Timm Eliane, Ko Yobina Melanie, Hundhammer Theodor, Berlowitz Ilana, Wolf Ursula
Institute of Complementary and Integrative Medicine, Faculty of Medicine, University of Bern, Bern, Switzerland.
Eurythmy4you, Nidau, Switzerland.
Front Psychol. 2024 Oct 15;15:1469316. doi: 10.3389/fpsyg.2024.1469316. eCollection 2024.
Mindfulness has emerged as key construct in mental health over past decades. While current mindfulness-based interventions (MBIs) are usually rooted in Asian contemplative traditions, mindfulness practices can equally be found in other knowledge systems, including integrative medicine systems such as anthroposophic medicine (AM). The (ABSR) program incorporates the latter as part of an 8-week-long online intervention combining mindfulness exercises, behavioral self-observation, and mindful movement practices derived from this integrative medicine frame. The program could offer additional means for cultivating mindfulness, thereby addressing the necessity for diverse approaches in conjunction with individual differences, diverse clinical demands, or restricted capacities to perform certain mindfulness practices. Using an observational repeated-measures design, the current study aimed to assess a large-scale online implementation of this program in terms of its feasibility, assessing perceived stress and mindfulness.
Individuals who enrolled in any of the 37 ABSR program iterations carried out during 2023 and agreed to participate in the study completed online surveys including validated stress and mindfulness scales at the beginning, middle, end, and follow up of the intervention. Linear-mixed models were used for data analysis.
A total of 830 individuals took part in the study, of which 53.5% filled in at least 2 surveys. In line with our expectation, mindfulness scores increased significantly over the course of the intervention, while stress scores decreased significantly in this timeframe. We further found differential effects of self-practice frequency and duration on the outcomes.
This study provides a first indication of stress reduction in conjunction with the online implementation of this novel MBI. The work further suggests that this AM-based intervention indeed targets mindfulness, as do other MBIs, and that it is adaptable to an online format. However, given the observational single-arm design, controlled studies will be necessary to confirm these results. Nonetheless, the study adds a novel contribution to existent MBIs, which is significant in view of the need for diverse approaches to meet the heterogeneity of individual predispositions and clinical requirements. It remains to established by forthcoming research for which groups of individuals or clinical features this approach could be especially beneficial or less suitable.
在过去几十年中，正念已成为心理健康领域的关键概念。虽然当前基于正念的干预措施（MBIs）通常植根于亚洲的沉思传统，但正念练习同样可以在其他知识体系中找到，包括像人智医学（AM）这样的整合医学体系。人智医学正念自我调节（ABSR）项目将后者纳入为期8周的在线干预中，该干预结合了正念练习、行为自我观察以及源自这种整合医学框架的正念运动练习。该项目可以提供培养正念的额外方法，从而满足结合个体差异、多样化临床需求或进行某些正念练习的能力受限等情况时对多样化方法的需求。本研究采用观察性重复测量设计，旨在评估该项目大规模在线实施的可行性，评估感知压力和正念水平。
参加2023年进行的37次ABSR项目迭代中的任何一次并同意参与研究的个体，在干预开始、中期、结束和随访时完成在线调查，包括经过验证的压力和正念量表。使用线性混合模型进行数据分析。
共有830人参与了该研究，其中53.5%的人填写了至少2份调查问卷。与我们的预期一致，正念得分在干预过程中显著提高，而在此时间段内压力得分显著下降。我们还发现自我练习频率和时长对结果有不同影响。
本研究首次表明，随着这种新型基于正念的干预措施在线实施，压力有所减轻。该研究还进一步表明，这种基于人智医学的干预措施确实像其他基于正念的干预措施一样针对正念，并且它适用于在线形式。然而，鉴于观察性单臂设计，需要进行对照研究来证实这些结果。尽管如此，该研究为现有的基于正念的干预措施做出了新贡献，鉴于需要多样化方法来满足个体易感性和临床需求的异质性，这一贡献意义重大。对于哪些个体群体或临床特征这种方法可能特别有益或不太合适，还有待未来研究确定。
