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Association of mindfulness to resilience, anxiety, and depressive symptoms after spinal cord injury-a correlational study.
Spinal Cord Series and Cases Pub Date : 2020-02-04 , DOI: 10.1038/s41394-020-0256-y
Jace S Pincock 1 , Alexandra L Terrill 2
Affiliation  

STUDY DESIGN Online survey of individuals with spinal cord injuries (SCI). OBJECTIVE This pilot study examined associations between mindfulness factors, resilience, and levels of depression and anxiety after SCI. SETTING Community-based; United States. METHODS A survey was posted online and shared with individuals with recent SCI (≤5 years). RESULTS Thirty-four individuals responded to the survey. The Five Facet Mindfulness Questionnaire (FFMQ) measures mindfulness with the following subscales: observing, describing, acting with awareness, nonjudging of inner experience, and nonreactivity of inner experience. Nonjudgment of inner experience was significantly associated with depression (β = -0.74, p = 0.007) and anxiety (β = -0.60, p = 0.01). Nonreactivity to inner experience was significantly associated with anxiety (β = -0.57, p = 0.007) and resilience (β = 0.55, p = 0.004); and there was a trend with depression (β = -0.45, p = 0.07). Higher resilience was significantly associated with less anxiety (r = -0.62, p = 0.04) and less depression (r = -0.75, p < 0.001). Depression and anxiety were significantly correlated (r = 0.84, p < 0.001). When comparing those who are employed to those who are not, they differed significantly in terms of anxiety (t(32) = 2.53, p = 0.02). CONCLUSIONS These findings suggest that factors of mindfulness, specifically the practice of acting nonjudgmentally and nonreactively to one's inner experience, may act as protective factors against depression and anxiety following SCI. These preliminary data support the literature that individuals with lower resilience are more susceptible to depression following SCI. Interventions aimed at maximizing mental well-being following SCI may benefit from incorporating these factors of mindfulness practice.

中文翻译:

正念与脊髓损伤后恢复力、焦虑和抑郁症状的关联——一项相关研究。

研究设计 对脊髓损伤 (SCI) 患者的在线调查。目的 该试点研究检查了 SCI 后正念因素、恢复力以及抑郁和焦虑水平之间的关联。SETTING 基于社区;美国。方法 在线发布一项调查,并与近期 SCI(≤ 5 年)的个人分享。结果 34 个人对调查做出了回应。五方面正念问卷 (FFMQ) 用以下分量表测量正念:观察、描述、有意识地行动、对内在体验的不判断和对内在体验的非反应性。对内在体验的不判断与抑郁(β = -0.74,p = 0.007)和焦虑(β = -0.60,p = 0.01)显着相关。对内在体验的无反应性与焦虑显着相关(β = -0.57,p = 0。007) 和弹性 (β = 0.55, p = 0.004); 并且有抑郁的趋势(β = -0.45,p = 0.07)。较高的弹性与较少的焦虑(r = -0.62,p = 0.04)和较少的抑郁(r = -0.75,p < 0.001)显着相关。抑郁和焦虑显着相关(r = 0.84,p < 0.001)。将受雇者与未受雇者进行比较时,他们在焦虑方面存在显着差异(t(32) = 2.53,p = 0.02)。结论 这些发现表明,正念的因素,特别是不加评判地和对自己的内在体验无反应的做法,可能是预防 SCI 后抑郁和焦虑的保护因素。这些初步数据支持文献,即恢复力较低的个体在 SCI 后更容易患抑郁症。
更新日期:2020-02-04
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