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手动开发并评估正念生活团体活动在中国 COVID-19 大流行期间促进创伤疗愈的效果。

Manual development and efficacy of Mindful Living Group activities to promote trauma healing during the COVID-19 pandemic in China.

机构信息

CAS Key Laboratory of Mental Health, Institute of Psychology, Beijing, China.

出版信息

Front Public Health. 2023 Feb 16;11:1102473. doi: 10.3389/fpubh.2023.1102473. eCollection 2023.

DOI:10.3389/fpubh.2023.1102473
PMID:36935712
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10016353/
Abstract

INTRODUCTION

Disasters can be traumatic with a profound and lasting impact on individuals. During the COVID-19 pandemic, our team developed the Mindful Living Group (MLG) activities manual based on Eastern body-mind wisdom and Western trauma healing theory to provide psychological assistance for trauma healing.

METHODS

In this study, we introduce a framework developed for the 10-session MLG activities manual, which consists of three core modules. Thirty-one participants living all over the country who had experienced traumatic stress resulting from the COVID-19 pandemic received the MLG intervention. This single-arm intervention study offered psychological assistance during the pandemic. The MLG intervention included 10 weekly 2-h sessions held online. Participants completed the initial interview, pre-test, post-test, and 1-month follow-up interviews. The effectiveness of the MLG activities manual was evaluated using psychological measures, including Self-Rating Depression Scale, Self-Rating Anxiety Scale, Mindful Attention Awareness Scale, Post-traumatic Growth Inventory, General Self-Efficacy Scale, and the Perceived Social Support Scale.

RESULTS

Compared with the pretest level, the post-test levels of depression ( = 42.78, < 0.001, = 0.59) and anxiety ( = 23.40, < 0.001, = 0.44) were significantly lower; and mindfulness (F = 12.98, =0.001, =0.30), posttraumatic growth ( = 27.06, < 0.001, = 0.48), general self-efficacy ( = 13.20, = 0.001, = 0.31), and perceived social support ( = 16.27, < 0.001, = 0.35) were significantly higher (ANOVA). Further correlation analysis revealed a significant negative relationship of mindfulness with both depression ( = -0.43, = 0.015) and anxiety ( = -0.35, = 0.053), and significant positive relationships of mindfulness with posttraumatic growth ( = 0.40, = 0.025), general self-efficacy ( = 0.52, = 0.003), and perceived social support ( = 0.40, = 0.024).

DISCUSSION

These preliminary findings showed the effectiveness of MLG activities for trauma healing. The mechanisms underlying mindfulness promoting trauma healing are discussed based on both Eastern body-mind wisdom and Western theories of trauma healing.

CLINICAL TRIAL REGISTRATION

Identifier, ChiCTR2000034164.

摘要

简介

灾难可能会给个人带来创伤,产生深远而持久的影响。在 COVID-19 大流行期间,我们的团队基于东方身心智慧和西方创伤疗愈理论开发了正念生活小组(MLG)活动手册,为创伤疗愈提供心理援助。

方法

本研究介绍了为 10 节 MLG 活动手册开发的框架,该框架由三个核心模块组成。来自全国各地的 31 名经历过 COVID-19 大流行导致的创伤应激的参与者接受了 MLG 干预。这项单臂干预研究在大流行期间提供了心理援助。MLG 干预包括 10 次每周 2 小时的在线小组活动。参与者完成了初始访谈、前测、后测和 1 个月随访访谈。使用心理测量工具,包括抑郁自评量表、焦虑自评量表、正念注意觉察量表、创伤后成长量表、一般自我效能感量表和感知社会支持量表,评估 MLG 活动手册的有效性。

结果

与前测水平相比,后测时的抑郁水平( = 42.78, < 0.001, = 0.59)和焦虑水平( = 23.40, < 0.001, = 0.44)显著降低;而正念(F = 12.98, =0.001, = 0.30)、创伤后成长( = 27.06, < 0.001, = 0.48)、一般自我效能感( = 13.20, = 0.001, = 0.31)和感知社会支持( = 16.27, < 0.001, = 0.35)显著提高(方差分析)。进一步的相关分析显示,正念与抑郁( = -0.43, = 0.015)和焦虑( = -0.35, = 0.053)呈显著负相关,与创伤后成长( = 0.40, = 0.025)、一般自我效能感( = 0.52, = 0.003)和感知社会支持( = 0.40, = 0.024)呈显著正相关。

讨论

这些初步结果表明,MLG 活动对创伤疗愈有效。根据东方身心智慧和西方创伤疗愈理论,讨论了正念促进创伤疗愈的机制。

临床试验注册

标识符,ChiCTR2000034164。

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