Department of Psychology, The Mood Disorders Centre, University of Exeter, Exeter EX4 4QQ, UK.
The ROWAN Group, Exeter EX4 4QQ, UK.
Int J Environ Res Public Health. 2022 Jul 26;19(15):9118. doi: 10.3390/ijerph19159118.
Novel approaches for children and young people (CYP) in the prevention and intervention of mental illness are needed and nature-based interventions (NBI) may be clinically useful. This proof-of-principle study tested the effects of a novel brief nature-based meditation on rumination, depressive symptoms and wellbeing in young people. Sixty-eight university students were randomised to one of three conditions: active control (n = 23), indoor meditation (n = 22) or nature-based meditation (n = 23). Participants completed self-report measures on state and trait rumination post intervention and depression and wellbeing at a 2-week follow-up. Depressive rumination significantly decreased post intervention in the nature condition and depressive symptoms improved for both intervention groups. Wellbeing only significantly improved at follow-up in the nature condition. Nature condition participants demonstrated one minimal clinically important difference (MCID) for wellbeing at follow-up. Depressive symptoms for this condition were below the clinically significant threshold for depression. The number needed to treat (NNT) analysis suggested that two to five young people would need to complete the intervention. Preliminary evidence suggests NBIs, such as the one in the present study, can reduce depressive rumination and symptoms and improve wellbeing. Replication with larger clinical samples is required to substantiate findings.
需要针对儿童和青少年(CYP)的精神疾病预防和干预提出新方法,而基于自然的干预(NBI)可能具有临床意义。本原理验证研究测试了一种新颖的简短基于自然的冥想对年轻人的沉思、抑郁症状和幸福感的影响。68 名大学生被随机分配到三个条件之一:积极对照组(n = 23)、室内冥想组(n = 22)或基于自然的冥想组(n = 23)。参与者在干预后和 2 周随访时完成了关于状态和特质沉思、抑郁和幸福感的自我报告测量。在自然条件下,沉思状态在干预后显著降低,两个干预组的抑郁症状均有所改善。只有在自然条件下,幸福感才会在随访时显著改善。自然条件组的参与者在随访时表现出一个最小临床重要差异(MCID)的幸福感。该条件下的抑郁症状低于临床显著抑郁阈值。需要治疗的人数(NNT)分析表明,两到五名年轻人需要完成干预。初步证据表明,基于自然的干预措施,如本研究中的干预措施,可以减少抑郁性沉思和症状,并改善幸福感。需要更大的临床样本进行复制,以证实这些发现。