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在线正念干预、心理健康与注意力能力:COVID-19封锁期间大学生的一项随机对照试验

Online Mindfulness Intervention, Mental Health and Attentional Abilities: A Randomized Controlled Trial in University Students During COVID-19 Lockdown.

作者信息

Devillers-Réolon Louise, Mascret Nicolas, Sleimen-Malkoun Rita

机构信息

Aix-Marseille University, CNRS, ISM, Marseille, France.

出版信息

Front Psychol. 2022 Jul 7;13:889807. doi: 10.3389/fpsyg.2022.889807. eCollection 2022.

Abstract

The COVID-19 pandemic has led to worldwide restrictive measures, raising concerns about mental health in young adults who were not particularly vulnerable to the virus itself. This study investigated the impact of these restrictions on mental and cognitive health of university students, and tested the efficacy of a brief online mindfulness meditation intervention in countering psychological distress and improving attentional abilities. Ninety-six university students forced into remote learning due to COVID-19 pandemic restrictions and with no experience in meditation were randomly assigned to either a passive control group ( = 48) or to an experimental group ( = 48) following daily, for 17 days, an online mindfulness intervention (10-20 min per day). Due to drop-out, 38 participants in each group were finally analyzed. Pre- and post-tests assessed participants' mental health (psychological well-being, depression, anxiety, stress) and attentional abilities. The analysis of baseline data in comparison with normative scores and pre-pandemic statistics confirmed the expected psychological distress, but it did not reveal any attentional deficits in our participants. Pre-post change scores analyses showed a reduction in stress ( = 0.006,  = 0.10), anxiety ( = 0.002,  = 0.13), and depression ( = 0.025,  = 0.07), and an improvement in well-being ( = 0.013,  = 0.12) in the experimental group, but not in the control group. In both groups, no significant effect was found on attentional abilities. Our results confirmed the psychological vulnerability of higher education students in the midst of the remote learning period during the second COVID-19 lockdown in France, while suggesting preservation of attentional functioning. Although the tested mindfulness intervention did not enhance the attentional abilities in already good performing students, it did promote their mental health. This study offers additional evidence on the feasibility and efficacy of mindfulness-based interventions in students during psychologically straining periods, like the COVID-19 pandemic.

摘要

新冠疫情导致全球采取限制措施,这引发了人们对那些本身并非特别易感染该病毒的年轻人心理健康的担忧。本研究调查了这些限制措施对大学生心理和认知健康的影响,并测试了一种简短的在线正念冥想干预在应对心理困扰和提高注意力方面的效果。96名因新冠疫情限制而被迫进行远程学习且无冥想经验的大学生,被随机分为被动对照组(n = 48)或实验组(n = 48),实验组每天进行17天的在线正念干预(每天10 - 20分钟)。由于退出,最终每组分析了38名参与者。前后测试评估了参与者的心理健康(心理幸福感、抑郁、焦虑、压力)和注意力。与常模分数和疫情前统计数据相比,基线数据分析证实了预期的心理困扰,但未发现我们的参与者存在任何注意力缺陷。前后变化分数分析显示,实验组的压力(p = 0.006,d = 0.10)、焦虑(p = 0.002,d = 0.13)和抑郁(p = 0.025,d = 0.07)有所降低,幸福感有所改善(p = 0.013,d = 0.12),而对照组没有变化。两组在注意力方面均未发现显著影响。我们的结果证实了在法国第二次新冠疫情封锁期间远程学习阶段高等教育学生的心理脆弱性,同时表明注意力功能得以保留。尽管所测试的正念干预并未提高原本表现良好的学生的注意力,但确实促进了他们的心理健康。这项研究为正念干预在诸如新冠疫情这样的心理压力时期对学生进行干预的可行性和有效性提供了更多证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/acbb/9301203/faecdda111e7/fpsyg-13-889807-g001.jpg

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