The Challenge for Successful Self-Help: Side Effects of Discontinuing an Internet-Based Program for Skin Picking Disorder

IF 2.8 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Cognitive Therapy and Research Pub Date : 2023-10-19 DOI:10.1007/s10608-023-10430-4

Linda M. Mehrmann, Alexander L. Gerlach

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Abstract

Abstract Background Research suggests that many people enrolled in internet-based mental health interventions drop out without completing the program. We implemented an efficacious internet-based self-help tool for people affected by skin picking disorder, aiming to evaluate the impact of an early withdrawal in terms of self-efficacy and treatment motivation. Method We compared skin picking symptomatology (SPS), skin picking related self-efficacy (SP-SE) and motivation to change (SP-MtC) of 208 completers (52%) vs. 192 non-completers at 12-weeks post-assessment. Results The decrease in SPS was significantly greater for completers ( n = 208; M = 13.34; SD = 4.72) compared to non-completers ( n = 192; M = 14.35; SD = 4.94; Cohen’s d = -.39) at post-assessment. SP-SE increased significantly more for program completers ( M = 31.72; SD = 6.50) compared to non-completers ( M = 28.25; SD = 6.30; Cohen’s d = .66) at post-assessment. SP-MtC significantly decreased in both groups, with higher scores for completers across all assessments ( d pre-post = .06). Conclusions Internet-based self-help tools can effectively reduce symptomatology. Participants, who do not complete the program, report lower treatment motivation and treatment-oriented self-efficacy, potentially reducing their help-seeking efforts. Treatment providers need to consider how to address these potentially adverse effects.

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成功自助的挑战:停止以互联网为基础的抠皮障碍项目的副作用

背景研究表明，许多参加基于互联网的心理健康干预的人没有完成该计划就辍学了。我们为受抠皮障碍影响的人实施了一个有效的基于互联网的自助工具，旨在评估早期戒断对自我效能感和治疗动机的影响。方法对208例(52%)完成者和192例未完成者在12周后的采皮症状(SPS)、采皮相关自我效能感(SP-SE)和改变动机(SP-MtC)进行比较。结果完成者的SPS下降幅度更大(n = 208;M = 13.34;SD = 4.72)与未完成者(n = 192;M = 14.35;Sd = 4.94;评估后的Cohen’s d = - 0.39)。程序完成者的SP-SE显著增加(M = 31.72;SD = 6.50)与未完成者相比(M = 28.25;Sd = 6.30;评估后的Cohen’s d = 0.66)。两组的SP-MtC均显著下降，完成者在所有评估中的得分均较高(d前后= .06)。结论网络自助工具能有效减轻症状。没有完成该项目的参与者报告说，他们的治疗动机和治疗导向的自我效能感较低，这可能会减少他们寻求帮助的努力。治疗提供者需要考虑如何处理这些潜在的不良影响。

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来源期刊

Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.