自我引导的正念能减轻大学生的焦虑:一项可扩展的预先登记试点研究

IF 3.1 2区 心理学 Q2 PSYCHIATRY
Amelia D. Moser, Chiara Neilson, Elena C. Peterson, Tina Pittman Wagers, Alyssa N. Fassett-Carman, Jennifer J. Wicks, Morgan M. Taylor, Hannah R. Snyder, Roselinde H. Kaiser
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引用次数: 0

摘要

目的 大学生和研究生报告称焦虑率上升,并因 COVID-19 大流行而加剧,这可能与对不确定性的不容忍度增加有关。这项预先登记的试验性研究调查了在 COVID-19 大流行期间的 8 周内,基于行为激活或正念的心理教育健康计划是否与焦虑症的改善有更大的关联。方法在 COVID-19 大流行的最初几周招募了大学生(n = 298),并将他们随机分配到三组中的一组:两组心理教育健康计划(分别基于正念或行为激活)中的一组或仅进行调查的对照组。在8周的时间内对症状进行纵向评估。分析检验了焦虑随时间变化的组间差异,以及基线时不确定性不容忍度的调节作用和不确定性不容忍度随时间变化的组间差异。结果结果显示,所有组的焦虑都有显著改善(p < 0.01,ηp2 = 0.18)。正念心理教育组的参与者在 8 周内报告的焦虑下降幅度明显高于其他组别(仅调查对照组或基于行为激活的组别)的参与者(p 值≤ 0.04,ηp2 ≥ 0.01)。正念或行为激活的参与度(频率)越高,焦虑程度越低(p < 0.01,ηp2 = 0.25)。结论研究结果表明,可扩展的、基于心理教育的计划可以减轻学生的焦虑,是增强其他校园资源的一种有前途的选择。在完成数据收集后,在开放科学框架(https://doi.org/10.17605/OSF.IO/WX25V)上进行了分析预注册;在分析预注册之前,没有进行数据可视化或分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Self-Guided Mindfulness Reduces College Student Anxiety: A Scalable, Preregistered Pilot Study

Self-Guided Mindfulness Reduces College Student Anxiety: A Scalable, Preregistered Pilot Study

Objectives

Undergraduate and graduate students have reported rising rates of anxiety that were exacerbated by the COVID-19 pandemic, possibly related to heightened intolerance of uncertainty. The present preregistered pilot study investigated whether psychoeducational wellness programs based on behavioral activation or mindfulness were associated with greater improvement in anxiety relative to a survey-only control condition over 8 weeks during the COVID-19 pandemic. Moderating or mediating effects of intolerance of uncertainty were tested.

Method

University students (n = 298) were recruited in the early weeks of the COVID-19 pandemic and randomly assigned to one of three groups: one of two psychoeducational wellness programs (based on mindfulness or behavioral activation, respectively) or a survey-only control. Symptoms were assessed longitudinally over 8 weeks. Analyses tested for group differences in anxiety over time, as well as the moderating effect of intolerance of uncertainty at baseline and group differences in changes in intolerance of uncertainty over time.

Results

Results showed that anxiety significantly improved across all groups (p < 0.01, ηp2 = 0.18). Participants in the mindfulness psychoeducational group reported a significantly greater decline in anxiety over the 8 weeks than participants in other (survey-only control or behavioral activation-based) groups (p-values ≤ 0.04, ηp2 ≥ 0.01). Higher engagement (frequency) in either mindfulness or behavioral activation was associated with reduced anxiety (p < 0.01, ηp2 = 0.25). Intolerance of uncertainty neither moderated nor mediated these effects.

Conclusions

Results suggest that scalable, psychoeducation-based programming may reduce anxiety among students, representing a promising option to augment other campus resources.

Preregistration

Analyses were preregistered on Open Science Framework (https://doi.org/10.17605/OSF.IO/WX25V) following the completion of data collection; no data visualization or analysis took place prior to the analysis preregistration.

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来源期刊
Mindfulness
Mindfulness Multiple-
CiteScore
6.10
自引率
19.40%
发文量
224
期刊介绍: Mindfulness seeks to advance research, clinical practice, and theory on mindfulness. It is interested in manuscripts from diverse viewpoints, including psychology, psychiatry, medicine, neurobiology, psychoneuroendocrinology, cognitive, behavioral, cultural, philosophy, spirituality, and wisdom traditions. Mindfulness encourages research submissions on the reliability and validity of assessment of mindfulness; clinical uses of mindfulness in psychological distress, psychiatric disorders, and medical conditions; alleviation of personal and societal suffering; the nature and foundations of mindfulness; mechanisms of action; and the use of mindfulness across cultures. The Journal also seeks to promote the use of mindfulness by publishing scholarly papers on the training of clinicians, institutional staff, teachers, parents, and industry personnel in mindful provision of services. Examples of topics include: Mindfulness-based psycho-educational interventions for children with learning, emotional, and behavioral disorders Treating depression and clinical symptoms in patients with chronic heart failure Yoga and mindfulness Cognitive-behavioral mindfulness group therapy interventions Mindfulnessness and emotional regulation difficulties in children Loving-kindness meditation to increase social connectedness Training for parents and children with ADHD Recovery from substance abuse Changing parents’ mindfulness Child management skills Treating childhood anxiety and depression
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