一个探索性集群随机对照试验正念在拒绝上学的儿童中的有效性:减少SCAS-C身体伤害恐惧和脉率
Suguru Kawazu1, Marie Amitani2,3, Hajime Suzuki4
1Department of Psychosomatic Internal Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
对儿童学校拒绝的正念干预没有显著影响整体焦虑. 然而,它确实减少了对身体伤害的恐惧和脉率的降低,这表明了潜在的安全性和特定的益处.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 心理健康干预 心理健康干预
- 心灵与身体的治疗方法
背景情况:
- 拒绝上学是一个重要的儿童心理健康问题,通常与焦虑和抑郁有关.
- 对学校拒绝的有效干预措施仍在调查中.
- 正念被探索为一种潜在的治疗方法.
研究的目的:
- 评估正念干预措施的有效性和安全性,用于拒绝上学的儿童.
- 为了比较正念加常规治疗 (TAU) 与单独的TAU.
主要方法:
- 一个多中心,探索性,开放的集群随机控制试验,涉及43名拒绝上学的儿童 (10-15岁).
- 参与者被分配到一个为期4周的正念课程 (视频课程) 加TAU,或单独TAU.
- 在基线,测试后和随访时使用Spence儿童焦虑量表-儿童 (SCAS-C) 测量了焦虑症状.
主要成果:
- 与TAU组相比,正念组的整体焦虑症状没有显著减少 (p=0.54).
- 探索性分析显示,在组中,SCAS-C的身体伤害恐惧子表显著改善.
- 组在干预后表现出明显较低的脉率.
结论:
- 对于拒绝上学的孩子来说,正念干预似乎是安全的.
- 该干预措施对一般焦虑的有效性有限,但对特定恐惧症 (对身体伤害的恐惧) 和生理调节有希望.
- 建议进行进一步的研究,以探索长期影响和与其他疗法的最佳整合.
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