Li Haowei, Chen Hao, Ye Zifeng, Li Xuehang, Yang Lei, Wang Shengshu, Yang Shanshan, Liu Shaohua, Chen Shimin, Li Rongrong, Yang Junhan, Li Huaihao, Bao Yinghui, Shi Yueting, Wang Jianhua, He Yao, Liu Miao
Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatrics Diseases, Second Medical Center of Chinese PLA General Hospital, Beijing, People's Republic of China.
Healthcare Office of Medical Service Department, Hainan Hospital, Chinese PLA General Hospital, Sanya, Hainan, People's Republic of China.
Psychol Res Behav Manag. 2023 Jul 18;16:2735-2745. doi: 10.2147/PRBM.S414553. eCollection 2023.
As the focal point of epidemic prevention and control, the mental health of COVID-19 patients cannot be ignored. Online Mindfulness-Based Stress Reduction (MBSR) allows for the provision of conveniently accessible, effective and low-cost interventions on a large scale. We aim to evaluate the effectiveness of an online MBSR intervention in alleviating anxiety and depression among asymptomatic/mild patients limited by COVID-19-related restrictions.
Fifty-eight patients treated in Sanya Fangcang hospital were randomly allocated to either to the experimental group (n = 29) following daily, for 5 days, an online-based mindfulness intervention or to the control group (n = 29). Patients from both groups underwent online questionnaires including assessment of anxiety and depression status at pre- and post-tests using Self-rating Anxiety Scale and Self-Rating Depression Scale.
After the online-based MBSR program, the anxiety and depression scores of the patients in the MBSR group decreased significantly in comparison to the scores of those in the control group (respectively η = 0.175, η = 0.215, < 0.001). And the proportion of severe anxiety and depression patients in the MBSR group decreased to 0% which lower than the control group, and the proportion of light anxiety and depression patients was significantly more than that in the control group after the MBSR intervention.
The online-based MBSR intervention appears to be an effective way of alleviating anxiety and depression symptoms among COVID-19 patients with associated quarantine in Fangcang hospital. Given the seriousness of mental health threat that could be posed by this ongoing pandemic, our study provides a new idea and method for cost-effective and time-efficient interventions in the future of epidemic prevention and control.
作为疫情防控的重点，新型冠状病毒肺炎（COVID-19）患者的心理健康不容忽视。基于网络的正念减压疗法（MBSR）能够大规模提供便捷、有效且低成本的干预措施。我们旨在评估基于网络的MBSR干预措施对缓解受COVID-19相关限制影响的无症状/轻症患者焦虑和抑郁情绪的有效性。
将三亚方舱医院收治的58例患者随机分为实验组（n = 29）和对照组（n = 29）。实验组患者连续5天每日接受基于网络的正念干预，两组患者均通过在线问卷，使用焦虑自评量表和抑郁自评量表在干预前后评估焦虑和抑郁状态。
基于网络的MBSR项目实施后，MBSR组患者的焦虑和抑郁评分与对照组相比显著降低（分别为η = 0.175，η = 0.215，P < 0.001）。MBSR组中重度焦虑和抑郁患者的比例降至0%，低于对照组，且MBSR干预后轻度焦虑和抑郁患者的比例显著高于对照组。
基于网络的MBSR干预似乎是缓解方舱医院中接受相关隔离的COVID-19患者焦虑和抑郁症状的有效方法。鉴于这场持续的疫情可能对心理健康构成的严重威胁，我们的研究为未来疫情防控中具有成本效益和时间效率的干预措施提供了新思路和方法。
