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Strengthening resilience in over 50’s: a nested clustered-randomized controlled trial of adaptive systematic self-reflection

随机对照试验 适度 心理弹性 心理学 临床心理学 心态 压力源 自我效能感 应对(心理学) 干预(咨询) 心理健康 调解 医学 物理疗法 精神科 社会心理学 认识论 哲学 外科 法学 政治学
作者
Monique F. Crane,Madison Kho,Maria Kangas,Barbara Griffin,Eyal Karin,Joanne K. Earl,Celia B. Harris
出处
期刊:Anxiety Stress and Coping [Taylor & Francis]
卷期号:33 (6): 623-641 被引量:15
标识
DOI:10.1080/10615806.2020.1768375
摘要

Background and objectives: This study investigated the efficacy of guided self-reflection to strengthen resilience in adults over 50 by exploring the effects of the training on mental health and positive emotional outcomes.Design: A nested clustered-randomized controlled trial was conducted to test the efficacy of the training. Measures occurred at pre-intervention, post-intervention, and at four to five months follow-up.Method: Two samples of participants were recruited. First, older employees from a consumer goods company took part in the clustered-randomized controlled trial. Ninety-three employees (mean age = 54.02 years; 36.56% females) were assigned to the intervention (n = 52) or active control (n = 41) group. Second, older adults from the community (n = 51) were recruited (mean age = 58.63 years; 80.40% female) and assigned to the intervention only.Results: Improvements were observed in the community sample, compared to the active control group, across a range of wellbeing outcomes. When training engagement was used as a moderator, positive benefits for the corporate intervention group emerged for highly engaged participants. Mediation analyses indicated that stress-as-enhancing mindset, stressor benefit, and coping self-efficacy acted as possible mechanisms for change in primary outcomes.Conclusions: Findings provide support for the use of guided self-reflection for resilience training with older adults.

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