正念训练对即时正念和情绪调节的益处：一项针对遭受慢性应激源的青少年的随机对照试验。

The benefits of mindfulness training for momentary mindfulness and emotion regulation: A randomized controlled trial for adolescents exposed to chronic stressors.

作者信息

Miller-Chagnon Reagan L, Shomaker Lauren B, Prince Mark A, Krause Jill T, Rzonca Addie, Haddock Shelley A, Zimmerman Toni S, Lavender Jason M, Sibinga Erica, Lucas-Thompson Rachel G

机构信息

Department of Psychology, College of Natural Sciences, Colorado State University.

Department of Human Development and Family Studies, College of Health and Human Sciences, Colorado State University.

出版信息

J Consult Clin Psychol. 2024 Dec;92(12):800-813. doi: 10.1037/ccp0000910.

DOI:10.1037/ccp0000910

PMID:39715423

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11921726/

Abstract

OBJECTIVE

The goal of this study was to test if a mindfulness-based intervention (MBI) compared to an active control ameliorates the impacts of life stressors on momentary mindfulness and emotion regulation difficulties among adolescents exposed to chronic stressors.

METHOD

Adolescents exposed to chronic stressors (N = 81, Mage = 13.75 years; 56% boys; 24% Hispanic/Latino, 57% White) were randomized to receive MBI within the context of a community-based mentoring program (MBI + mentoring) or mentoring-alone. Participants completed ecological momentary assessments (EMAs) three times each day for 7 days at three intervals/bursts (preintervention, midintervention, and postintervention), contributing to a total of 3,178 EMA reports. EMA assessed momentary exposure to life stressors, mindfulness (vs. mindlessness), and emotion regulation difficulties.

RESULTS

Linear mixed-effects models revealed that the interaction between intervention arm (MBI + mentoring vs. mentoring-alone) and burst was significantly associated with the random slopes of life stressor exposure predicting mindful attention (b = -.05, SE = .01, p < .001), mindful nonjudgment (b = -.03, SE = .01, p < .001), and emotion regulation difficulties (b = -.04, SE = .01, p < .001). Estimated marginal means revealed that MBI + mentoring, compared to mentoring-alone, produced small but significant attenuation in the association of life stressors with mindful attention, mindful nonjudgment, and emotion regulation difficulties at postintervention.

CONCLUSION

Mindfulness training may buffer adolescents exposed to chronic stressors against the negative impacts of life stressors on mindfulness and emotion regulation in daily life. Going forward, it will be important to investigate these relationships in the context of mental/physical health outcomes and to include longer periods of follow-up to determine the sustainable benefits of MBI for adolescent health. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

本研究的目的是检验与积极对照相比，基于正念的干预措施（MBI）是否能改善慢性应激源对青少年的瞬间正念和情绪调节困难的影响，这些青少年暴露于慢性应激源中。

方法

暴露于慢性应激源的青少年（N = 81，平均年龄 = 13.75岁；56%为男孩；24%为西班牙裔/拉丁裔，57%为白人）被随机分配在基于社区的指导计划（MBI + 指导）或仅指导的背景下接受MBI。参与者在7天内每天进行三次生态瞬时评估（EMA），分三个时间段/突发期（干预前、干预中期和干预后），共产生3178份EMA报告。EMA评估了瞬间暴露于生活应激源、正念（与分心相对）和情绪调节困难的情况。

结果

线性混合效应模型显示，干预组（MBI + 指导与仅指导）和突发期之间的交互作用与预测正念注意力的生活应激源暴露的随机斜率显著相关（b = -.05，SE = .01，p < .001）、正念非评判（b = -.03，SE = .01，p < .001）和情绪调节困难（b = -.04，SE = .01，p < .001）。估计边际均值显示，与仅指导相比，MBI + 指导在干预后使生活应激源与正念注意力、正念非评判和情绪调节困难之间的关联产生了虽小但显著的减弱。