基于网络的自助干预措施对患有低值抑郁症的成年人预防的效果:一项随机临床试验
Claudia Buntrock1, David Daniel Ebert2, Dirk Lehr3
1Division of Online Health Training, Innovation Incubator, Leuphana University Lueneburg, Germany2Department of Clinical Psychology, EMGO+ Institute for Health and Care Research, VU University, Amsterdam, the Netherlands.
JAMA
|May 4, 2016
概括
在12个月的时间里,基于网络的指导自助干预措施显著降低了患有下值抑郁症的成年人患重度抑郁症 (MDD) 的发生率. 这种预防策略为治疗抑郁症提供了一种有前途的方法.
科学领域:
- 心理健康
- 临床心理学
- 数字健康
背景情况:
- 大型抑郁症 (MDD) 的治疗在改善功能和健康方面取得了有限的成功.
- 预防MDD正成为一个重要的公共卫生目标.
研究的目的:
- 评估基于网络的指导自助干预措施对预防MDD的有效性.
- 评估数字干预对有风险的个体出现重度抑郁症的影响.
主要方法:
- 这是一项两组随机临床试验,涉及406名抑郁症的成年人.
- 参与者接受了基于网络的指导自助干预 (认知行为和解决问题的治疗与在线支持) 或基于网络的心理教育计划.
- 主要结局是通过结构化临床访谈评估的12个月的MDD发病时间.
主要成果:
- 基于网络的自助干预组在12个月后显示MDD的发病率明显低 (27%) 与对照组相比 (41%).
- 考克斯回归分析显示危险率为0. 59 (95% CI,0. 42- 0. 82;P=. 002),表明患MDD的风险降低.
- 预防一个新的MDD病例所需的治疗人数为5. 9人.
结论:
- 基于网络的指导自助干预有效地减少了抑郁症患者的严重抑郁症发病率.
- 这种数字心理健康干预显示出预防MDD的潜力.
- 需要进一步的研究来探索在没有在线支持的情况下的概括性和有效性.
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