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通过减少负面解释偏差来提高心理健康:在线社会情感双人和正念干预的随机试验。

Training-related improvements in mental well-being through reduction in negative interpretation bias: A randomized trial of online socio-emotional dyadic and mindfulness interventions.

机构信息

Social Neuroscience Lab, Max Planck Society, Berlin, Germany.

Department of Psychology, Helmut Schmidt University, Hamburg, Germany.

出版信息

J Affect Disord. 2024 Jun 1;354:662-672. doi: 10.1016/j.jad.2024.03.037. Epub 2024 Mar 12.

DOI:10.1016/j.jad.2024.03.037
PMID:38484880
Abstract

BACKGROUND

Effects of online contemplative practices, especially partner-based practices, on psychological well-being remain mixed, with sparse understanding of potential affective-cognitive mechanisms. The study aimed to assess the efficacy of two online contemplative interventions in improving depression, anxiety, emotion regulation (ER), and resilience, and to evaluate the mechanistic role of negative attention and interpretation biases.

METHODS

Employing a randomized controlled design (n = 285), we compared the efficacy of 10-week online mindfulness-based and partner-based socio-emotional dyadic interventions, both supported by weekly coaching sessions. Mental health aspects were assessed using validated self-report measures and negative biases using the mouse-contingent Scrambled Sentences Task.

RESULTS

Both interventions, compared to waitlist control, led to reductions in depression and ER difficulties, while trait anxiety decreased only after mindfulness training. Increases in multidimensional resilience were observed only after socio-emotional training and in stress recovery only after mindfulness-based training, both compared to waitlist control. Socio-emotional training led to significant reductions in negative interpretation bias and this mediated reductions in depression and trait anxiety. Neither training led to reductions in state anxiety or negative attention bias.

LIMITATIONS

The subclinical nature and overrepresentation of females in the sample limits generalizability.

CONCLUSIONS

Findings indicate that online mindfulness-based and socio-emotional partner-based interventions, supported by online coaching sessions, can reduce depression and ER difficulties. Though mindfulness practice reduced trait anxiety and enhanced stress recovery, socio-emotional training increased multidimensional resilience. Socio-emotional training reduced negative interpretation bias, which emerged as an intervention-specific mechanism. These findings highlight the potential benefits of online contemplative intervention approaches for psychological well-being.

摘要

背景

在线冥想实践,尤其是基于伴侣的实践,对心理健康的影响仍然存在分歧,对潜在的情感认知机制的理解也很有限。本研究旨在评估两种在线冥想干预对改善抑郁、焦虑、情绪调节(ER)和韧性的疗效,并评估负性注意和解释偏差的潜在机制作用。

方法

采用随机对照设计(n=285),我们比较了 10 周的正念为基础和基于伴侣的社会情感二元干预的疗效,这两种干预都有每周的辅导课程支持。使用经过验证的自我报告措施评估心理健康方面,使用鼠标伴随的乱序句子任务评估负性偏差。

结果

与等待名单对照组相比,两种干预都导致抑郁和 ER 困难减少,而特质焦虑仅在正念训练后减少。多维韧性的增加仅在社会情感训练后观察到,而在正念训练后仅在应激恢复后观察到,与等待名单对照组相比。社会情感训练导致负性解释偏差显著减少,这介导了抑郁和特质焦虑的减少。两种训练都没有导致状态焦虑或负性注意偏差的减少。

局限性

样本的亚临床性质和女性的过度代表限制了普遍性。

结论

研究结果表明,在线正念为基础和社会情感为基础的伴侣支持的在线辅导课程可以减少抑郁和 ER 困难。虽然正念练习降低了特质焦虑和增强了应激恢复,但社会情感训练增加了多维韧性。社会情感训练减少了负性解释偏差,这是一种干预特异性机制。这些发现强调了在线冥想干预方法对心理健康的潜在益处。

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