Mental Health Promotion as a New Goal in Public Mental Health Care: A Randomized Controlled Trial of an Intervention Enhancing Psychological Flexibility
Mental Health Promotion as a New Goal in Public Mental Health Care: A Randomized Controlled Trial of an Intervention Enhancing Psychological Flexibility
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DOI：
10.2105/ajph.2010.196196
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发表时间：
2010-12-01
影响因子：
12.7
通讯作者：
Westerhof, Gerben J.
中科院分区：
文献类型：
--
作者：
Fledderus, Martine;Bohlmeijer, Ernst T.;Westerhof, Gerben J.
目的 我们评估基于接受与承诺疗法 (ACT) 和正念的干预措施是否能够通过增强心理灵活性成功地促进积极的心理健康 方法 参与者为 93 名患有轻度至中度心理困扰的成年人 他们被随机分配到小组干预组 (n=49) 或等候名单对照组 (n=44) 参与者在干预前后以及 3 个月后的随访中完成测量，以评估情绪心理和社会福祉方面的心理健康（心理健康连续体-简表）结果 回归分析显示，与等待名单上的参与者相比，ACT 和正念干预的参与者在干预后有更好的情绪和心理健康，并且在随访时也有更大的心理灵活性 中介分析表明，干预期间心理灵活性的增强介导了干预对积极心理健康的影响 结论 该干预通过刺激接受技能和基于价值的行动，有效改善积极心理健康（Am J Public卫生 2010 100 2372-2378 doi 10 2105/AJPH 2010 196196)
Objectives We assessed whether an intervention based on acceptance and commitment therapy (ACT) and mindfulness was successful in promoting positive mental health by enhancing psychological flexibilityMethods Participants were 93 adults with mild to moderate psychological distress They were randomly assigned to the group intervention (n=49) or to a waiting list control group (n=44) Participants completed measures before and after the intervention as well as 3 months later at follow up to assess mental health in terms of emotional psychological and social well being (Mental Health Continuum-Short Form) as well as psychological flexibility (i e acceptance of present experiences and value based behavior Acceptance and Action Questionnaire II)Results Regression analyses showed that compared with the participants on the waiting list participants in the ACT and mindfulness intervention had greater emotional and psychological well being after the intervention and also greater psychological flexibility at follow up Mediational analyses showed that the enhancement of psychological flexibility during the intervention mediated the effects of the intervention on positive mental healthConclusions The intervention is effective in improving positive mental health by stimulating skills of acceptance and value based action (Am J Public Health 2010 100 2372-2378 doi 10 2105/AJPH 2010 196196)