Cheng Winnie Lai Sheung, Wong Lokki Lok-Ki
School of Health Sciences, Caritas Institute of Higher Education, Tseung Kwan O New Town, Hong Kong SAR, China.
School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, Hong Kong SAR, China.
Front Psychol. 2023 Dec 1;14:1257863. doi: 10.3389/fpsyg.2023.1257863. eCollection 2023.
Music is well-known for its stress-reducing effects. Little is known about the potential effect of music interventions in fostering internal coping resources for stress management among undergraduate students in Hong Kong.
This pilot study aimed to examine the efficacy of the Group-based Focus Music Imagery Program (GFMI) in promoting a stress-is-enhancing mindset, sense of coherence, and self-compassion among undergraduate students.
We used a two-arm parallel randomized controlled trial (RCT). The experimental arm received 6 weeks of GFMI with measures taken at two time points after completing baseline assessments (Weeks 6, 10). The control arm received 6 weeks of an active control program and completed the outcome measures at time points similar to the GFMI group. Data were collected using the Chinese versions of the Sense of Coherence Scale (C-SOC-13), the Self-Compassion Scale-Short Form (C-SCS-SF), the Stress Mindset Measure (C-SMM), the Perceived Stress Scale (C-PSS-10), and the Generalized Anxiety Disorder scale (C-GAD-7).
Sixty-four participants were randomly assigned to either the experimental group ( = 32) or the control group ( = 32) between July 2021 and September 2022. The experimental group exhibited a retention rate of 71.9% at T1 (23 out of 32 participants), which slightly decreased to 65.6% (21 out of 32) at T2. The control group displayed a retention rate of 75% (24 out of 32) at T1, which dropped to 43.8% (14 out of 32) at T2. The GEE analyses showed insignificant differences between groups at any time point in C-SOC-13, C-SCS-SF, and C-SMM. Instead, the control group had a higher reduction in stress scores (C-PSS-10) at T1, and anxiety (C-GAD-7) at T2 than the experimental group.
The pilot trial provided valuable information in examining the feasibility of the trial design and intervention. Future studies with larger samples are needed to validate if GFMI can reliably promote coping resources to manage stress and anxiety in undergraduate students.
https://www.researchregistry.com/, researchregistry8209.
音乐以其减轻压力的效果而闻名。对于音乐干预在培养香港大学生应对压力的内在应对资源方面的潜在作用，人们了解甚少。
这项试点研究旨在检验基于小组的聚焦音乐意象计划（GFMI）在促进大学生形成压力增强思维模式、连贯感和自我同情方面的效果。
我们采用双臂平行随机对照试验（RCT）。实验组接受为期6周的GFMI，并在完成基线评估后的两个时间点（第6周、第10周）进行测量。对照组接受为期6周的积极对照计划，并在与GFMI组相似的时间点完成结果测量。使用中文版的连贯感量表（C-SOC-13）、自我同情量表简版（C-SCS-SF）、压力思维模式量表（C-SMM）、感知压力量表（C-PSS-10）和广泛性焦虑症量表（C-GAD-7）收集数据。
在2021年7月至2022年9月期间，64名参与者被随机分配到实验组（n = 32）或对照组（n = 32）。实验组在T1时的保留率为71.9%（32名参与者中的23名）, 在T2时略有下降至65.6%（32名中的21名）。对照组在T1时的保留率为75%（32名中的24名），在T2时降至43.8%（32名中的14名）。广义估计方程分析显示，在C-SOC-13、C-SCS-SF和C-SMM的任何时间点，两组之间均无显著差异。相反, 对照组在T1时的压力得分（C-PSS-10）和T2时焦虑得分（C-GAD-7）的下降幅度高于实验组。
该试点试验为检验试验设计和干预措施的可行性提供了有价值的信息。未来需要更大样本量的研究来验证GFMI是否能可靠地促进应对资源，以管理大学生的压力和焦虑。
