基于正念的在线干预对大学生心理健康的影响：一项系统评价与荟萃分析。

Effects of online mindfulness-based interventions on the mental health of university students: A systematic review and meta-analysis.

作者信息

Gong Xiao-Gang, Wang Le-Peng, Rong Guang, Zhang Dao-Ning, Zhang A-Yuan, Liu Chao

机构信息

Department of Medicine, College of Special Education, Beijing Union University, Beijing, China.

School of Humanities, Beijing University of Chinese Medicine, Beijing, China.

出版信息

Front Psychol. 2023 Feb 8;14:1073647. doi: 10.3389/fpsyg.2023.1073647. eCollection 2023.

OBJECTIVES

Mental health problems among university students are a cause of widespread concern. Mindfulness-based interventions (MBIs) delivered online have considerable potential to help university students manage mental health challenges. However, there is no consensus regarding the efficacy of online MBIs. This meta-analysis aims to determine whether MBIs are feasible and effective for improving university students' mental health.

METHODS

Randomised controlled trials (RCTs) in Web of Science, PubMed, Cochrane Library, Embase and the US National Library of Medicine (Clinical Trial Registry) published through August 31, 2022, were searched. Two reviewers selected the trials, conducted a critical appraisal, and extracted the data. Nine RCTs met our inclusion criteria.

RESULTS

This analysis showed that online MBIs were effective in improving depression (standardised mean difference [SMD] = -0.27; 95% confidence interval [CI], -0.48 to -0.07; = 0.008), anxiety (SMD = -0.47; 95% CI, -080 to -0.14; = 0.006), stress (SMD = -0.58; 95% CI, -0.79 to -0.37; < 0.00001), and mindfulness (SMD = 0.71; 95% CI, 0.17 to 1.25; = 0.009) in university students. No significant effect was found on wellbeing (SMD = 0.30; 95% CI, -0.00 to 0.60; = 0.05).

CONCLUSION

The findings indicated that online MBIs could effectively improve the mental health of university students. Nevertheless, additional rigorously designed RCTs are required.

SYSTEMATIC REVIEW REGISTRATION

https://inplasy.com/inplasy-2022-9-0099/, identifier INPLASY202290099.

目的

大学生心理健康问题备受广泛关注。在线提供的基于正念的干预措施（MBIs）在帮助大学生应对心理健康挑战方面具有巨大潜力。然而，关于在线MBIs的疗效尚无共识。本荟萃分析旨在确定MBIs对改善大学生心理健康是否可行且有效。

方法

检索了截至2022年8月31日在Web of Science、PubMed、Cochrane图书馆、Embase和美国国立医学图书馆（临床试验注册库）发表数据库中的随机对照试验（RCTs）。两名评审员筛选试验、进行严格评估并提取数据。9项RCTs符合纳入标准。

结果

该分析表明，在线MBIs能有效改善大学生的抑郁（标准化均数差[SMD]=-0.27；95%置信区间[CI]，-0.48至-0.07；P=0.008）、焦虑（SMD=-0.47；95%CI，-0.80至-0.14；P=0.006）、压力（SMD=-0.58；95%CI，-0.79至-0.37；P<0.00001）和正念（SMD=0.71；95%CI，0.17至1.25；P=0.009）。未发现对幸福感有显著影响（SMD=0.30；95%CI，-0.00至0.60；P=0.05）。