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增强心理韧性的在线干预项目的开发与验证:一项随机等待名单对照试验。

Development and Validation of an Online Intervention Program to Augment Psychological Resilience: A Randomized Waitlist-Controlled Trial.

作者信息

Lee Sang Won, Nam Jihyun

机构信息

Department of Psychiatry, Kyungpook National University Chilgok Hospital, Daegu, Republic of Korea.

Department of Psychiatry, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.

出版信息

Psychiatry Investig. 2025 May;22(5):542-551. doi: 10.30773/pi.2024.0319. Epub 2025 May 15.

DOI:10.30773/pi.2024.0319
PMID:40404384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12104762/
Abstract

OBJECTIVE

Resilience is the ability to bounce back from stressful events using individual and environmental resources. The online intervention program, MoVemEnT, which includes mindfulness training and emotion regulation, was developed to enhance resilience among young adults.

METHODS

Persons without current medical or psychiatric diseases, aged 20-40 years, were recruited. Ninety-six participants were randomly assigned to either the intervention group or a waiting list control (WLC) group, with 45 participants per group completing the program.

RESULTS

Results demonstrated significant improvements in the intervention group in measures of emotion regulation (Difficulties in Emotion Regulation Scale, DERS) and clinical symptoms of depression (Center for Epidemiological Studies-Depression Scale, CES-D) and anxiety (Generalized Anxiety Disorder-7) compared to the WLC group (all p<0.05). Correlation analyses indicated that improvements in DERS scores were associated with enhanced resilience, as measured by the Korean Resilience Quotient-53 (KRQ-53) and reduced CES-D scores. Reduction in DERS scores can reduce depressive symptoms (CES-D) through direct and indirect pathways via an increase in KRQ-53, according to mediation analyses.

CONCLUSION

Our findings reported positive effects of the MoVemEnT program, which includes short videos and brief homework assignments, on resilience in young adults. This study suggests that online intervention programs could offer an opportunity to simultaneously improve general mental health among a large population and may help reduce the burden of face-to-face psychological interventions.

摘要

目的

心理韧性是指利用个人和环境资源从压力事件中恢复过来的能力。在线干预项目MoVemEnT包括正念训练和情绪调节,旨在增强年轻人的心理韧性。

方法

招募年龄在20 - 40岁、目前无医学或精神疾病的人群。96名参与者被随机分配到干预组或等待名单对照组(WLC),每组45名参与者完成该项目。

结果

与WLC组相比,干预组在情绪调节测量(情绪调节困难量表,DERS)、抑郁临床症状(流行病学研究中心抑郁量表,CES - D)和焦虑(广泛性焦虑障碍7项量表)方面有显著改善(所有p<0.05)。相关性分析表明,DERS得分的改善与心理韧性增强相关,心理韧性由韩国心理韧性商数53(KRQ - 53)衡量,且CES - D得分降低。中介分析表明,DERS得分的降低可通过直接和间接途径,即通过增加KRQ - 53来减轻抑郁症状(CES - D)。

结论

我们的研究结果报告了包括短视频和简短家庭作业的MoVemEnT项目对年轻人心理韧性的积极影响。这项研究表明,在线干预项目可以为同时改善大量人群的总体心理健康提供机会,并可能有助于减轻面对面心理干预的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6bd/12104762/de8500e3ff2d/pi-2024-0319f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6bd/12104762/de8500e3ff2d/pi-2024-0319f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6bd/12104762/de8500e3ff2d/pi-2024-0319f1.jpg

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