农业社区焦虑和抑郁症的计算机认知行为疗法:混合方法可行性研究 参与者使用和接受度的研究
Harriet L Bowyer1, Ruth Pegler2, Christopher Williams3
1Department of Psychology, Glasgow Caledonian University, Glasgow, United Kingdom.
JMIR formative research
|June 19, 2023
概括
基于网络的认知行为疗法 (cCBT) 对农民心理健康有希望,减少焦虑,但面临招聘和保留挑战. 针对性支持和社区参与是未来干预的关键.
科学领域:
- 农业健康 农业健康
- 心理健康干预 心理健康干预
- 数字健康数字健康
背景情况:
- 与普通人群相比,农民的抑郁和自杀率更高.
- 农民寻求帮助的障碍需要可访问的心理健康解决方案.
- 计算机认知行为疗法 (cCBT) 对轻度至中度抑郁症有效,但在农业社区尚未研究.
研究的目的:
- 探索向农民提供量身定制的计算机化认知行为疗法 (cCBT) 课程的可行性.
- 评估cCBT在减少农民抑郁症状,焦虑和功能障碍方面的有效性.
- 确定农民寻求帮助和参与网络精神健康支持的障碍和促进者.
主要方法:
- 通过混合的在线和离线方法,招募了56名农民 (年龄≥18岁),他们有不同的抑郁症状.
- 提供了为期8周的cCBT课程,并提供自动化和个性化的电子邮件支持.
- 在基线和随访时测量了抑郁症 (PHQ-9),焦虑症 (GAD-7) 和社会功能 (WSAS);进行了定性访谈.
主要成果:
- 观察到73%的磨损率,27%的人完成了研究.
- 焦虑症状显著减少 (P=.02),但没有抑郁症或功能障碍.
- 大多数参与者发现cCBT课程有帮助,易于访问;确定工作量和耻辱是障碍.
结论:
- 基于网络的cCBT为农民提供了一种方便的心理健康支持选项,尽管仅通过电子邮件的支持可能会限制接受度.
- 招聘和留住农民带来了重大挑战,这表明需要制定定制策略.
- 参与农业组织和心理健康宣传活动可以提高参与度,减少耻辱感.
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