一项针对有内化问题风险的青少年的在线正念计划的随机对照试验。

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2024-12-02 DOI:10.1037/ccp0000921

Judy Garber, Denise A Chavira, Emma K Adam, Michelle G Craske, Tierney McMahon, Alexander Williams, George Abitante, Isabelle Lanser, Dani S Pashtunyar, Shanting Chen, Richard Zinbarg

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引用次数: 0

摘要

目的：本随机对照试验的目的是测试在线、辅导正念干预对具有高水平特质负性情感的青少年瞬时负性情感（mNA）的影响。方法：研究对象为111名12 ~ 17岁青少年（M = 14.17, SD = 1.60）。青年自我认同68%为女性，29%为男性，4.5%为性别多元化；白人占54.55%；31.82人报告为西班牙裔/拉丁裔。参与者被选择为具有高水平的特质负面情绪，并随机接受正念计划或不进行干预。我们使用生态瞬时评估来测量压力和情绪，并得出由压力源独立和压力源反应性负面影响组成的mNA的测量方法。生态瞬时评估方案要求参与者完成一份简短的质量调查/日记，每天四次，持续五天。内化症状通过患者健康问卷-8、广泛性焦虑障碍-7和儿童焦虑相关障碍筛查进行评估。结果：正念干预显著降低应激反应性负性情绪(t = 2.001, df = 96, p = 0.048；Cohen’s d = 0.40)，但与压力无关的mNA或整体mNA无关。此外，应激反应性负面影响的减少与内化症状的改变显著相关（标准化β = 0.26, p = 0.032）。结论：在特质负性情绪水平较高的青少年中，一个相对负担得起且容易获得的数字正念程序显著降低了压力-反应性负性情绪。对压力源独立或总体平均mNA没有影响，这表明正念对处于危险中的青少年样本中压力源反应性负面情绪的影响具有一定的特异性。（PsycInfo Database Record (c) 2024 APA，版权所有）。

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A randomized controlled trial of an online mindfulness program for adolescents at risk for internalizing problems.

Objective: The purpose of this randomized controlled trial was to test the effects of an online, coached mindfulness intervention on momentary negative affect (mNA) for youth with high levels of trait negative affectivity.

Method: Participants were 111 youth ages 12 to 17 years old (M = 14.17, SD = 1.60). Youth self-identified as 68% female, 29% male, and 4.5% gender diverse; 54.55% identified as White; 31.82 reported being Hispanic/Latinx. Participants were selected for having high levels of trait negative affect and were randomized to receive either the mindfulness program or no intervention. We used ecological momentary assessment to measure stress and emotions and to derive measures of mNA comprised of stressor-independent and stressor-reactive negative affect. The ecological momentary assessment protocol involved participants completing a short survey/diary entry on Qualtrics four times per day for 5 days. Internalizing symptoms were assessed with the Patient Health Questionnaire-8, Generalized Anxiety Disorder-7, and the Screen for Child Anxiety Related Disorders.

Results: The mindfulness intervention resulted in a significant reduction in stressor-reactive negative affect (t = 2.001, df = 96, p = .048; Cohen's d = .40), but not stressor-independent mNA or overall mNA. Additionally, reductions in stressor-reactive negative affect significantly correlated with changes in internalizing symptomatology (standardized β = .26, p = .032).

Conclusions: These results indicate that among youth with high levels of trait negative affectivity, a relatively affordable and accessible digital mindfulness program significantly reduced stressor-reactive negative affect. The absence of an effect on stressor-independent or overall average mNA suggests some specificity of the effects of mindfulness to stressor-reactive negative affect in an at-risk sample of adolescents. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.