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从压力到力量:一项关于内在工程在线课程对心理健康的变革性影响的为期一年的研究。

From strain to strength: a yearlong study on the transformative influence of inner engineering online program on mental well-being.

作者信息

Swaminathan Ashwin, DeSchryver Braiden, Rayapuraju Akila, Barbaro Julianna, Orui Hibiki, Subramaniam Balachundhar, Reed Preeti Upadhyay

机构信息

Sadhguru Center for a Conscious Planet, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.

出版信息

Front Psychol. 2025 Feb 4;16:1436910. doi: 10.3389/fpsyg.2025.1436910. eCollection 2025.

Abstract

INTRODUCTION

Health is a multidimensional phenomenon encompassing physical, mental, and social well-being, all of which are deeply interconnected. The COVID-19 pandemic highlighted the importance of mental and social health, as rates of loneliness, depression, and anxiety surged. Mindfulness practices, such as Shambhavi Mahamudra Kriya (SMK), have gained attention for their potential to enhance well-being by integrating breath regulation, meditation, and cognitive reframing techniques. During the COVID-19 pandemic, the Inner Engineering Completion Online (IECO) program was created to effectively teach SMK with global travel restrictions in effect. This study examines the long-term effects of SMK, taught through the IECO, on various measures of well-being over a one-year follow-up period.

METHODS

Participants were recruited from the January 2020 IECO course. Participants completed surveys at consent, post-IECO, and 6 weeks, 6 months, and 1-year post-IECO. The surveys consisted of 4 validated neuropsychological scales: Perceived Stress Scale (PSS), Positive Emotion/Relationship/Engagement Scale (PERMA) Profiler, Pittsburgh Sleep Quality Index (PSQI), and Mindful Attention Awareness Scale (MAAS). Survey data was analyzed using linear mixed effect modeling. Two-sided -values of <0.05 were considered statistically significant.

RESULTS

Hundred and eighty-eight participants were enrolled. Hundred and sixty-four participants completed baseline measurements, and 41 participants completed surveys at all timepoints. The baseline median [IQR] PSS score in participants was 13 [8, 18]; post-IECO median [IQR] PSS was 11 [8, 16] and 6-week median [IQR] PSS was 7 [4, 12], suggesting that consistent practice of Shambhavi Mahamudra Kriya resulted in reduced stress. This score was sustained up to a year post-IECO with a median [IQR] of 7 [3, 12]. The mean mindfulness scale (MAAS) score increased by 0.97 (95% C.I. 0.7-1.2  < 0.01, η  = 0.30) at the 1-year timepoint compared to baseline. The global PSQI score reduced at the week 6 timepoint by 1.3 (95% C.I. 0.49-2.0,  < 0.01) with medium effect size and was sustained until 1 year.

DISCUSSION

Within 6 weeks of participating in IECO, regular practice of SMK significantly reduced stress, improved sleep quality, and boosted mindfulness. These benefits were sustained for at least a year with continued practice, suggesting that this practice is an effective path to maintaining general well-being.

CLINICAL TRIAL REGISTRATION

ClinicalTrials.gov, trial identification number NCT04189146.

摘要

引言

健康是一个多维度的现象,涵盖身体、心理和社会福祉,所有这些都紧密相连。新冠疫情凸显了心理和社会健康的重要性,因为孤独、抑郁和焦虑的发生率激增。诸如香巴维大手印(SMK)之类的正念练习,因其通过整合呼吸调节、冥想和认知重构技术来提升幸福感的潜力而受到关注。在新冠疫情期间,创建了在线内观工程结业课程(IECO),以便在全球旅行限制生效的情况下有效地教授SMK。本研究考察了通过IECO教授的SMK在一年随访期内对各种幸福感指标的长期影响。

方法

参与者招募自2020年1月的IECO课程。参与者在同意参与时、IECO课程结束后、以及IECO课程结束后6周、6个月和1年时完成调查问卷。这些调查问卷包括4个经过验证的神经心理学量表:感知压力量表(PSS)、积极情绪/人际关系/投入量表(PERMA)简表、匹兹堡睡眠质量指数(PSQI)和正念注意觉知量表(MAAS)。使用线性混合效应模型分析调查数据。双侧p值<0.05被认为具有统计学意义。

结果

共招募了188名参与者。164名参与者完成了基线测量,41名参与者在所有时间点都完成了调查问卷。参与者的基线PSS得分中位数[四分位间距]为13[8,18];IECO课程结束后的中位数[四分位间距]为11[8,16],6周后的中位数[四分位间距]为7[4,12],这表明持续练习香巴维大手印可减轻压力。该得分在IECO课程结束后长达一年的时间里保持稳定,中位数[四分位间距]为7[3,12]。与基线相比,在1年时间点,平均正念量表(MAAS)得分增加了0.97(95%置信区间0.7 - 1.2,p < 0.01,η² = 0.30)。在第6周时间点,全球PSQI得分降低了1.3(95%置信区间0.49 - 2.0,p < 0.01),效应量中等,并且一直持续到1年。

讨论

在参与IECO课程的6周内,定期练习SMK可显著减轻压力、改善睡眠质量并增强正念。通过持续练习,这些益处至少持续了一年,表明这种练习是维持总体幸福感的有效途径。

临床试验注册

ClinicalTrials.gov,试验识别号NCT04189146。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33c4/11832524/bdc886628780/fpsyg-16-1436910-g001.jpg

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