BACKGROUND One in three college students experience significant depression or anxiety interfering with daily functioning. Resilience programs that can be administered to all students offer an opportunity for addressing this public health problem. The current study objective was to assess the benefit of a brief, universal resilience program for first-year college students. METHOD First-year students at a private, midwestern university participated. This trial used a pragmatic design, delivering the intervention within university-identified orientation courses and was not randomized. The four-session resilience program included goal-building, mindfulness, and resilience skills. The comparison was orientation-as-usual. Primary outcomes included PROMIS® Depression and Anxiety and Connor-Davidson Resilience Scale. Secondary and exploratory outcomes included the Perceived Stress Scale, Emotion Regulation, and Cognitive Behavioral Therapy (CBT) Skills Questionnaires, and Freiburg Mindfulness Inventory. Time by treatment interactions at post-training and semester-end were examined using linear mixed models. RESULTS Analysis included 252 students, 126 who completed resilience programming and a matched comparison sample. Resilience programming did not relate to improvements in depression at post-training (CI: -2.53 to 1.02; p = .404, d =-0.08), but did at semester-end (95% CI: -4.27 to -0.72; p = .006, d = -0.25) and improvements in perceived stress were observed at post-training (CI: -3.31 to -0.44; p = .011, d = -0.24) and semester-end (CI: -3.30 to -0.41; p = .013, d = -0.24). Emotion regulation, mindfulness, and CBT skills increased, with CBT skills mediating clinical improvements. CONCLUSIONS Universal implementation of a brief, resilience intervention may be effective for improving college student mental health.

中文翻译：

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一项实用的临床试验，研究弹性计划对大学生心理健康的影响。


背景技术 三分之一的大学生经历严重的抑郁或焦虑，影响日常功能。可以对所有学生实施的弹性计划为解决这一公共卫生问题提供了机会。当前的研究目标是评估针对一年级大学生的简短、通用的复原力计划的好处。方法 中西部一所私立大学一年级学生参加。该试验采用了务实的设计，在大学确定的定向课程中提供干预，并且不是随机的。为期四节的复原力计划包括目标设定、正念和复原力技能。比较是像往常一样进行的。主要结果包括 PROMIS® 抑郁和焦虑以及康纳戴维森弹性量表。次要和探索性结果包括感知压力量表、情绪调节和认知行为治疗 (CBT) 技能问卷以及弗莱堡正念量表。使用线性混合模型检查训练后和学期结束时治疗相互作用的时间。结果分析包括 252 名学生，其中 126 名完成了弹性编程和匹配的比较样本。复原力规划与培训后抑郁症的改善无关（CI：-2.53 至 1.02；p = .404，d =-0.08），但在学期末却与抑郁症改善相关（95% CI：-4.27 至 -0.72；p = .006，d = -0.25），并且在培训后（CI：-3.31 至 -0.44；p = .011，d = -0.24）和学期末（CI：-3.30 至 - 0.41；p = .013，d = -0.24）。情绪调节、正念和 CBT 技能得到提高，CBT 技能可以调节临床改善。 结论 普遍实施简短的复原力干预可能对改善大学生心理健康有效。