大学生可能是可行和有效的,但需要更多高质量的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c765/8750204/0980576ebc07/ijerph-19-00154-g001.jpg

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