Upadhyay Preeti, Joshi Akshaj, Mishra Isha, Kelly Lauren, Novack Lena, Hariri Sepideh, Kveraga Kestutis, Subramaniam Balachundhar
Beth Israel Deaconess Medical Center, Brookline, MA, United States.
Front Psychol. 2022 Apr 27;13:814224. doi: 10.3389/fpsyg.2022.814224. eCollection 2022.
The Covid-19 pandemic has been a major disruptor of routine life, resulting in increased stress and predisposing people to negative outcomes, such as insomnia, anxiety and hopelessness. Mind-body interventions have improved concentration, emotional balance, and positive emotions, with an enhanced sense of productivity, and self-confidence. We therefore hypothesized that exposure to an online mind-body intervention, "Inner Engineering Completion Online (IECO)," would reduce stress and promote well-being.
This prospective cohort study enrolled participants registered for the IECO courses, which for the first time were delivered remotely, online. Participants learned a 21-min meditation practice called Shambhavi Mahamudra Kriya during the course, which incorporates controlled breathing and mediation techniques. Each enrolled participant was asked to complete self-reported electronic surveys at three key time points: at the time of consent, immediately after completing IECO, and 6 weeks after IECO completion. Effects of IECO practice were assessed using four well-validated neuropsychological scales: Perceived Stress Scale (PSS), Positive Emotion/Relationship/Engagement Scale (PERMA) Profiler, Pittsburgh Sleep Quality Index (PSQI), and Mindful Attention Awareness Scale (MAAS). A Signed Rank test was used to analyze the survey data and -values of < 0.05 were considered statistically significant.
Of the 375 participants interested in participation, 164 participants were eligible. Sixty-eight participants completed surveys at all time points and were identified as compliant participants. The baseline median score for PSS in compliant participants ( = 95) was 13.5 (IQR 9, 18); immediate post-IECO median PSS score was 12 (IQR 8, 16) demonstrating a 1.5 unit decrease in PSS scores (-value = 0.0023). Similarly, comparing PSS scores in compliant participants ( = 68) for immediate Post IECO [11.5 (IQR 8, 15.5)] to PSS scores at six weeks [8 (IQR 4.5, 12.5)] showed a statistically significant 3.5-unit decrease, indicating a reduction in stress upon routine practice of the intervention ( < 0.0001).
Incorporating the remotely delivered mind-body intervention into daily life via the IECO program over as few as 6 weeks produced a significant stress reduction, improvement in sleep quality and mindfulness.
[ClinicalTrials.gov], identifier [NCT04189146].
新冠疫情严重扰乱了日常生活，导致压力增加，并使人们易出现负面结果，如失眠、焦虑和绝望。身心干预可改善注意力、情绪平衡和积极情绪，增强生产力感和自信心。因此，我们假设参加在线身心干预“内在工程在线完成课程（IECO）”可减轻压力并促进幸福感。
这项前瞻性队列研究招募了注册参加IECO课程的参与者，该课程首次通过远程在线方式授课。参与者在课程中学习了一种名为香巴维大手印克里亚的21分钟冥想练习，其中包含控制呼吸和冥想技巧。每位入选参与者被要求在三个关键时间点完成自我报告的电子调查问卷：同意参加时、完成IECO课程后立即进行，以及完成IECO课程6周后。使用四个经过充分验证的神经心理学量表评估IECO练习的效果：感知压力量表（PSS）、积极情绪/人际关系/投入量表（PERMA）简表、匹兹堡睡眠质量指数（PSQI）和正念注意觉知量表（MAAS）。采用符号秩检验分析调查数据，P值<0.05被认为具有统计学意义。
在375名有兴趣参与的参与者中，164名符合条件。68名参与者在所有时间点都完成了调查，被确定为依从性参与者。依从性参与者（n = 95）的PSS基线中位数得分是13.5（四分位间距9，18）；IECO课程结束后立即测得的PSS中位数得分是12（四分位间距8，16），表明PSS得分下降了1.5个单位（P值 = 0.0023）。同样，比较依从性参与者（n = 68）在IECO课程结束后立即测得的PSS得分[11.5（四分位间距8，15.5）]与6周后的PSS得分[8（四分位间距4.5，12.5）]，显示出有统计学意义的3.5个单位的下降，表明在日常进行该干预后压力有所减轻（P < 0.0001）。
通过IECO项目在短短6周内将远程提供的身心干预融入日常生活，可显著减轻压力、改善睡眠质量并提高正念水平。
[ClinicalTrials.gov]，标识符 [NCT04189146]。
