围产期抑郁和焦虑症状的超简短数字治疗的发展和初步评估

IF 4.1 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Madelyne A. Bisby , Noni Jervis , Alana Fisher , Amelia J. Scott , Nickolai Titov , Blake F. Dear
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引用次数: 0

摘要

围产期抑郁和焦虑的心理治疗无论是当面还是远程都是有效的。然而,新妈妈和准妈妈在接受心理保健方面面临相当大的障碍,特别是在持续的基础上或当面接生时。与现有的治疗方法相比,非常简短的数字治疗方法可以在这段时间内为女性提供支持。目前的研究报告了一种治疗师指导的数字超简短治疗围产期抑郁或焦虑的发展和初步评估。治疗包括一个在线课程,支持资源(例如,练习练习),以及与临床心理学家的可选咨询(电话或安全短信)。我们对有围产期抑郁或焦虑症状的妇女(N = 47)进行了单组试验,检查了可接受性、满意度和初步疗效。同时对有生活经验的妇女进行焦点小组调查(N = 9),并对治疗参与者进行半结构化反馈访谈(N = 7)。该治疗方法可行且具有较高的完成率(90%)和满意率(85%)。大多数参与者(61%)在没有治疗师指导的情况下完成了治疗。在基线后5周,参与者报告抑郁(d = 0.79)和焦虑(d = 0.44)显著减少,注意到样本报告轻度基线症状严重程度。确定了治疗内容、交付和外观的几个改进领域。该研究支持超简短的数字治疗作为一种可接受的、潜在有效的方法来支持有围产期抑郁或焦虑症状的妇女。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development and initial evaluation of an ultra-brief digital treatment for perinatal depression and anxiety symptoms
Psychological treatments for perinatal depression and anxiety are effective when delivered in-person or remotely. However, new and expectant mothers face considerable barriers to receiving mental health care, especially on an ongoing basis or when delivered in-person. Very brief digital treatments may be able to support women during this time using less time than existing treatments. The current study reports the development and initial evaluation of a therapist-guided digital ultra-brief treatment for perinatal depression or anxiety. The treatment included one online lesson, supporting resources (e.g., practice exercises), and an optional consultation (telephone or secure messaging) with a clinical psychologist. We examined acceptability, satisfaction, and preliminary efficacy in a single-group trial of women with perinatal depression or anxiety symptoms (N = 47). This was accompanied by focus groups of women with lived experience (N = 9) and semi-structured feedback interviews with treatment participants (N = 7). The treatment was feasible to deliver and associated with high completion (90 %) and satisfaction (85 %) rates. Most participants (61 %) completed the treatment without therapist guidance. At 5-weeks post-baseline, participants reported significant reductions in depression (d = 0.79) and anxiety (d = 0.44), noting that the sample reported mild baseline symptom severity. Several areas of improvement to treatment content, delivery, and look and feel were identified. The study supports ultra-brief digital treatments as an acceptable and potentially efficacious way to support women with perinatal depression or anxiety symptoms.
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来源期刊
CiteScore
6.50
自引率
9.30%
发文量
94
审稿时长
6 weeks
期刊介绍: Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions
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