Feasibility and effectiveness of psychosocial resilience training: A pilot study of the READY program

Feasibility and effectiveness of psychosocial resilience training: A pilot study of the READY program
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DOI:
10.1080/13548501003758710
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发表时间:
2010-01-01
影响因子:
3.8
通讯作者:
Brown, Wendy J.
Brown, Wendy J.
中科院分区:
医学4区
文献类型:
--
作者:
Burton, Nicola W.;Pakenham, Ken I.;Brown, Wendy J.

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尽管有很多关于复原力相关特征的研究,但关于促进成人复原力的干预措施的研究很少。这项研究的目的是收集关于在工作场所实施团体心理社会复原力训练计划(复原力和每天的活动,准备好)的可行性的初步信息,并评估该计划是否有可能促进幸福感。该计划的目标是从经验证据中确定的五个保护性因素:积极情绪、认知灵活性、社会支持、生活意义和积极应对。复原力增强策略反映了核心接纳和承诺治疗(ACT)过程和认知行为治疗策略。课程包括心理教育、讨论、体验式练习和家庭作业。16名参与者在13周内完成了11x2小时的小组会议。基线和干预后评估包括自我管理问卷、计步器步数以及生理和血液学测量。数据分析采用标准化均数差异和配对t检验。基线和干预后在掌握(p=0.001)、积极情绪(p=0.002)、个人成长(p=0.004)、正念(p=0.004)、接受(p=0.012)、压力(p=0.013)、自我接纳(p=0.016)、有价值的生活(p=0.022)、自主(p=0.032)和总胆固醇(p=0.025)方面的得分均有显著改善。参与者对节目和材料的评价非常高。这些结果表明,Ready计划在工作场所以团体训练计划的形式实施是可行的,以促进心理社会健康。
Despite many studies on the characteristics associated with resilience, there is little research on interventions to promote resilience in adults. The aims of this study were to gather preliminary information regarding the feasibility of implementing a group psychosocial resilience training program (REsilience and Activity for every DaY, READY) in a workplace setting, and to assess if program would potentially promote well-being. The program targets five protective factors identified from empirical evidence: Positive emotions, cognitive flexibility, social support, life meaning, and active coping. Resilience enhancement strategies reflect core acceptance and commitment therapy (ACT) processes and cognitive behavior therapy strategies. Sessions involve psychoeducation, discussions, experiential exercises, and home assignments. Sixteen participants completed 11xtwo h group sessions over 13 weeks. Baseline and post-intervention assessment included self-administered questionnaires, pedometer step counts, and physical and hematological measures. Data were analyzed using standardized mean differences and paired t-tests. There was a significant improvement between baseline and post intervention scores on measures of mastery (p=0.001), positive emotions (p=0.002), personal growth (p=0.004), mindfulness (p=0.004), acceptance (p=0.012), stress (p=0.013), self acceptance (p=0.016), valued living (p=0.022), autonomy (p=0.032) and total cholesterol (p=0.025). Participants rated the program and materials very highly. These results indicate that the READY program is feasible to implement as a group training program in a workplace setting to promote psychosocial well-being.