فهرست نشریات علمی دسترسی آزاد ایران

Background and Objectives: Skin soft tissue expansion in adolescents induces psychological stress from appearance changes and prolonged discomfort. Despite MBSR’s proven mental health benefits for teens, its role in mitigating first-stage expansion-related distress remains understudied. This study aimed to evaluate the effect of MBSR therapy on mindfulness and mental health (assessed via SCL-90 and MAAS scales) in adolescents after the first stage of skin expansion; explore whether MBSR influences skin expansion prognosis (including hematoma, infection, leakage, and expansion time); and provide evidence for optimizing psychological intervention protocols in adolescent plastic surgery patients.   Methods: This single-blind randomized controlled trial (RCT) enrolled 96 adolescent patients, randomly assigning 48 to a control group (routine care) and 48 to an observation group (8-week mindfulness-based stress reduction (MBSR) therapy plus routine care). Baseline (T1) and post-intervention (T2) data on mental health (SCL-90, MAAS) and expansion prognosis (hematoma, infection, leakage, expansion time) were collected. Statistical analyses included independent sample t-tests and paired sample t-tests for continuous data, chi-square tests/Fisher’s exact tests for categorical data, using GraphPad Prism 8.0 (α = 0.05).   Results: After the intervention, the mindfulness score of the observation group was 66.15 ± 12.11, significantly higher than that of the control group (59.15 ± 8.87, P < 0.001). At this time, the SCL-90 scores of the observation group were significantly lower than those of the control group (P < 0.001). There was no significant difference in the skin expansion prognosis between the two groups, but the expansion time of the observation group was 69.81 ± 9.97 days, seemingly shorter than that of the control group (74.73 ± 15.56 days, P = 0.069).    Conclusion: MBSR improved adolescents' mindfulness/mental health post-first-stage skin expansion, with trended shorter expansion times (non-significant). It shows promise for compliance/efficiency, though challenges like trained personnel are noted.