应对COVID-19期间心理困扰的正念干预措施:应用和机遇

Dana Rose Garfin, Amada L Cipres, R. M. Reyes
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引用次数: 5

摘要

2019冠状病毒病大流行及其相关压力因素(例如,失业、保持身体距离、失去亲人、身体疾病)给全球许多人造成了广泛、持续的社会混乱和相关的心理困扰。正念干预(mbi)是一种旨在帮助人们增强对当下身心体验的意识而不加评判的项目,它在减少这种心理困难方面已经证明是有效的。因此,它们可能是处理与大流行病有关的心理疾病的低成本和可获得的资源。此外,它们可以通过包括智能手机应用程序和网站在内的远程医疗模式进行管理。这些工具可能有助于增加获得精神卫生保健的机会,同时支持保持身体距离的建议。我们回顾了评估mbi对减轻先前社区灾害(包括台风、海啸和飓风)后心理症状有效性的研究。该研究表明,MBIs可能有助于减轻焦虑、创伤后应激(PTS)症状和此类事件后的抑郁。然而,这些研究大多样本量很小,而且存在其他方法学上的局限性。更普遍的是,参与远程医疗提供的mbi与压力、抑郁和焦虑症状的减少有关。重要的是,在线管理的mbi显示出与传统的面对面mbi相当的有效性。未来对社区灾难幸存者的mbi研究应该利用更大的样本量,并包括长期随访评估,以评估mbi对解决心理障碍的持续影响。在我们从COVID-19大流行中恢复并为未来的社区灾害和公共卫生危机做好准备时,这些知识可能有助于提供可获取和有效的应对工具。
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Mindfulness-based interventions to address psychological distress during COVID-19: applications and opportunities
The COVID-19 pandemic and its associated stressors (e.g., job loss, physical distancing, loss of a loved one, physical illness) have resulted in widespread, ongoing social disruption and related psychological distress for many across the globe. Mindfulness-based Interventions (MBIs), which are programs designed to help strengthen one’s awareness of physical and mental experiences in the present moment without judgment, have demonstrated effectiveness in reducing such psychological difficulties. As such, they may be a low-cost and accessible resource for addressing pandemic-related psychological maladies. Moreover, they can be administered via telehealth modalities including smartphone apps and websites. These tools may help increase accessibility of mental health care while supporting physical distancing recommendations. We reviewed studies evaluating the effectiveness of MBIs for reducing psychological symptoms after prior community disasters including typhoons, tsunamis, and hurricanes. That research demonstrates that MBIs may help alleviate anxiety, post-traumatic stress (PTS) symptoms, and depression in of the wake of such events. However, most of these studies had very small sample sizes and other methodological limitations. More generally, participation in telehealth-delivered MBIs has been associated with decreases in stress, depression, and anxiety symptoms. Importantly, MBIs administered online demonstrate comparable effectiveness to traditional in-person MBIs. Future research on MBIs for community disaster survivors should utilize larger sample sizes and include longer-term follow-up assessments to evaluate the sustained impacts of MBIs for addressing psychological disturbances. This knowledge may help provide accessible and effective coping tools as we recover from the COVID-19 pandemic and prepare for future community disasters and public health crises.
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