A randomized controlled pilot study of a brief web-based mindfulness training.
A randomized controlled pilot study of a brief web-based mindfulness training.
复制标题
DOI：
10.1186/1471-244x-11-175
复制
发表时间：
2011-11-08
期刊：
影响因子：
4.4
通讯作者：
Maercker A
中科院分区：
文献类型：
--
作者：
Glück TM;Maercker A
正念已被证明是有效的治疗各种医疗和精神问题。特别是将其纳入认知行为干预措施，改善了这些治疗的长期结果。研究还表明，简短的正念训练对减少痛苦是有效的。很少有基于网络的干预措施将正念技术纳入其手册中，目前还不清楚基于网络的简短正念干预是否可行。在通过电子邮件招募并在线筛选的50名成年人（不同的痛苦水平;排除标准：< 18岁，筛选时有精神病或自杀意念的迹象）中，49名被随机分为立即2周治疗组（N = 28）或等待名单对照组（N = 21），开始延迟2周。在术前、术后和3个月随访时（3 MFU）测量了痛苦（BSI）、感知压力（PSQ）、正念（FMI）以及情绪和情绪调节（PANAS/SEK-27）。使用MI对缺失数据进行意向治疗分析，并进行符合方案分析（≥ 50%的出席率）。治疗组26例完成后测。ITT分析中的大多数指标显示治疗组无显著改善，但PSQ（d = 0.46）和PANASneg（d = 0.50）的趋势为中等效应量，FMI（d = 0.29）的影响较小且不显著。对参与时间超过50%的患者进行的符合方案分析显示，PSQ（d = 0.72）和PANASneg（d = 0.77）具有显著的治疗效果。比较高苦恼的参与者与低苦恼的参与者，高度苦恼的参与者似乎利润更多的培训方面的苦恼减少（GSI，d = 0.85）。治疗条件下PSQ发生真实的变化（RCI）（OR = 9）。结果还表明，参与者继续从3 MFU的培训中受益。这项基于网络的简短正念训练的研究表明，正念可以在线教授，并可能改善经常使用者的痛苦，感知压力和负面影响。虽然没有显着的改善，但趋势，对于ITT下的大多数措施，这种方案的可行性得到了证明，而且人们继续在日常生活中使用培训技术。德国临床试验注册中心（DRKS）：DRKS 00003209
Mindfulness has been shown to be effective in treating various medical and mental problems. Especially its incorporation in cognitive-behavioural interventions has improved long-term outcomes of those treatments. It has also been shown, that brief mindfulness-based trainings are effective in reducing distress. There have been few web-based interventions incorporating mindfulness techniques in their manual and it remains unclear whether a brief web-based mindfulness intervention is feasible. Out of 50 adults (different distress levels; exclusion criteria: < 18 years, indication of psychotic or suicidal ideation in screening) who were recruited via e-mail and screened online, 49 were randomized into an immediate 2-weeks-treatment group (N = 28) or a waitlist-control group (N = 21), starting with a 2-week delay. Distress (BSI), perceived stress (PSQ), mindfulness (FMI), as well as mood and emotion regulation (PANAS/SEK-27) were measured at pre-, post- and 3-month follow-up (3MFU). Intention-to-treat analyses using MI for missing data and per-protocol analyses (≥ 50% attendance) were performed. 26 participants of the treatment group completed post-measures. Most measures under ITT-analysis revealed no significant improvement for the treatment group, but trends with medium effect sizes for PSQ (d = 0.46) and PANASneg (d = 0.50) and a small, non-significant effect for FMI (d = 0.29). Per-protocol analyses for persons who participated over 50% of the time revealed significant treatment effects for PSQ (d = 0.72) and PANASneg (d = 0.77). Comparing higher distressed participants with lower distressed participants, highly distressed participants seemed to profit more of the training in terms of distress reduction (GSI, d = 0.85). Real change (RCI) occurred for PSQ in the treatment condition (OR = 9). Results also suggest that participants continued to benefit from the training at 3MFU. This study of a brief web-based mindfulness training indicates that mindfulness can be taught online and may improve distress, perceived stress and negative affect for regular users. Although there were no significant improvements, but trends, for most measures under ITT, feasibility of such a program was demonstrated and also that persons continued to use techniques of the training in daily life. German Clinical Trials Register (DRKS): DRKS00003209