在线幸福疗法在克服医务工作者静力负荷过重方面的作用:一项试点随机对照研究

IF 16.3 1区 医学 Q1 PSYCHIATRY Psychotherapy and Psychosomatics Pub Date : 2024-01-01 Epub Date: 2024-09-23 DOI:10.1159/000540924
Xiaolei Liu, Penghui Song, Lu Yin, Kun Wang, Boheng Zhu, Xiaomin Huang, Yanyan Niu, Haixia Leng, Qing Xue, Mao Peng, Baoquan Min, Fangfang Shangguan, Peiran Zhang, Wenfeng Zhao, Huang Wang, Jing Lv, Mei Yang, Ping Wang, Dongning Li, Xiaoling Gao, Kun Feng, Keming Yun, Fiammetta Cosci, Hongxing Wang
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引用次数: 0

摘要

导言压力可能会导致异位超负荷。幸福疗法(WBT)可以通过提高心理幸福感和保护心理症状来减轻压力。由于目前还没有关于在异质超负荷中使用 WBT 的报告,我们对在线 WBT 在冠状病毒大流行期间减轻医务工作者异质超负荷的效果进行了评估:我们招募了 66 名患有静态负荷过重的参与者,并将他们随机分配到 8 次在线 WBT 课程(32 人)或 8 次健康生活方式在线心理教育课程(34 人)中。主要结果是两组在第 8 个疗程(T2)时的代谢负荷过重发生率。对同一时间点的社会心理指数(PSI)和心理健康(PWB)量表评分的变化进行次要分析。研究采用了广义估计方程模型:结果:WBT 组在 T2 阶段的代谢负荷过重率明显低于 CON 组(28.13% vs. 70.59%,p < 0.001);T1、T3 和 T4 阶段的结果相似(p < 0.001)。与CON相比,WBT显著减少了心理困扰(p <0.001)和异常疾病行为(p = 0.031),并显著改善了PWB自主性、环境掌握、个人成长、与他人的积极关系、生活目标和自我接纳(p <0.001):在线 WBT 可能是一种有效的非药物治疗策略,适用于异重负荷过重的患者。这些发现还需要在不同的临床人群中进一步验证。
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The Role of Online Well-Being Therapy in Overcoming Allostatic Overload in Medical Workers: A Pilot Randomized Controlled Study.

Introduction: Stress may lead to allostatic overload. Well-being therapy (WBT) might mitigate it by enhancing psychological well-being and protecting from psychological symptoms. Since no reports are available on the use of WBT in allostatic overload, we evaluated online WBT effects in reducing allostatic overload in medical workers during the coronavirus pandemic.

Methods: Sixty-six participants with allostatic overload were enrolled and randomly assigned to eight sessions of online WBT (n = 32) or eight sessions of an online psychoeducation program on healthy lifestyle (CON) (n = 34). The primary outcome was the prevalence rate of allostatic overload in the two groups at session 8 (T2). Secondary analyses were performed on changes in the PsychoSocial Index (PSI) and Psychological Well-Being (PWB) scales scores at the same time points. Generalized estimating equation models were employed.

Results: The WBT group showed a significantly lower rate of allostatic overload at T2 than the CON group (28.13% vs. 70.59%, p < 0.001); similar results were found at T1, T3, and T4 (p < 0.001). Compared to CON, WBT produced a significant decrease in psychological distress (p < 0.001) and abnormal illness behavior (p = 0.031), as well as a significant improvement in PWB autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance (p < 0.001).

Conclusion: Online WBT may be an effective non-pharmacological therapeutic strategy for individuals with allostatic overload. These findings need to be further validated in different clinical populations.

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来源期刊
Psychotherapy and Psychosomatics
Psychotherapy and Psychosomatics 医学-精神病学
CiteScore
29.40
自引率
6.10%
发文量
46
期刊介绍: Psychotherapy and Psychosomatics is a reputable journal that has been published since 1953. Over the years, it has gained recognition for its independence, originality, and methodological rigor. The journal has been at the forefront of research in psychosomatic medicine, psychotherapy research, and psychopharmacology, and has contributed to the development of new lines of research in these areas. It is now ranked among the world's most cited journals in the field. As the official journal of the International College of Psychosomatic Medicine and the World Federation for Psychotherapy, Psychotherapy and Psychosomatics serves as a platform for discussing current and controversial issues and showcasing innovations in assessment and treatment. It offers a unique forum for cutting-edge thinking at the intersection of medical and behavioral sciences, catering to both practicing clinicians and researchers. The journal is indexed in various databases and platforms such as PubMed, MEDLINE, Web of Science, Science Citation Index, Social Sciences Citation Index, Science Citation Index Expanded, BIOSIS Previews, Google Scholar, Academic Search, and Health Research Premium Collection, among others.
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