Yan Xiaofan, Wang Xiaojie, Chen Yanli, Xu Xiaoxiao, Peng Li, Xu Yuanyuan
Department of Military Psychology, Faculty of Medical Psychology, Army Medical University, Chongqing, China.
96743 Unit of the Chinese People's Liberation Army, Gansu Province, China.
Acta Psychol (Amst). 2024 Nov;251:104556. doi: 10.1016/j.actpsy.2024.104556. Epub 2024 Nov 15.
Increased stress among medical students in military college has been a challenge in the field of education. One approach to addressing stress reduction is mindfulness training. MBSR has been verified to improve the health status of different individuals. The aim of this study was to examine whether MBSR improves the psychological resilience, posttraumatic stress and posttraumatic growth of medical students in military college.
MBSR was performed with students from a military medical university. A total of 372 students were surveyed by questionnaires, including the 10-item of Connor-Davidson Resilience Scale, Posttraumatic Growth Inventory, PTSD Checklist for DSM-5, Satisfaction with Life Scale, and Mindful Attention Awareness Scale, before the intervention, after the intervention and one month later. A control group of students also answered the questionnaires at the three time points but did not participate in the MBSR intervention. Statistical analyses were performed using repeated-measures ANOVA.
The results suggest that the MBSR group experienced significant improvements in resilience, posttraumatic growth, life satisfaction, and mindful attention awareness scores, as well as significant reductions in depression, anxiety, and PTSD intrusive symptoms scores after the intervention. These results were not found in the control group. One month after the intervention, all of these variables showed varying degrees of maintenance effects in the MBSR group.
The MBSR intervention was effective, as the medical students in military college in the MBSR group exhibited improvements in psychological resilience, posttraumatic growth, satisfaction with life and mindful attention awareness, depression, anxiety and intrusive symptoms.
军医大学学员压力增大一直是教育领域面临的一项挑战。应对减压的一种方法是正念训练。正念减压疗法（MBSR）已被证实可改善不同个体的健康状况。本研究的目的是检验MBSR是否能提高军医大学学员的心理复原力、创伤后应激及创伤后成长。
对某军医大学的学员实施MBSR。在干预前、干预后及干预后1个月，通过问卷调查对总共372名学员进行了调查，问卷包括10项Connor-Davidson复原力量表、创伤后成长量表、DSM-5创伤后应激障碍检查表、生活满意度量表和正念注意觉知量表。一组作为对照组的学员也在这三个时间点回答问卷，但未参与MBSR干预。采用重复测量方差分析进行统计分析。
结果表明，MBSR组在干预后复原力、创伤后成长、生活满意度和正念注意觉知得分显著提高，抑郁、焦虑和创伤后应激障碍侵入性症状得分显著降低。对照组未出现这些结果。干预后1个月，MBSR组所有这些变量均呈现不同程度的维持效应。
MBSR干预是有效的，因为MBSR组的军医大学学员在心理复原力、创伤后成长、生活满意度和正念注意觉知、抑郁、焦虑及侵入性症状方面均有改善。
