叙事暴露写作干预应激相关障碍的效果与机制研究

批准号:
32000776
项目类别:
青年科学基金项目
资助金额:
24.0 万元
负责人:
臧寅垠
依托单位:
学科分类:
生理与医学心理学
结题年份:
2023
批准年份:
2020
项目状态:
已结题
项目参与者:
臧寅垠
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中文摘要
应激相关障碍(如,创伤后应激障碍)在中国的发生率与世界其他地区类似。但是,由于人口基数大和公共灾害频发,我国实际临床与亚临床人群总数庞大,心理干预需求较高。然而,目前我国心理健康资源缺乏,不能满足民众的需求,亟需高效、简便、操作性强且易推广的心理干预。本项目采用循证研究方法,研究一通过随机对照试验,在精神科医生的辅助下,检验写作暴露干预与手机正念冥想应用对创伤后应激障碍与伴发失眠症状的改善效果,并检验干预对应激相关生化指标的影响,以及基因对干预的调节作用。研究二也采用随机对照试验,检验通过网络平台实施的自助指导性叙事写作对于亚临床群体负性应激反应的改善效果。研究三将综合分析研究一、二中收集的定量与质性数据,探索叙事暴露类写作干预的起效机制。本项目的研究成果有助于为我国应激相关障碍人群提供有效、便捷的心理干预方法,推动我国临床心理学的循证实践,为国家宏观干预方案的规划与实施提供科学依据。
英文摘要
The prevalence of stress-related disorders in China (e.g., post-traumatic stress disorder) is similar to the rest of the world. However, due to China's large population base and frequent disasters, the actual clinical and subclinical populations are enormous, and the need for psychological interventions is extremely high. However, the shortage of mental health resources incurs people’s demand unmet. Therefore, developing efficient, simple, practicable and spreadable psychological interventions is imperative. This project uses evidence-based research methods to seek the solution. Study 1 is a randomized controlled trial, with the assistance of psychiatrists, to examine the effectiveness of written exposure therapy with an add-on mobile mindfulness-meditation application on reducing post-traumatic stress disorder symptoms and comorbid insomnia. The influence of the intervention on stress-related biochemical indicators and the moderating effects of genes on the intervention are also tested. Study 2 is a randomized controlled trial investigating the effectiveness of guided narrative technique implemented through a web platform on improving negative stress responses in subclinical groups. Study 3 aims to comprehensively analyze the quantitative and qualitative data collected from Study 1 and 2 and to explore the underlying mechanisms of narrative exposure written interventions. The project will make a significant contribution on developing efficient and convenient non-pharmacological psychological interventions for people with stress-related disorders in China. It will also promote the evidence-based practice in clinical psychology in China and provide valuable empirical evidence for future planning and implementation of national intervention programs.
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DOI:10.16128/j.cnki.1005-3611.2022.05.044
发表时间:2022
期刊:中国临床心理学杂志
影响因子:--
作者:王艺璇;徐赫;严励;陈嫱;李牧阳;胡琬琰;包佳敏;国泽宇;代恒森;臧寅垠
通讯作者:臧寅垠
Written exposure therapy and app-delivered mindfulness-based meditation for PTSD and subthreshold PTSD in China: Design of a randomized controlled trial.
中国PTSD和亚阈值PTSD的书面曝光疗法和应用程序基于正念的冥想:随机对照试验的设计。
DOI:10.1016/j.conctc.2021.100729
发表时间:2021-06
期刊:Contemporary clinical trials communications
影响因子:1.5
作者:Li M;Wang B;Chen Q;Gao D;Zang Y
通讯作者:Zang Y
DOI:10.16719/j.cnki.1671-6981.20230529
发表时间:2023
期刊:心理科学
影响因子:--
作者:陈国球;高晓雪;鄢忻媛;杜梦;臧寅垠;汪寅
通讯作者:汪寅
青少年创伤后应激与情绪问题:多模态机制与多维干预效果探究
- 批准号:32371139
- 项目类别:面上项目
- 资助金额:50万元
- 批准年份:2023
- 负责人:臧寅垠
- 依托单位:
国内基金
海外基金
