The Effects of a Stress Management Intervention in Elementary School Children
The Effects of a Stress Management Intervention in Elementary School Children
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DOI：
10.1097/dbp.0000000000000016
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发表时间：
2014-01-01
影响因子：
2.4
通讯作者：
Olness, Karen N.
中科院分区：
文献类型：
--
作者：
Bothe, Denise A.;Grignon, Josephine B.;Olness, Karen N.
目的：这项初步研究测试了小学为基础的压力管理技术对儿童焦虑症状和心率变异性（HRV）的有效性。研究方法：在这项前瞻性纵向对照研究中，三年级班级的儿童参加了为期4个月的教师主导的每日10分钟的压力管理干预。对照班的老师每天读10分钟的儿童读物。在4个月干预前、干预后即刻和1年后测量标准化焦虑量表和HRV（使用计算机生物反馈程序）。结果如下：从基线到干预后即刻，干预组的总焦虑水平有显著改善（N = 14，F = 12.95，p = 0.002），1年随访评分保持改善（N = 13，F = 5.88，p = 0.025）。在干预后即刻，使用生物反馈程序，干预类的HRV略有改善，在1年随访时有显著改善（N = 13，F = 10.61，p = 0.005）。对照组没有任何改善。合格的，孩子们报告说，干预是有帮助的，在紧张的时候在学校和家里，甚至在研究期间。结论：以小学为基础的短期日常压力管理干预可以减少焦虑症状，并改善HRV，这是一种放松措施。最终，这些孩子发现这种技能继续帮助他们更好地科普日常压力。
Objective: This preliminary study tests the effectiveness of an elementary school-based stress management technique on anxiety symptoms and heart rate variability (HRV) in children. Methods: In this controlled prospective longitudinal study, children in third-grade classroom participated in a teacher-led daily 10-minute stress management intervention for 4 months. The control class teacher read from a children's book for 10 minutes daily. A standardized anxiety scale and HRV (using computer biofeedback program) were measured before the 4-month intervention, immediately after, and 1 year later. Results: The intervention class showed significant improvement from baseline to the immediate postintervention period in total anxiety (N = 14, F = 12.95, p = .002), with 1-year follow-up scores maintaining improvement (N = 13, F = 5.88, p = .025). The intervention class had small improvement in HRV using the biofeedback program in the immediate postintervention period, with significant improvement at 1-year follow-up (N = 13, F = 10.61, p = .005). The control class showed no improvements. Qualitatively, children reported that the intervention was helpful during stressful times at school and at home, even after the study period. Conclusion: An elementary school-based short daily stress management intervention can decrease symptoms of anxiety, and improve HRV, a measure of relaxation. Ultimately, these children found this skill continued to help them cope better with everyday stressors.