日常微治疗可增强单次疗程的干预效果:美国大学生自我抚慰随机对照试验及其与习惯养成的关联性研究

IF 4.2 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Behaviour Research and Therapy Pub Date : 2024-02-21 DOI:10.1016/j.brat.2024.104498
Eli S. Susman, Serena Chen, Ann M. Kring, Allison G. Harvey
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引用次数: 0

摘要

在这项预先注册的研究中,我们评估了单次自我指导干预的效果,该干预利用每日微练习(≤20 秒/天)的自我同情抚摸来增强自我同情。我们将本科生(N = 135)随机分配到两种情况中的一种:一种是单次干预,让他们学习自我同情抚摸,另一种是手指敲击主动对照。然后,我们指导他们每天练习 20 秒,持续一个月。在基线期(T1)和一个月的随访期(T2),参与者完成了自我同情、成长心态、积极情绪、压力、心理病理学、习惯养成等方面的评估。在确认性、意向治疗分析(N = 135)中,我们没有发现对这些结果的显著影响。然而,在确认性的按协议分析中(比较每个条件中练习了28次的子集,N = 45),相对于主动控制,自我同情抚摸预测了T1-T2自我同情的增加(β = 0.71,p = .025),以及压力(β = -0.62,p = .047)和心理病理学(β = -0.61,p = .046)的减少。在探索性的意向治疗分析(N = 135)中,我们发现在那些相对于积极对照组更频繁地练习自我同情抚摸的人群中,效果模式与按协议分析中的效果模式相同。我们讨论了与日常练习形成习惯相关的因素。日常微实践有可能增强单次治疗的干预效果,并在较少采用时间密集型方法时提供帮助。临床试验注册号:NCT05199779。
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Daily micropractice can augment single-session interventions: A randomized controlled trial of self-compassionate touch and examining their associations with habit formation in US college students

In this pre-registered study, we evaluated the effects of a single-session, self-guided intervention, leveraging daily micropractice (≤20 seconds/day practice) of self-compassionate touch to enhance self-compassion. We randomly assigned undergraduates (N = 135) to one of two conditions: a single-session intervention in which they were taught self-compassionate touch or a finger-tapping active control. Then, we instructed them to practice for 20 seconds/day for one month. At baseline (T1) and one-month follow-up (T2), participants completed assessments of self-compassion, growth mindset, positive affect, stress, psychopathology, habit formation, and more. In confirmatory, intention-to-treat analyses (N = 135), we found no significant effects on these outcomes. However, in confirmatory, per-protocol analyses (comparing the subsets from each condition who practiced>28 times, N = 45), self-compassionate touch, relative to active control, predicted T1-to-T2 increases in self-compassion (β = 0.71, p = .025), and reductions in stress (β = −0.62, p = .047) and psychopathology (β = −0.61, p = .046). In exploratory intention-to-treat analyses (N = 135), we found the same pattern of effects as in the per-protocol analyses among those who practiced self-compassionate touch more frequently relative to active control. We discuss factors associated with habit formation of daily practice. Daily micropractices have the potential for augmenting single-session interventions and for offering help when more time-intensive approaches may be less accessible.

Clinical trial registration number

NCT05199779.

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来源期刊
Behaviour Research and Therapy
Behaviour Research and Therapy PSYCHOLOGY, CLINICAL-
CiteScore
7.50
自引率
7.30%
发文量
148
期刊介绍: The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.
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