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在 COVID-19 期间,测试一个简短的、自我引导的价值肯定,作为行为激活干预的一部分。

Testing a brief, self-guided values affirmation for behavioral activation intervention during COVID-19.

机构信息

Department of Psychology, Rutgers, The State University of New Jersey, Piscataway, NJ, USA.

出版信息

Cogn Behav Ther. 2024 Sep;53(5):544-560. doi: 10.1080/16506073.2024.2339315. Epub 2024 Apr 9.

Abstract

This pilot study tested a single-session digital values affirmation for behavioral activation (VABA) intervention. Hypotheses predicted the VABA intervention would be more effective than an active control condition in improving mood, decreasing COVID-19 fear/worry and depressive symptoms, and promoting positively reinforcing behaviors during early weeks of the COVID-19 pandemic. Participants were a diverse sample of undergraduate students ( = 296) under a state-wide lockdown. Students were randomized to either VABA, a 10-min values clarification and affirmation task, or Control, a time- and attention-matched task. Positive and negative affects were assessed pre- and post-intervention. At next-day follow-up, positive and negative affects were reassessed, as well as past 24-h behavioral activation and depressive symptoms. Within-group increases in positive affect were observed in both conditions (VABA  = 0.39; Control  = 0.19). However, VABA produced a significantly larger increase than Control ([2] = 3.856,  = .022,  = 0.22). At 24-h follow-up, behavioral activation, which was significantly higher in VABA versus Control ([294] = -5.584,  < .001, = 0.65), predicted fewer depressive symptoms ( change = .019, = -.134,  = .003). VABA is an ultra-brief intervention that appears to have acute effects on mood-enhancement and behavioral activation.

摘要

这项初步研究测试了单次数字价值观肯定在行为激活(VABA)干预中的效果。假设预测 VABA 干预将比积极对照组更有效地改善情绪、减少 COVID-19 恐惧/担忧和抑郁症状,并在 COVID-19 大流行的早期促进积极的强化行为。参与者是全州封锁下的一组不同专业的本科生(n=296)。学生被随机分配到 VABA 组(10 分钟的价值观澄清和肯定任务)或对照组(时间和注意力匹配的任务)。在干预前后评估了积极和消极情绪。在次日的随访中,重新评估了积极和消极情绪,以及过去 24 小时的行为激活和抑郁症状。在两种情况下,积极情绪都有明显增加(VABA=0.39;对照组=0.19)。然而,VABA 比对照组产生了更大的增长([2] = 3.856,  = .022,  = 0.22)。在 24 小时的随访中,行为激活在 VABA 中明显高于对照组([294] = -5.584,  < .001, = 0.65),预测抑郁症状较少(变化 = .019, = -.134,  = .003)。VABA 是一种超简短的干预措施,似乎对情绪增强和行为激活有急性影响。

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