Online Mindfulness May Target Psychological Distress and Mental Health during COVID-19.
Online Mindfulness May Target Psychological Distress and Mental Health during COVID-19.
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DOI：
10.1177/21649561211002461
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发表时间：
2021
影响因子：
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通讯作者：
Wells RE
中科院分区：
文献类型：
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作者：
Farris SR;Grazzi L;Holley M;Dorsett A;Xing K;Pierce CR;Estave PM;O'Connell N;Wells RE
COVID-19大流行严重影响了心理健康，迫切需要方便和安全的干预措施来改善福祉。在线正念干预显示出改善抑郁，焦虑和总体幸福感的希望。评估：1）在线正念对心理困扰的影响，2）利他主义的努力，以及3）在COVID-19大流行期间在线正念资源的数量，质量和可用性。233名参与者（203名美国; 20名国际人员; 10名未知）参加了这项前瞻性、单臂、非随机临床试验，该试验是一项在线正念冥想课程，并进行了前后调查。(a)正念课程的有用性、在线平台的有效性，以及课程前后在瞬间压力、焦虑和COVID-19关注方面的即时变化;（B）描述人们在疫情期间如何帮助他人的定性主题;（c）2020年5月至8月期间正念导向的网络内容数量和免费在线正念资源可用性的绝对变化。大多数参与者认为在线正念课程很有帮助，电子平台对练习正念很有效（89%，95% CI：[82 - 93%]），短暂焦虑减少（76%; 95% CI：[69至83%]）、压力（80%; [72至86%]）和COVID-19担忧（55%; [46至63%]），（每项指标p < 0.001）。参与者报告说，在大流行期间，他们以各种方式帮助他人，包括遵循公共卫生准则，开展服务和联系行为，以及帮助自己希望帮助他人。2020年5月至8月，“正念+ COVID”搜索结果增加52%。大多数（73%）中西医结合学术联盟成员网站提供免费的在线正念资源。虚拟正念是一种越来越容易获得的干预措施，可以在这种孤立的公共卫生危机期间减少心理困扰。在大流行期间，善良和利他主义正在得到体现。提供的整合在线正念资源可能有助于指导临床医生和患者。
The COVID-19 pandemic has dramatically affected mental health, creating an urgent need for convenient and safe interventions to improve well-being. Online mindfulness interventions show promise for improving depression, anxiety, and general well-being. To assess: 1) the impact of online mindfulness on psychological distress, 2) altruistic efforts, and 3) the quantity, quality, and availability of online mindfulness resources during the COVID-19 pandemic. 233 participants (203 U.S.; 20 international; 10 unknown) participated in this prospective, single-arm, non-randomized clinical trial of a single online mindfulness meditation session with pre- and post-surveys. (a) Mindfulness session helpfulness, online platform effectiveness, and immediate pre- to post-session changes in momentary stress, anxiety, and COVID-19 concern; (b) qualitative themes representing how people are helping others during the pandemic; (c) absolute changes in quantity of mindfulness-oriented web content and free online mindfulness resource availability from May to August 2020. Most participants felt the online mindfulness session was helpful and the electronic platform effective for practicing mindfulness (89%, 95% CI: [82 to 93%]), with decreased momentary anxiety (76%; 95% CI: [69 to 83%]), stress (80%; [72 to 86%]), and COVID-19 concern (55%; [46 to 63%]), (p < 0.001 for each measure). Participants reported helping others in a variety of ways during the pandemic, including following public health guidelines, conducting acts of service and connection, and helping oneself in hopes of helping others. “Mindfulness + COVID” search results increased by 52% from May to August 2020. Most (73%) Academic Consortium for Integrative Medicine and Health member websites offer free online mindfulness resources. Virtual mindfulness is an increasingly accessible intervention available world-wide that may reduce psychological distress during this isolating public health crisis. Kindness and altruism are being demonstrated during the pandemic. The consolidated online mindfulness resources provided may help guide clinicians and patients.