多模式压力减轻预防方案。

A Multimodal Prevention Program for Stress Reduction.

机构信息

Institute of Medical Information Processing, Biometry and Epidemiology (IBE), Chair of Public Health and Health Services Research, Faculty of Medicine, LMU Munich, Germany; Pettenkofer School of Public Health, Munich, Germany.

出版信息

Dtsch Arztebl Int. 2023 Oct 27;120(43):721-728. doi: 10.3238/arztebl.m2023.0179.

DOI:10.3238/arztebl.m2023.0179

PMID:37551447

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10714290/

Abstract

BACKGROUND

Stress-reducing preventive measures and the elements of which they are made up have been inadequately studied to date. In this trial, we studied the stress experienced over the twelve months from the beginning of the intervention by subjects who underwent a two-week-long multimodal prevention program for stress reduction with a psycho-educative component, with a refresher at six months, compared to that experienced by subjects in two control groups (CG-B: prevention program without psychoeducation, CG-C: no intervention).

METHODS

Adults with an elevated stress exposure who were at risk of stressinduced health impairment were the subjects of a prospective, three-armed, randomized controlled trial. The subjects who participated in the two preventive programs (IG [intervention group], CG-B) traveled to a health resort. They were blinded with respect to their group assignment and the content of their intervention. The primary outcomes were subjectively experienced stress (Perceived Stress Questionnaire, PSQ) and chronic stress experience (Screening scale of the Trier Inventory for Chronic Stress, TICS-SSCS), assessed one, three, six, and twelve months after the start of the intervention. The groups were compared with univariate and multivariate analyses. Trial registry number: DRKS00011290.

RESULTS

Among 120 candidates who expressed interest in participation and were randomly allotted to one of the three groups, 87 persons (67.8% female) with a mean age of 50.5 years (SD 8.8 years) were included in the study. Subjects in the IG with psychoeducation had a lower degree of perceived stress at twelve months than those in either one of the control groups, with controlling for baseline values, as measured by both of the instruments used: PSQ (ANCOVA: F[2, 77] = 11.77; p < 0.001, strong effect: ηp² = 0.234) and TICS-SSCS (ANCOVA: F[2, 78] = 3.93; p = 0.024, moderate effect: ηp² = 0.091).

CONCLUSION

This exploratory trial reveals a lessening of subjectively experienced stress after participation in a two-part prevention program for stress reduction with a specific psychoeducative component.

摘要

背景

迄今为止，减压预防措施及其组成部分的研究还不够充分。在这项试验中，我们研究了接受为期两周的多模式减压预防计划（具有心理教育成分）的受试者在干预开始后的 12 个月内所经历的压力，该计划每六个月进行一次复习，与两个对照组（CG-B：无心理教育的预防计划，CG-C：无干预）的受试者所经历的压力相比。

方法

本前瞻性、三臂、随机对照试验的受试者为暴露于高压力下且有压力引起的健康损害风险的成年人。参加两项预防计划（IG [干预组]、CG-B）的受试者前往一个健康度假村。他们对自己的分组和干预内容均不知情。主要结局指标为主观体验到的压力（感知压力问卷，PSQ）和慢性压力体验（慢性应激筛选量表，TICS-SSCS），在干预开始后 1、3、6 和 12 个月进行评估。使用单变量和多变量分析比较各组。试验注册号：DRKS00011290。

结果

在 120 名表示有兴趣参与并随机分配到三组中的候选人中，有 87 人（67.8%为女性），平均年龄为 50.5 岁（8.8 岁），纳入研究。接受具有心理教育的心理教育干预的 IG 受试者在 12 个月时的感知压力程度低于对照组，同时考虑到两个工具的基线值：PSQ（ANCOVA：F[2,77] = 11.77；p <0.001，强效应：ηp² = 0.234）和 TICS-SSCS（ANCOVA：F[2,78] = 3.93；p = 0.024，中等效应：ηp² = 0.091）。