ISSN 0439-755X
CN 11-1911/B
主办:中国心理学会
   中国科学院心理研究所
出版:科学出版社

心理学报 ›› 2024, Vol. 56 ›› Issue (8): 1110-1124.doi: 10.3724/SP.J.1041.2024.01110

• 研究报告 • 上一篇    下一篇

融合中国诗词的线上自助正念干预的可行性及对参与者依从性的影响

王彪, 王珍珍, 刘兴华   

  1. 北京大学心理与认知科学学院, 行为与心理健康北京市重点实验室, 北京 100091
  • 收稿日期:2023-11-22 发布日期:2024-06-17 出版日期:2024-08-25
  • 通讯作者: 刘兴华, E-mail: xinghua_liu@pku.edu.cn

Feasibility of online self-help mindfulness intervention integrating Chinese classical poetry and its impact on participants’ adherence

WANG Biao, WANG Zhenzhen, LIU Xinghua   

  1. School of Psychological and Cognitive Sciences, Beijing Key Laboratory of Behavior and Mental Health, Peking University, Beijing 100091, China
  • Received:2023-11-22 Online:2024-06-17 Published:2024-08-25

摘要: 本研究基于情绪困扰的正念干预和诗歌疗法, 开发了一种融合中国诗词的线上自助正念干预方案, 旨在提高参与者的依从性。研究1分别从可接受性、需求性、可执行性、实用性、有效性检验等维度对该干预方案进行了可行性评估。在此基础上, 研究2采用随机对照实验, 探索比较有无中国诗词的线上正念干预对参与者依从性的影响。结果显示, 融合中国诗词的线上自助正念干预具有可行性, 而且其显著提高了参与者的依从性。本研究首次将中国诗词和正念进行结合, 开发了一种极富中国特色的线上正念干预形式, 不仅改善了参与者的正念水平、知觉压力、总体幸福感, 提升了其参与积极性和项目完成度, 同时对中国传统文化的推广传播发挥了一定作用, 具有一定的实践意义和社会价值。

关键词: 正念, 中国诗词, 线上自助正念干预

Abstract: In recent years, mindfulness interventions have been applied across various fields and have achieved significant efficacy. With the widespread adoption of mobile Internet, online mindfulness interventions are flourishing, thus holding tremendous potential. However, a prominent issue is the generally low adherence of participants in such online mindfulness interventions. Concurrently, previous studies have demonstrated that poetry is also regarded as an important supplement to psychotherapy and mindfulness intervention therapy. Yet, no research has been conducted on the integration of Chinese classical poetry and mindfulness interventions—a topic that warrants further exploration. Moreover, Chinese classical poetry possesses distinct Chinese characteristics and is a highly appreciated literary art form among the local population. Therefore, based on the above propositions, this study considers the feasibility of integrating Chinese classical poetry into mindfulness intervention and whether it can enhance participants’ adherence.
In Study 1, a 49-day online self-help mindfulness intervention incorporating Chinese classical poetry was developed based on Mindfulness Intervention for Emotional Distress (MIED) and poetry therapy. A total of 54 participants were recruited online who completed the pre- and postintervention assessments, including measures of mindfulness, perceived stress, and general well-being. The participants were required to answer additional questions regarding the feasibility of the intervention within one week postintervention. Then, the effectiveness of the intervention was analyzed using paired samples t-tests, whereas its feasibility was evaluated across five dimensions: Acceptability, Demand, Implementation, Practicality, and Limited-efficacy testing. In Study 2, 258 participants were recruited online and randomly assigned to Group A or Group B. Group A attended a mindfulness intervention program that integrated Chinese classical poetry, while Group B attended the same program without poetry. In the end, a total of 245 participants joined the study (118 in Group A and 127 in Group B). All participants were required to complete pre-, mid-, and postintervention assessments measuring mindfulness, perceived stress, and general well-being levels. Furthermore, the intervention’s effectiveness was examined using repeated measures analysis of variance (ANOVA), whereas the impact of the presence or absence of Chinese classical poetry on participants’ adherence was analyzed using chi-square tests.
The results confirmed the feasibility of the developed online self-help mindfulness intervention integrating Chinese classical poetry in terms of Acceptability, Demand, Implementation, Practicality and Limited-efficacy testing, with participants perceiving the intervention as effective. The results of Study 2 demonstrated that both programs with and without poetry significantly improved participants’ mindfulness, perceived stress, and general well-being levels. However, the former significantly enhanced participants’ adherence. In addition, compared with the overall adherence levels of current online mindfulness interventions (ranging from 35% to 92%), the participants’ adherence to the proposed online intervention with Chinese classical poetry (84.75%) is relatively high. Finally, the study also found that integrating poetry into mindfulness interventions enhanced the majority of Chinese individuals’ engagement and completion rates, regardless of their personal preferences for Chinese classical poetry at baseline.
This study represents the first integration of Chinese classical poetry into mindfulness intervention, resulting in a program enriched by Chinese cultural elements. The program facilitates the combination of outstanding traditional Chinese culture with modern psychological theories and practices, fostering their creative transformation and innovative development. Furthermore, the purely online self-help program employed in this study reduces reliance on therapists while simultaneously enhancing participants’ adherence. At the same time, this study provides more possibilities for the widespread application of mindfulness intervention and provides individuals with more choices for mental health treatment. Overall, these contributions hold significant practical significance and social value.

Key words: mindfulness, Chinese classical poetry, online self-help mindfulness intervention

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