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正念干预改善高风险家庭儿童行为的应对和认知。

Mindfulness Intervention Improves Coping and Perceptions of Children's Behavior among Families with Elevated Risk.

机构信息

Department of Human Development & Family Studies, Colorado State University, 1570 Campus Delivery, Fort Collins, CO 80523-1570, USA.

出版信息

Int J Environ Res Public Health. 2023 Nov 21;20(23):7092. doi: 10.3390/ijerph20237092.

Abstract

Mindfulness-informed interventions (MIIs) are increasingly common but have not been extensively studied among families with elevated levels of risk (e.g., those involved in child protective services and/or receiving financial assistance). These families often experience high rates of stressors that can impact coping strategies, interpersonal dynamics, and relationships. Given that mindfulness has been shown to promote health and wellbeing, this study used a sample from two pilot randomized controlled trials to test the extent to which a mindfulness-informed intervention improved coping strategies and perceptions of children's behavior among 53 families with elevated risk. A principal components analysis with a direct oblimin rotation revealed that cognitive-emotion coping strategies could be characterized by three factors: , , and . Intention-to-treat analysis indicated significant group by time differences, with intervention participants demonstrating improvements in positive refocusing coping, positive adaptation coping, and perceptions of children's behavior problems compared to participants in the waitlist control group. No significant differences were found for negative adaptation coping strategies. Findings provide preliminary support for the benefits of mindfulness training in a sample generally underrepresented in the mindfulness intervention literature.

摘要

正念干预(MIIs)越来越普遍,但在风险水平较高的家庭(例如,参与儿童保护服务和/或接受经济援助的家庭)中尚未得到广泛研究。这些家庭经常面临高压力,这可能会影响应对策略、人际关系和关系。鉴于正念已被证明可以促进健康和幸福,本研究使用来自两个试点随机对照试验的样本,测试正念干预在多大程度上可以改善 53 个高风险家庭的应对策略和对儿童行为的看法。采用直接斜交旋转的主成分分析表明,认知情绪应对策略可以用三个因素来描述:,和。意向性治疗分析表明,组间时间差异具有统计学意义,与等待名单对照组相比,干预组在积极重新聚焦应对、积极适应应对和对儿童行为问题的看法方面表现出改善,而适应不良应对策略方面则没有发现显著差异。研究结果为在正念干预文献中代表性不足的样本中进行正念训练的益处提供了初步支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b6ec/10706069/f9751fc7a8dc/ijerph-20-07092-g001.jpg

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