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弹性应激反应模式可预测在线冥想训练对心理健康的改善:一项随机临床试验。

Resilient Stress Reactivity Profiles Predict Mental Health Gains from Online Contemplative Training: A Randomized Clinical Trial.

作者信息

Godara Malvika, Singer Tania

机构信息

Social Neuroscience Lab, Max Planck Society, 10557 Berlin, Germany.

出版信息

J Pers Med. 2024 May 4;14(5):493. doi: 10.3390/jpm14050493.

Abstract

Low-dose app-based contemplative interventions for mental health are increasingly popular, but heterogeneity in intervention responses indicates that a personalized approach is needed. We examined whether different longitudinal resilience-vulnerability trajectories, derived over the course of the COVID-19 pandemic, predicted differences in diverse mental health outcomes after mindfulness and socio-emotional dyadic online interventions. The CovSocial project comprised a longitudinal assessment (phase 1) and an open-label efficacy trial (phase 2). A community sample of 253 participants received 12 min daily app-based socio-emotional dyadic or mindfulness-based interventions, with weekly online coaching for 10 weeks. Before and after the intervention, participants completed validated self-report questionnaires assessing mental health. Stress reactivity profiles were derived from seven repeated assessments during the COVID-19 pandemic (January 2020 to March/April 2021) and were categorized into resilient (more plasticity) or vulnerable (less plasticity) stress recovery profiles. After both interventions, only individuals with resilient stress reactivity profiles showed significant improvements in depression symptomatology, trait anxiety, emotion regulation, and stress recovery. Those with vulnerable profiles did not show significant improvements in any outcome. Limitations of this study include the relatively small sample size and potential biases associated with participant dropout. Brief app-based mental interventions may be more beneficial for those with greater levels of stress resiliency and plasticity in response to stressors. More vulnerable individuals might require more intense and personalized intervention formats.

摘要

基于应用程序的低剂量心理健康冥想干预越来越受欢迎,但干预反应的异质性表明需要一种个性化的方法。我们研究了在新冠疫情期间得出的不同纵向复原力-脆弱性轨迹是否能预测正念和社会情感二元在线干预后不同心理健康结果的差异。CovSocial项目包括一项纵向评估(第一阶段)和一项开放标签疗效试验(第二阶段)。253名参与者的社区样本每天接受12分钟基于应用程序的社会情感二元或正念干预,并进行为期10周的每周一次在线指导。在干预前后,参与者完成了评估心理健康的有效自我报告问卷。应激反应概况来自新冠疫情期间(2020年1月至2021年3月/4月)的七次重复评估,并被分为复原力强(可塑性更强)或脆弱(可塑性较弱)的应激恢复概况。在两种干预后,只有具有复原力应激反应概况的个体在抑郁症状、特质焦虑、情绪调节和应激恢复方面有显著改善。具有脆弱概况的个体在任何结果上都没有显著改善。本研究的局限性包括样本量相对较小以及与参与者退出相关的潜在偏差。基于应用程序的简短心理干预可能对那些对应激源具有更高应激复原力和可塑性水平的人更有益。更脆弱的个体可能需要更强化和个性化的干预形式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1abc/11121773/15e77152b3a2/jpm-14-00493-g002.jpg

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