评估减轻香港年轻人孤独感干预措施的有效性
基于团体的积极情感干预减少孤独感:一项在香港年轻人中进行的随机对照试验
研究概览
地位
条件
详细说明
年轻成人中的孤独感已成为日益严重的公共卫生问题,与抑郁、焦虑、自卑和生活满意度下降相关。 与成年人不同,成年人的孤独感通常与社会孤立相关,而年轻成人的孤独感则由发展过渡、关系需求转变以及对社交评价的敏感性塑造。 现有干预措施主要针对老年人群,往往未能解决年轻群体中孤独感所涉及的情感和认知过程。
本研究旨在弥补这些空白,采用整合了社会需求视角、Weiss多维理论、认知差异模型和再归属动机模型的多元理论框架。 这些视角共同将孤独感概念化为源于对有意义连接需求未得到满足、理想关系与实际关系之间的差异,以及阻碍重新连接的适应不良认知和行为反应。
本研究采用双臂随机对照试验设计。 将通过UCLA孤独量表筛选并招募110名报告高度孤独感的香港大学生。 符合条件的参与者将被随机分配到基于团体的积极情感(PA)干预组或基于团体的社交技能训练(SST)积极对照组。 两种干预措施均以每周四次的小组形式进行,每次持续60-75分钟。
PA干预基于扩展-建构理论和修订的压力与应对理论。 它采用多技能方法,通过实践诸如品味积极事件、感恩、正念、积极重评、优势识别、目标设定和善意行为等来增强积极情绪。 这些技能预计将增加积极情感,促进社交参与,并增强心理资源,从而减少孤独感。
SST干预作为积极对照,侧重于改善人际交往能力。 它包括社交行为风格(自信、害羞、攻击性)训练、发起和维持社交互动、设定边界、给予和接受反馈以及冲突解决方面的培训。 预期人际交往能力的提高将增加感知到的社会支持,继而减少孤独感。
主要结局将通过UCLA孤独量表评估,同时测量积极情感、感知社会支持、社交网络差异、正念、情绪调节、自我效能感和拒绝敏感性。 数据将在基线、1个月和3个月的随访时收集。 将使用线性混合效应模型检验干预效果随时间的变化,而中介和调节中介分析将检验提出的机制。
本研究的一个关键创新在于其机制的检验。 假设积极情感和感知社会支持为中介,反映了减少孤独感的情感和关系路径。 拒绝敏感性被视为调节因素,影响参与者对干预的反应以及获益如何转化为孤独感的减少。 高拒绝敏感性的个体可能因威胁感知增强和社交退缩倾向而表现出较弱的干预效果。
通过对年轻成人进行发展适宜、基于机制的干预测试,本研究对理论和实践均有所贡献。 它增进了对情感和社交过程如何在减少孤独感中相互作用的理解,并为可在大学和社区环境中实施的可扩展、基于团体的干预措施提供了证据。
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:JIN ZHANG
- 电话号码:85229487138
- 邮箱:s1151958@s.eduhk.hk
学习地点
-
-
Hong Kong
-
Hong Kong、Hong Kong、香港
- 招聘中
- The Education University of Hong Kong
-
接触:
- JIN ZHANG
- 电话号码:85229487138
- 邮箱:s1151958@s.eduhk.hk
-
-
参与标准
资格标准
适合学习的年龄
- 成人
接受健康志愿者
描述
入选标准:
- 年龄18至30岁
- 精通粤语
- 感到孤独(定义为UCLA孤独感量表3条目版本得分≥6)
排除标准:
- 认知障碍
- 精神疾病、学习障碍或有活跃的自杀意念
- 目前正在参与其他旨在提升幸福感的心理治疗或心理社会干预
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
有源比较器:Group-based Social Skills Training
Participants in the Social Skills Training (SST) group will receive a group-based SST intervention as an active control.
|
The SST intervention serves as an active control and focuses on improving interpersonal competence.
It includes training in social behavior styles (assertive, shy, and aggressive), initiating and maintaining social interactions, setting boundaries, giving and receiving feedback, and conflict resolution.
Improvements in interpersonal competence are expected to enhance perceived social support, which in turn reduces loneliness.
The intervention will be delivered over a 4-week period.
|
|
实验性的:Group-based Positive Affect Intervention
Participants in the Positive Affect (PA) group will receive a group-based psychoeducation intervention designed to test its effectiveness in reducing loneliness among college students.
|
This 4-week intervention consists of eight skills aimed at enhancing positive affect, delivered via group-based psychoeducation by trained facilitators.
Participants will learn skills such as gratitude, mindfulness, and positive reappraisal, with sessions held once a week to test the effects of the intervention in reducing loneliness among young adults.
|
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Loneliness measured by the University of California, Los Angeles (UCLA) Loneliness Scale
大体时间:Baseline, 1-month, and 3-month
|
The UCLA Loneliness Scale is a reliable self-assessment tool designed to evaluate subjective feelings of loneliness. Total scores are calculated based on individual item ratings ranging from 1 (never) to 4 (always). Higher scores indicate a greater degree of loneliness (worse outcome). |
Baseline, 1-month, and 3-month
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Perceived Stress on the Perceived Stress Scale (PSS-10)
大体时间:Baseline, 1-month, and 3-month
|
The Chinese version of the Perceived Stress Scale is a validated self-report tool used to measure the degree to which situations in one's life are appraised as stressful. Individual items are rated on a scale from 0 (never) to 4 (very often). Higher scores indicate higher levels of perceived stress (worse outcome). |
Baseline, 1-month, and 3-month
|
|
Symptoms of Depression on the Patient Health Questionnaire-9 (PHQ-9)
大体时间:Baseline, 1-month, and 3-month
|
The Patient Health Questionnaire-9 is a reliable self-report measure designed to evaluate the severity of depressive symptoms over the past two weeks. Possible scores for each item range from 0 (not at all) to 3 (nearly every day). Higher scores indicate more severe symptoms of depression (worse outcome). |
Baseline, 1-month, and 3-month
|
|
Symptoms of Anxiety on the Generalized Anxiety Disorder-7 (GAD-7) Scale
大体时间:Baseline, 1-month, and 3-month
|
The Chinese version of the Generalized Anxiety Disorder-7 Scale is a validated, self-reported instrument assessing the severity of anxiety symptoms. Possible scores for each item range from 0 (not feeling at all) to 3 (most of the time).Higher scores indicate more severe symptoms of anxiety (worse outcome). |
Baseline, 1-month, and 3-month
|
|
Perceived Social Support on the Multidimensional Scale of Perceived Social Support (MSPSS)
大体时间:Baseline, 1-month, and 3-month
|
The Multidimensional Scale of Perceived Social Support evaluates the social support derived from three key sources: family, friends, and significant others. Respondents rate each item on a 7-point Likert scale, where 1 represents "very strongly disagree" and 7 indicates "very strongly agree." Higher scores indicate a higher level of perceived social support (better outcome). |
Baseline, 1-month, and 3-month
|
其他结果措施
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Affective Experience over the Past Week on the 30-item Affect Valuation Index (AVI)
大体时间:Baseline, 1-month, and 3-month
|
The Affect Valuation Index (AVI) is a validated, self-reported instrument assessing affective experiences over the past week. It evaluates the frequency of actual emotions experienced. Possible scores for each emotion item range from 1 (very slightly or not at all) to 5 (extremely or all the time). Higher scores indicate a greater frequency of that specific affective state. (Note: High scores in positive affect represent a better outcome, while high scores in negative affect represent a worse outcome). |
Baseline, 1-month, and 3-month
|
|
Meaning of Life on 7-point Meaning in Life Questionnaire (MLQ)
大体时间:Baseline, 1-month, and 3-month
|
The Meaning in Life Questionnaire (MLQ) is a reliable self-assessment tool that evaluates an individual's sense of meaning in life across two subscales: Presence of Meaning and Search for Meaning. Each subscale (5 items each) has a minimum score of 5 and a maximum score of 35. Higher scores on the Presence subscale indicate a stronger sense that life is meaningful. Higher scores on the Search subscale indicate a greater drive to find meaning. |
Baseline, 1-month, and 3-month
|
|
Gratitude on 7-point Gratitude Scale Questionnaire-Six Item Form (GQ-6)
大体时间:Baseline, 1-month, and 3-month
|
The Gratitude Questionnaire-Six Item Form (GQ-6) is a validated self-report measure that evaluates the inclination to recognize and respond to life events with gratitude. Total scores range from 6 (strongly disagree across all items) to 42 (strongly agree across all items). Higher scores indicate a higher level of dispositional gratitude (better outcome). |
Baseline, 1-month, and 3-month
|
|
Mindfulness on the 5-point Five Facet Mindfulness Questionnaire (FFMQ)
大体时间:Baseline, 1-month, and 3-month
|
The Five Facet Mindfulness Questionnaire (FFMQ) is a validated measure assessing five different elements of mindfulness in daily life. Responses are scored on a scale from 1 (never or very rarely true) to 5 (very often or always true). Higher scores indicate higher levels of mindfulness (better outcome). |
Baseline, 1-month, and 3-month
|
|
Cognitive Reappraisal on the 7-point Emotion Regulation Questionnaire (ERQ)
大体时间:Baseline, 1-month, and 3-month
|
The Emotion Regulation Questionnaire (ERQ) is a validated instrument assessing strategies used to manage emotions, specifically Cognitive Reappraisal and Expressive Suppression. Items are rated from 1 (strongly disagree) to 7 (strongly agree). The Reappraisal subscale (6 items) ranges from 6 to 42. Higher scores on Cognitive Reappraisal indicate more frequent use of adaptive emotional regulation (better outcome). |
Baseline, 1-month, and 3-month
|
|
Self-Efficacy on the 4-point General Self-Efficacy Scale (GSE)
大体时间:Baseline, 1-month, and 3-month
|
The General Self-Efficacy Scale (GSE) measures an individual's optimistic beliefs regarding their capacity to manage challenging situations and cope with stressors. This 10-item scale ranges from a total minimum of 10 to a maximum of 40 (based on a 1-4 Likert scale). Higher scores indicate a stronger belief in one's own self-efficacy (better outcome). |
Baseline, 1-month, and 3-month
|
|
Interpersonal Competence on the 15-item Interpersonal Competence Questionnaire (ICQ-15)
大体时间:Baseline, 1-month, and 3-month
|
The 15-item Interpersonal Competence Questionnaire (ICQ-15) assesses self-reported proficiency across five social domains, including initiating relationships and conflict management. It is using a 4-point Likert-type scale, where 1 indicates "I'm always poor at this" and 4 represents "I'm always good at this." Total scores range from 15 to 60. Higher scores indicate a higher level of interpersonal proficiency and social skill (better outcome). |
Baseline, 1-month, and 3-month
|
|
Rejection Sensitivity on the Adult Rejection Sensitivity Questionnaire (A-RSQ)
大体时间:Baseline, 1-month, and 3-month
|
The Adult Rejection Sensitivity Questionnaire (A-RSQ) assesses cognitive-affective processing styles regarding the expectation of social rejection. Scores are calculated based on concern and likelihood of rejection across 15 items, with total scores typically ranging from 1 to 36 (mean score). Higher scores indicate a greater sensitivity to and anxious expectation of social rejection (worse outcome). |
Baseline, 1-month, and 3-month
|
合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- 2024-2025-0467
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.