Research Status Of Mindfulness Intervention And Its Effect On Resilience Protective Factors In Patients With Ankylosing Spondylitis

Objective:The purpose of this study is to visually analyze the relevant literature of mindfulness intervention in China,and then systematically grasp the research status of mindfulness intervention in China.To explore the applicability of 10 items scale?CD-RISC10?in patients with ankylosing spondylitis?Ankylosing spondylitis,AS?,to analyze the difference of resilience and mindfulness in the underlying characteristics of AS patients and to explore the protective factors of resilience in patients with AS according to the psycho-elastic dynamic system model.On this basis,a short-term mindfulness training scheme was designed,which was in accordance with the length of hospitalization of clinical patients,and the effect of short-term mindfulness training on the protective factors of resilience of patients with AS was discussed.Methods:From the establishment of CNKI database to 2018,the literature related to mindfulness intervention was selected to carry out keyword co-word analysis,social network analysis,cluster analysis and multi-dimensional scale analysis.From March 2018 to July 2019,228 inpatients with ankylosing spondylitis were diagnosed as ankylosing spondylitis in the Department of Rheumatology and Immunology,a third grade A hospital in Shanxi Province.The general personal situation questionnaire,10 items of psychological elasticity scale?CD-RISC10?,the brief version of the Chinese Big five Personality questionnaire?CBF-PI-B?and the emotion Regulation Strategy scale?ERQ?,Family Care Index scale?FAI?,General Happiness scale?GWB?,were used.The five-factor mindfulness scale?FFMQ?and the social support rating scale?SSRS?were investigated by questionnaire.Descriptive statistical classification of data Analysis,independent sample t test,single factor variance analysis,ROC curve analysis,correlation analysis,heavy linear regression analysis,confirmatory factor analysis?Confirmatory Factor Analysis,CFA?,and the structural equation model was established.68 patients with AS were divided into experimental group and control group by matching method.The patients in the two groups received routine treatment at the same time.On this basis,the experimental group was given short-term mindfulness training,and the patients in the two groups were tested twice before and after intervention,and descriptive statistics,t test,?² test and repeated measurement variance analysis,explore laten class analysis were carried out.Results:The results of the visual analysis show that:A total of 439 effective literatures were obtained.The domestic research on mindfulness intervention mainly focused on the following six points:the application of mindfulness therapy in the elderly,the application of mindfulness decompression therapy,the application of mindfulness meditation in medical and nursing staff,the effect of mindfulness intervention on mental health and motor performance,the application of mindfulness cognitive therapy and the influence of mindfulness therapy on happiness.The results of the survey show that:?1?The internal consistency coefficient of Chinese version CD-RISC-10 was 0.763,and the split-half reliability was 0.846.There was a significant positive correlation with mindfulness level,life satisfaction and positive emotion,but a significant negative correlation with negative emotion?p<0.01?.The results showed that the fitting index of one-dimensional model was better,and the score of subjects with high psychological elasticity was significantly higher than that of low score group).The ROC curve showed that the cut-off value of the scale was 29.5,the sensitivity was 0.647,the specificity was0.739.?2?There were significant differences in resilience in AS patients in terms of sex,age,occupation,education and marital status?p<0.05?,while there were no significant differences in place of residence,per capita monthly income of the family,course of disease,complications and pre-onset fatigue and emotional problems?p>0.05?.?3?There was a significant positive correlation between psychological elasticity and mindfulness,life satisfaction,positive emotion,preciseness,suitability,extroversion,openness,emotional regulation strategy,family care and social support?p<0.01?,while there was a significant negative correlation between negative emotion,neuroticism and other variables?p<0.01?.?4?When general data are not taken into account,the important protective factors of psychological elasticity are as follows:family care index,neuroticism,openness,rigour,subjective support,conscious action,negative emotion,cognitive re-evaluation,support utilization,extroversion,observation and agreeableness.When considering the general data,the important protective factors of psychological elasticity are as follows:Family care,neuroticism,openness,marital status,non-judgment,cognitive reassessment,rigour,occupation,observation,complications,agreeableness,expression inhibition,education,negative emotions,and perceived action.?5?Four latent classes emerged:high mindfulness,non-judgmentally observation,low mindfulness and non-judgmentally description;As patients with different types of mindfulness had significant difference in the dimensions of mindfulness,total score,resilience score?p<0.001?.The results of the intervention study showed that:?1?Before intervention,there was significant difference in conscious action between the two groups?p<0.05?,but there was no significant difference in other dimensions between the two groups?p>0.05?.After intervention,the total scores of mindfulness,total score of mindfulness,life satisfaction,positive emotion,cognitive reassessment,emotional regulation strategy,psychological elasticity,family care index,subjective support,support utilization and social support in the experimental group were significantly higher than those in the control group?p<0.05?,while the negative emotions in the experimental group were significantly lower than those in the control group?p<0.05?,while the negative emotions in the experimental group were significantly lower than those in the control group?p<0.05?,and the negative emotions in the experimental group were significantly lower than those in the control group?p<0.05?.And intimacy in family care.There was no significant difference in objective support between the two groups?p>0.05?.?2?There was no significant difference in other dimensions?p>0.05?except for the level of inaction in mindfulness in the control group before and after intervention?p<0.05?.After intervention,mindfulness and its five dimensions,life satisfaction,positive emotion,emotional regulation strategy and its two dimensions,psychological elasticity,family care degree and its five dimensions,social support and subjective support,support utilization were significantly higher than those before intervention?p<0.05?,negative emotion after intervention was significantly lower than that before intervention?p<0.01?,but in objective support of social support,there was no objective support before and after intervention.There was significant difference?p>0.05?.?3?The intervention main effects of mindfulness and family care index were significant?p₁<0.05,p₂<0.01?,and the time main effects of mindfulness,life satisfaction,positive emotion,negative emotion,emotional regulation strategy,family care index and social support assessment were significant?p<0.05?,and the interaction between time and intervention was significant?p<0.05?,and the Youden index was 0.386.Conclusion:?1?The research of mindfulness intervention in China started late and has cross-disciplinary nature.In the future,it is necessary to increase the empirical research of mindfulness intervention and improve the credibility of the curative effect of mindfulness intervention.?2?The Chinese version of CD-RISC-10 is good in single dimension,has good reliability and validity in AS population,and has high sensitivity to the level of mindfulness and subjective well-being in screening AS patients,which is helpful to carry out subsequent psychotherapy and is recommended for clinical use.?3?The protective factors of psychological elasticity of AS patients include three aspects:Family care index,openness,rigour,subjective support,conscious action,cognitive reassessment,degree of support utilization,extroversion,observation and agreeableness,according with Model of Psychoelastic Dynamics System.?4?The psychological status of AS patients varies in different mindfulness potential categories,psychological intervention for AS patients can be individualized according to different mindfulness traits.?5?Short-term mindfulness training can improve the psychological elasticity and protective factors of AS patients.Short-term mindfulness training can improve the level of mindfulness,psychological elasticity,subjective well-being,emotional regulation strategies?mainly by improving cognitive reassessment?,family care and social support,but has no significant effect on objective support.In addition,it is impossible to accurately conclude that short-term mindfulness training has a significant effect on perceptual action,inaction and expression inhibition.