针对重度抑郁症患者或缓解期青少年的基于网络的积极心理学干预措施

IF 0.8 4区 心理学 Q4 PSYCHOLOGY, DEVELOPMENTAL
Sara Kaubisch, Maria Kloek, Regine Primbs, Lucia Iglhaut, C. Piechaczek, Pia-Marie Keim, L. Feldmann, Gerd Schulte-Körne, E. Greimel
{"title":"针对重度抑郁症患者或缓解期青少年的基于网络的积极心理学干预措施","authors":"Sara Kaubisch, Maria Kloek, Regine Primbs, Lucia Iglhaut, C. Piechaczek, Pia-Marie Keim, L. Feldmann, Gerd Schulte-Körne, E. Greimel","doi":"10.1026/0942-5403/a000426","DOIUrl":null,"url":null,"abstract":"Abstract: Theoretical Background: Youth with major depressive disorder often do not receive appropriate treatment. Furthermore, evidence-based, highly acceptable, and easily accessible information about depression and its treatment along with services as a complementary strategy to professional treatment is needed for young people seeking help for depression. In autumn 2021, we launched the website www.ich-bin-alles.de. Besides evidence-based information about depression, the website provides self-help exercises based on principles of positive psychology, which might attract young people and can be easily implemented in daily life as a hands-on support. Objective: This randomized controlled trial (preregistered at ClinicalTrials.gov: NCT04994470) examined the efficacy of this positive psychology intervention (PPI) to improve affect- and stress-related outcomes in adolescents with a history of major depressive disorder and assessed its acceptability and adherence aspects. Methods: Data from 77 youth with current or remitted major depressive disorder (who were undergoing or had undergone psychiatric and/or psychotherapeutic treatment) aged 12 – 18 years were analyzed. Participants were randomized to receive either 14 daily web-based self-help exercises based on positive psychology in the experimental group or a web-based sham intervention in the control group. Self-report inventories were applied to assess changes in affect- and stress-related outcome measures as well as the acceptability of and adherence to the intervention. Results: No differential effects of the experimental intervention on affect- and stress-related outcomes were revealed. More than 78 % of the participants in the experimental group reported that they would recommend the self-help exercises of the PPI to other youth and the overall acceptance of the PPI exercises was good. Moreover, 75 % of the participants in the experimental group reported that they carried out the PPI self-help exercises. Discussion and Conclusion: The results have important implications for future approaches that aim to implement web-based self-help exercises based on positive psychology for adolescents with depression, for which we found good adherence and acceptance. In future studies, it would be important to investigate whether a more intensive PPI might also specifically improve affect- and stress-related outcomes and be a promising way to augment the efficacy of traditional therapy approaches in adolescents affected by major depressive disorder.","PeriodicalId":51859,"journal":{"name":"Kindheit Und Entwicklung","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Web-Based Positive Psychology Intervention for Adolescents With Current or Remitted Major Depressive Disorder\",\"authors\":\"Sara Kaubisch, Maria Kloek, Regine Primbs, Lucia Iglhaut, C. Piechaczek, Pia-Marie Keim, L. Feldmann, Gerd Schulte-Körne, E. Greimel\",\"doi\":\"10.1026/0942-5403/a000426\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Abstract: Theoretical Background: Youth with major depressive disorder often do not receive appropriate treatment. Furthermore, evidence-based, highly acceptable, and easily accessible information about depression and its treatment along with services as a complementary strategy to professional treatment is needed for young people seeking help for depression. In autumn 2021, we launched the website www.ich-bin-alles.de. Besides evidence-based information about depression, the website provides self-help exercises based on principles of positive psychology, which might attract young people and can be easily implemented in daily life as a hands-on support. Objective: This randomized controlled trial (preregistered at ClinicalTrials.gov: NCT04994470) examined the efficacy of this positive psychology intervention (PPI) to improve affect- and stress-related outcomes in adolescents with a history of major depressive disorder and assessed its acceptability and adherence aspects. Methods: Data from 77 youth with current or remitted major depressive disorder (who were undergoing or had undergone psychiatric and/or psychotherapeutic treatment) aged 12 – 18 years were analyzed. Participants were randomized to receive either 14 daily web-based self-help exercises based on positive psychology in the experimental group or a web-based sham intervention in the control group. Self-report inventories were applied to assess changes in affect- and stress-related outcome measures as well as the acceptability of and adherence to the intervention. Results: No differential effects of the experimental intervention on affect- and stress-related outcomes were revealed. More than 78 % of the participants in the experimental group reported that they would recommend the self-help exercises of the PPI to other youth and the overall acceptance of the PPI exercises was good. Moreover, 75 % of the participants in the experimental group reported that they carried out the PPI self-help exercises. Discussion and Conclusion: The results have important implications for future approaches that aim to implement web-based self-help exercises based on positive psychology for adolescents with depression, for which we found good adherence and acceptance. In future studies, it would be important to investigate whether a more intensive PPI might also specifically improve affect- and stress-related outcomes and be a promising way to augment the efficacy of traditional therapy approaches in adolescents affected by major depressive disorder.\",\"PeriodicalId\":51859,\"journal\":{\"name\":\"Kindheit Und Entwicklung\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2023-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Kindheit Und Entwicklung\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1026/0942-5403/a000426\",\"RegionNum\":4,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PSYCHOLOGY, DEVELOPMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Kindheit Und Entwicklung","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1026/0942-5403/a000426","RegionNum":4,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PSYCHOLOGY, DEVELOPMENTAL","Score":null,"Total":0}
引用次数: 0

摘要

摘要:理论背景:患有重度抑郁症的青少年往往得不到适当的治疗。此外,还需要为寻求抑郁症帮助的青少年提供以证据为基础的、可接受性高的、易于获取的有关抑郁症及其治疗的信息,以及作为专业治疗补充策略的服务。2021 年秋,我们推出了网站 www.ich-bin-alles.de。除了有关抑郁症的循证信息外,该网站还提供基于积极心理学原则的自助练习,这些练习可能会吸引年轻人,并可在日常生活中轻松实施,作为一种实践支持。试验目的本随机对照试验(已在 ClinicalTrials.gov 上预先注册:NCT04994470)研究了积极心理学干预(PPI)在改善有重度抑郁症病史的青少年的情感和压力相关结果方面的疗效,并评估了其可接受性和坚持性。研究方法分析了 77 名患有重度抑郁障碍(正在接受或已经接受精神和/或心理治疗)的 12 - 18 岁青少年的数据。参与者被随机分为实验组和对照组,实验组接受每天 14 次基于积极心理学的网络自助练习,对照组接受基于网络的假干预。采用自我报告清单来评估与情感和压力相关的结果测量的变化,以及干预的可接受性和坚持性。结果显示实验干预对情绪和压力相关结果的影响没有差异。超过 78% 的实验组参与者表示,他们会向其他青少年推荐 PPI 的自助练习,对 PPI 练习的总体接受度良好。此外,75% 的实验组参与者表示他们进行了 PPI 自助练习。讨论与结论:我们发现,青少年对基于积极心理学的网络自助练习的坚持度和接受度都很高。在今后的研究中,重要的是要调查强度更大的积极心理学练习是否也能特别改善情感和压力相关的结果,并成为增强重度抑郁症青少年传统治疗方法疗效的一种有前途的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Web-Based Positive Psychology Intervention for Adolescents With Current or Remitted Major Depressive Disorder
Abstract: Theoretical Background: Youth with major depressive disorder often do not receive appropriate treatment. Furthermore, evidence-based, highly acceptable, and easily accessible information about depression and its treatment along with services as a complementary strategy to professional treatment is needed for young people seeking help for depression. In autumn 2021, we launched the website www.ich-bin-alles.de. Besides evidence-based information about depression, the website provides self-help exercises based on principles of positive psychology, which might attract young people and can be easily implemented in daily life as a hands-on support. Objective: This randomized controlled trial (preregistered at ClinicalTrials.gov: NCT04994470) examined the efficacy of this positive psychology intervention (PPI) to improve affect- and stress-related outcomes in adolescents with a history of major depressive disorder and assessed its acceptability and adherence aspects. Methods: Data from 77 youth with current or remitted major depressive disorder (who were undergoing or had undergone psychiatric and/or psychotherapeutic treatment) aged 12 – 18 years were analyzed. Participants were randomized to receive either 14 daily web-based self-help exercises based on positive psychology in the experimental group or a web-based sham intervention in the control group. Self-report inventories were applied to assess changes in affect- and stress-related outcome measures as well as the acceptability of and adherence to the intervention. Results: No differential effects of the experimental intervention on affect- and stress-related outcomes were revealed. More than 78 % of the participants in the experimental group reported that they would recommend the self-help exercises of the PPI to other youth and the overall acceptance of the PPI exercises was good. Moreover, 75 % of the participants in the experimental group reported that they carried out the PPI self-help exercises. Discussion and Conclusion: The results have important implications for future approaches that aim to implement web-based self-help exercises based on positive psychology for adolescents with depression, for which we found good adherence and acceptance. In future studies, it would be important to investigate whether a more intensive PPI might also specifically improve affect- and stress-related outcomes and be a promising way to augment the efficacy of traditional therapy approaches in adolescents affected by major depressive disorder.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Kindheit Und Entwicklung
Kindheit Und Entwicklung PSYCHOLOGY, DEVELOPMENTAL-
自引率
16.70%
发文量
29
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信