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Effects of a Digital Mental Health Intervention on Perceived Stress and Rumination in Adolescents Aged 13 to 17 Years: Randomized Controlled Trial.数字心理健康干预对 13 至 17 岁青少年感知压力和反刍思维的影响:随机对照试验。
J Med Internet Res. 2024 Mar 29;26:e54282. doi: 10.2196/54282.
2
Web-Based Self-Compassion Training to Improve the Well-Being of Youth With Chronic Medical Conditions: Randomized Controlled Trial.基于网络的自我同情训练对改善慢性病青少年幸福感的效果:随机对照试验
J Med Internet Res. 2023 Sep 13;25:e44016. doi: 10.2196/44016.
3
Mindfulness supports emotional resilience in children during the COVID-19 pandemic.正念在 COVID-19 大流行期间支持儿童的情绪弹性。
PLoS One. 2023 Jul 12;18(7):e0278501. doi: 10.1371/journal.pone.0278501. eCollection 2023.
4
Randomized Controlled Trial of a Mindfulness Mobile Application for Ruminative Adolescents.针对反复思考的青少年的正念移动应用程序随机对照试验。
J Clin Child Adolesc Psychol. 2025 Jan-Feb;54(1):99-112. doi: 10.1080/15374416.2022.2158840. Epub 2023 Jan 9.
5
Which adolescents are well-suited to app-based mindfulness training? A randomized clinical trial and data-driven approach for personalized recommendations.哪些青少年适合基于应用程序的正念训练?一项随机临床试验和数据驱动的个性化推荐方法。
J Consult Clin Psychol. 2022 Sep;90(9):655-669. doi: 10.1037/ccp0000763.
6
Effectiveness and cost-effectiveness of universal school-based mindfulness training compared with normal school provision in reducing risk of mental health problems and promoting well-being in adolescence: the MYRIAD cluster randomised controlled trial.与常规学校教育相比,基于学校的普遍正念训练在降低青少年心理健康问题风险和促进幸福感方面的有效性和成本效益:MYRIAD 整群随机对照试验
Evid Based Ment Health. 2022 Jul 12;25(3):99-109. doi: 10.1136/ebmental-2021-300396.
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The Development of Psychosocial Therapeutic and Preventive Interventions for Mental Disorders (R61/R33): A User's Guide.精神障碍的心理社会治疗和预防干预的发展(R61/R33):用户指南。
J Clin Child Adolesc Psychol. 2022 May-Jun;51(3):360-373. doi: 10.1080/15374416.2022.2062762. Epub 2022 May 12.
8
App-based Mindfulness Training for Adolescent Rumination: Predictors of Immediate and Cumulative Benefit.基于应用程序的青少年反刍思维正念训练:即时和累积效益的预测因素。
Mindfulness (N Y). 2021 Oct;12(10):2498-2509. doi: 10.1007/s12671-021-01719-0. Epub 2021 Aug 9.
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Psychological interventions to prevent the onset of depressive disorders: A meta-analysis of randomized controlled trials.心理干预预防抑郁障碍发病的效果:随机对照试验的荟萃分析。
Clin Psychol Rev. 2021 Feb;83:101955. doi: 10.1016/j.cpr.2020.101955. Epub 2020 Dec 3.

一项针对有内化问题风险的青少年的在线正念训练项目的随机对照试验。

A randomized controlled trial of an online mindfulness program for adolescents at risk for internalizing problems.

作者信息

Garber Judy, Chavira Denise A, Adam Emma K, Craske Michelle G, McMahon Tierney, Williams Alexander, Abitante George, Lanser Isabelle, Pashtunyar Dani S, Chen Shanting, Zinbarg Richard

机构信息

Department of Psychology and Human Development, Vanderbilt University.

Department of Psychology, University of California, Los Angeles.

出版信息

J Consult Clin Psychol. 2025 Apr;93(4):226-237. doi: 10.1037/ccp0000921. Epub 2024 Dec 2.

DOI:10.1037/ccp0000921
PMID:39621373
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11984827/
Abstract

OBJECTIVE

The purpose of this randomized controlled trial was to test the effects of an online, coached mindfulness intervention on momentary negative affect (mNA) for youth with high levels of trait negative affectivity.

METHOD

Participants were 111 youth ages 12 to 17 years old ( = 14.17, = 1.60). Youth self-identified as 68% female, 29% male, and 4.5% gender diverse; 54.55% identified as White; 31.82 reported being Hispanic/Latinx. Participants were selected for having high levels of trait negative affect and were randomized to receive either the mindfulness program or no intervention. We used ecological momentary assessment to measure stress and emotions and to derive measures of mNA comprised of stressor-independent and stressor-reactive negative affect. The ecological momentary assessment protocol involved participants completing a short survey/diary entry on Qualtrics four times per day for 5 days. Internalizing symptoms were assessed with the Patient Health Questionnaire-8, Generalized Anxiety Disorder-7, and the Screen for Child Anxiety Related Disorders.

RESULTS

The mindfulness intervention resulted in a significant reduction in stressor-reactive negative affect ( = 2.001, = 96, = .048; Cohen's = .40), but not stressor-independent mNA or overall mNA. Additionally, reductions in stressor-reactive negative affect significantly correlated with changes in internalizing symptomatology (standardized β = .26, = .032).

CONCLUSIONS

These results indicate that among youth with high levels of trait negative affectivity, a relatively affordable and accessible digital mindfulness program significantly reduced stressor-reactive negative affect. The absence of an effect on stressor-independent or overall average mNA suggests some specificity of the effects of mindfulness to stressor-reactive negative affect in an at-risk sample of adolescents. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

目的

本随机对照试验旨在检验在线指导的正念干预对特质消极情感水平较高的青少年的瞬时消极情绪(mNA)的影响。

方法

参与者为111名12至17岁的青少年(平均年龄 = 14.17岁,标准差 = 1.60)。青少年自我认定为68%为女性,29%为男性,4.5%为性别多样化;54.55%认定为白人;31.82%报告为西班牙裔/拉丁裔。参与者因特质消极情感水平较高而被选中,并被随机分配接受正念项目或不接受干预。我们使用生态瞬时评估来测量压力和情绪,并得出由与压力源无关和对压力源有反应的消极情绪组成的mNA测量值。生态瞬时评估方案要求参与者在5天内每天在Qualtrics上完成4次简短的调查/日记记录。使用患者健康问卷-8、广泛性焦虑障碍-7和儿童焦虑相关障碍筛查量表评估内化症状。

结果

正念干预使对压力源有反应的消极情绪显著降低(F = 2.001,自由度 = 96,p = .048;科恩d = .40),但对与压力源无关的mNA或总体mNA没有影响。此外,对压力源有反应的消极情绪的降低与内化症状的变化显著相关(标准化β = .26,p = .032)。

结论

这些结果表明,在特质消极情感水平较高的青少年中,一个相对经济实惠且易于获得的数字正念项目显著降低了对压力源有反应的消极情绪。对与压力源无关或总体平均mNA没有影响,这表明在处于风险中的青少年样本中,正念对压力源有反应的消极情绪的影响具有一定的特异性。(PsycInfo数据库记录(c)2025美国心理学会,保留所有权利)