Evaluating the Feasibility and Acceptability of Mindful Self-Compassion Among Gender Minority Young Adults

评估性别少数年轻人中正念自我同情的可行性和可接受性

• 批准号: 10723886
• 负责人: Jordon D. Bosse
• 金额: $ 13.91万
• 依托单位: UNIVERSITY OF RHODE ISLAND
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-15 至 2028-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10723886
• 关键词: Address; Adult; Antidotes; Anxiety; Attention; Biology; COVID-19 impact; COVID-19 pandemic; Certification; Clinical Trials; Communities; Compassion; Complementary Health; Data; Data Analyses; Data Collection; Disparity; Distress; Educational Curriculum; Educational process of instructing; Evaluation; Event; Feeling; Feeling suicidal; Female; Fostering; Funding; Gender; Gender Identity; Goals; Health Promotion; Integrative Medicine; Intervention; Mental Depression; Mental Health; Mentors; Methods; Mind-Body Intervention; National Center for Complementary and Integrative Health; Pain; Participant; Personal Satisfaction; Persons; Politics; Population; Population Heterogeneity; Recording of previous events; Reporting; Research; Rights; Risk; Risk Factors; Science; Sexual and Gender Minorities; Shame; Site; Source; Stigmatization; Stress; Teenagers; Testing; Thinking; Time; Training; Trauma; Vulnerable Populations; Woman; acceptability and feasibility; adverse childhood events; anxiety reduction; bodily sensation; body dissatisfaction; cisgender; cohort; community engaged research; experience; feasibility trial; follow-up; gender dysphoria; gender expression; gender minority; gender minority group; gender minority stress; health disparity; high risk; improved; interest; man; mindfulness; minority stress; modifiable risk; mortality; nonbinary; post intervention; protective factors; resilience; response; rumination; satisfaction; sex; sex assigned at birth; skills; social stigma; stress reduction; symptom management; teacher; trait; university student; usability; young adult

PROJECT SUMMARY Gender minority young adults (GMYA; 18-25 years old), who have a gender that is different than their assigned sex at birth, have 3-4 times greater risk of depression and anxiety than those whose gender is congruent with their assigned sex at birth (i.e., cisgender). The accumulation of gender minority stress (GM stress), stress due to stigma related to one’s gender identity and/or expression is one proposed cause of this disparity. GM stress can become internalized, and feelings of shame and repetitive thoughts (rumination) can make mental health worse. Despite the known associations between GM stress, mental health, shame and rumination, few interventions exist to address GM stress in GMYA. Self-compassion, treating oneself with kindness instead of self-criticism in painful or difficult times, has been identified as a useful strategy to alleviate GM stress among GM people, and is a trait that can be strengthened. Mindful self-compassion (MSC), an 8-week intervention, combining mindfulness and self-compassion skills is one way to increase self-compassion. However, MSC has not yet been tested with GYMA and it is not known whether gender dysphoria (distress due to body not matching identity) could make it difficult to fully engage with body-based practices. My long-term research goal is to improve the mental health and wellbeing of GMYA by identifying, and intervening on, modifiable risk and protective factors using community-engaged, trauma-informed interventions. The current project builds upon my prior cross-sectional research on GMYA’ mental health by exploring the feasibility of an existing intervention with a new population. The objective for this proposal is to obtain training and certification as an MSC teacher as well as additional skills in trauma-informed mindfulness and embodied practice, intervention science (implementation, evaluation, and adaptation), advanced data analysis, and community engaged research. With guidance from my mentors, I will pursue the following specific aims: 1) evaluate the feasibility of an 8-week MSC intervention and data collection plan (pre-, post-, 3-month follow-up) with 5 consecutive groups of GMYA, 2) evaluate the usability of MSC intervention activities by GMYA and determine whether MSC activities need to be tailored for GMYA, and 3) explore GMYA’s pre- and post- intervention and 3-month follow-up data to examine whether shame, rumination, self-compassion, depression, and anxiety are sensitive to change. The goals of this project are consistent with NCCIH’s interest in mind-body interventions to help reduce stress, anxiety, and depression among sexual and gender minority populations (NOT-MD-22-012), objectives to advance science on health promotion, resilience, and symptom management (Obj. 3), and commitment to research with diverse populations and a diverse scientific workforce (Obj. 4). Under the guidance of expert mentors in the population, methods, approaches, and with a strong history of research funding- the proposed project will provide me with the necessary skills to independently conduct rigorous complementary and integrative health research to improve mental health and wellbeing among GMYA.

项目概要 性别与指定性别不同的性别少数年轻人（GMYA；18-25 岁） 与出生时性别一致的人相比，患抑郁症和焦虑症的风险高出 3-4 倍 他们出生时指定的性别（即顺性别） 性别少数压力（GM 压力）的积累，压力。 与性别认同和/或表达相关的耻辱是造成这种差异的原因之一。 可以内化，羞耻感和重复的想法（沉思）可以使心理健康 尽管转基因压力、心理健康、羞耻和沉思之间存在已知的联系，但很少有更糟糕的。 存在干预措施来解决 GMYA 中的 GM 压力，以善待自己而不是善待自己。 在痛苦或困难时期进行自我批评已被认为是减轻转基因压力的有用策略 GM人，是一种可以加强正念自我同情（MSC）的特质，为期8周的干预， 结合正念和自我慈悲技巧是增强自我慈悲的一种方法，但是 MSC 已经做到了。 尚未用 GYMA 进行过测试，目前尚不清楚是否会出现性别不安（因身体不适而产生的痛苦） 匹配身份）可能会使我很难完全参与基于身体的实践。 是通过识别和干预可改变的风险和改善 GMYA 的心理健康和福祉 使用社区参与、创伤知情干预措施的保护因素当前项目建立在这一基础上。 我之前通过探索现有方法的可行性对 GMYA 心理健康进行了横断面研究 该提案的目标是获得作为新人群的培训和认证。 MSC 教师以及创伤知情正念和具体实践、干预方面的其他技能 科学（实施、评估和适应）、高级数据分析和社区参与 在导师的指导下，我将追求以下具体目标：1）评估可行性 为期 8 周的 MSC 干预和数据收集计划（术前、术后、3 个月随访），连续 5 次 GMYA 小组，2) 评估 GMYA 的 MSC 干预活动的可用性，并确定是否 MSC 活动需要针对 GMYA 进行定制，并且 3）探索 GMYA 的干预前和干预后以及 3 个月 后续数据检查羞耻、沉思、自我同情、抑郁和焦虑是否敏感 该项目的目标与 NCCIH 对身心干预的兴趣一致，以提供帮助。 减少性少数群体的压力、焦虑和抑郁（NOT-MD-22-012）， 推进健康促进、复原力和症状管理科学的目标（目标 3），以及 致力于对不同人群和不同科学队伍进行研究（目标 4）。 人口、方法、方法方面的专家导师的指导，并且具有悠久的研究历史 资金-拟议的项目将为我提供独立进行严格的必要技能 补充和综合健康研究，以改善 GMYA 的心理健康和福祉。