Nicholson William Chance, Sapp Michael, Karas Elaine Miller, Duva Ingrid Margaret, Grabbe Linda
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, USA.
Trauma Resource Institute, Claremont, CA 91711, USA.
Healthcare (Basel). 2025 May 26;13(11):1258. doi: 10.3390/healthcare13111258.
Natural and human-made disasters, community violence, climate change, and political instability engender mental health problems worldwide. Childhood traumas, now recognized as commonplace and global in nature, augment the urgent need for mental health interventions that are accessible and scalable. The World Health Organization has called for innovative strategies that extend beyond traditional cognitive approaches. Biologically based methods are gaining recognition for their significant role in affect regulation and wellness promotion. This paper explores the potential for interventions focusing on interoceptive awareness, or noticing sensations arising from the body, to address mental health challenges, especially relevant for populations affected by trauma. The Community Resiliency Model (CRM), a low-intensity, body-based intervention that cultivates interoceptive awareness, is described and compared to other well-being interventions. Available research studies, program evaluations and anecdotal reports are presented in addition to CRM's biological and theoretical underpinnings. The neurobiology of trauma, interoception research, and the concept of neural synchrony are briefly introduced, further explaining the likely mechanism of action and an underlying rationale for the reported improvements in well-being and resilience among individuals and communities who learn CRM body awareness techniques. Given increasing global demand and limited access to conventional mental health services, CRM and the six core skills that are taught in this model offer a promising, transferable, self-care strategy. Community dissemination has the potential to expand access in underserved populations. This review concludes by suggesting future research directions, such as the exploration of biophysical outcomes, intra- and interpersonal synchrony, and evaluation of interoceptive training for emotional regulation and populations affected by trauma or violence.
自然灾害和人为灾害、社区暴力、气候变化以及政治动荡在全球范围内引发心理健康问题。童年创伤如今被认为是普遍存在且具有全球性的,这使得对可及且可扩展的心理健康干预措施的需求更加迫切。世界卫生组织呼吁采用超越传统认知方法的创新策略。基于生物学的方法因其在情绪调节和促进健康方面的重要作用而日益受到认可。本文探讨了专注于内感受觉知(即注意身体产生的感觉)的干预措施应对心理健康挑战的潜力,这对于受创伤人群尤为相关。文中描述了社区复原力模型(CRM),一种培养内感受觉知的低强度、基于身体的干预措施,并将其与其他促进幸福感的干预措施进行了比较。除了CRM的生物学和理论基础外,还介绍了现有的研究、项目评估和轶事报告。简要介绍了创伤的神经生物学、内感受研究以及神经同步的概念,进一步解释了学习CRM身体觉知技巧的个人和社区幸福感及复原力得到改善的可能作用机制和潜在原理。鉴于全球需求不断增加且获得传统心理健康服务的机会有限,CRM及其在该模型中教授的六项核心技能提供了一种有前景、可转移的自我护理策略。社区传播有可能扩大在服务不足人群中的可及性。本文通过提出未来研究方向来结束综述,例如探索生物物理结果、人际间和人际内同步,以及对内感受训练用于情绪调节和受创伤或暴力影响人群进行评估。