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超越战斗或逃跑:大流行前冥想练习对焦虑和感知压力的保护作用。

Beyond fight or flight: The protective role of pre-pandemic meditation practice against anxiety and perceived stress.

机构信息

Instituto Superior Miguel Torga, Coimbra, Portugal.

University of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, Coimbra, Portugal.

出版信息

Stress Health. 2024 Oct;40(5):e3440. doi: 10.1002/smi.3440. Epub 2024 Jul 2.

Abstract

The COVID-19 pandemic generated distinct mental health challenges, characterised by stress and anxiety due to its unpredictable duration and continuous threat. This study examined the role of meditation practice on anxiety symptoms and perceived stress, considering co-variables such as self-compassion, acceptance, awareness, brooding, lockdown duration, and sociodemographic characteristics. The study used a longitudinal design and data were collected through online surveys from April 2020 to January 2021 (at four different time points) and included 238 participants from Portugal (165 had prior experience with meditation practices, 73 were non-meditators) with a mean age of 43.08 years (SD = 10.96). Linear mixed models revealed that over time, during the lockdown, the non-meditators group demonstrated a greater increase of anxiety symptoms (β = -0.226, SE = 0.06, p = 0.006) and perceived stress (β = -0.20, SE = 0.06, p = 0.004), whereas the meditators group showed non-significant (p > 0.05) variations in anxiety and stress symptoms during the same period of time. The effect of meditation on anxiety symptoms was moderated by sex, days of lockdown, self-compassion, and acceptance. The effect of meditation on perceived stress was moderated by sex, years of education, days of lockdown, and levels of awareness. Additionally, the study explored the potential predictive effect of different meditation session lengths, indicating that longer meditation practices offered greater protection against an increase in anxiety symptoms. These findings highlight the importance of cultivating self-regulation skills and investing in preventive mental health strategies to promote well-being and autonomy. Mental health professionals should prioritise educating communities on evidence-based practices like meditation and compassion exercises to enhance overall health.

摘要

新冠疫情带来了独特的心理健康挑战,由于其持续时间不可预测且持续存在威胁,人们因此感到压力和焦虑。 本研究考察了冥想练习对焦虑症状和感知压力的影响,同时考虑了自我同情、接受、觉察、沉思、封锁时间和社会人口学特征等协变量。该研究采用纵向设计,于 2020 年 4 月至 2021 年 1 月(四个不同时间点)通过在线调查收集数据,参与者来自葡萄牙,共 238 人(165 人有冥想练习经验,73 人无冥想练习经验),平均年龄为 43.08 岁(SD=10.96)。线性混合模型显示,在封锁期间,随着时间的推移,非冥想者组的焦虑症状(β=-0.226,SE=0.06,p=0.006)和感知压力(β=-0.20,SE=0.06,p=0.004)均显著增加,而冥想者组在同一时间段内的焦虑和压力症状无显著变化(p>0.05)。冥想对焦虑症状的影响受到性别、封锁天数、自我同情和接受的调节。冥想对感知压力的影响受到性别、受教育年限、封锁天数和觉察水平的调节。此外,该研究还探讨了不同冥想时长的潜在预测效应,表明较长时间的冥想练习可以更好地预防焦虑症状的增加。这些发现强调了培养自我调节技能和投资预防心理健康策略的重要性,以促进幸福感和自主性。心理健康专业人员应优先向社区宣传基于证据的实践,如冥想和同情练习,以提高整体健康水平。

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