一个在线自我引导的认知干预,针对新父母对伤害婴儿的不必要的侵入性想法:初步随机对照试验与调解分析
Klara Olofsdotter Lauri1, Kristina Aspvall2,3, David Mataix-Cols2,3
1Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Cognitive behaviour therapy
|July 3, 2023
概括
一项新的在线认知干预措施显著减少了新父母对不必要的侵入性思想 (UITs) 的痛苦. 这些改善在随访时得到维持,显示了干预的作用.
科学领域:
- 心理学 心理学 心理学
- 心理健康 心理健康
- 数字治疗学数字治疗学
背景情况:
- 大约20%的新父母会遇到不必要的侵入性想法 (UITs),即伤害孩子.
- 这些想法可能会在产后期间造成严重的痛苦和损伤.
- 现有的干预措施可能不适合或不适合所有新父母.
研究的目的:
- 评估一种新的在线自我引导认知干预的初始有效性,可行性和可接受性.
- 评估干预对经历痛苦UIT的新父母的影响.
- 确定负面评估是否调解了UITs的减少.
主要方法:
- 一项随机对照试验,涉及43名新父母 (0-3岁儿童) 每天痛苦的UITs.
- 参与者被随机分配到为期8周的在线自我指导认知干预或等候名单对照组.
- 测量结果包括家长思想和行为检查清单 (PTBC) 和基线,每周,干预后和1个月后续的负面评估.
主要成果:
- 干预组在干预后 (d=0.99) 显示了与UIT相关的痛苦和损伤的统计显著减少.
- 这些降低在1个月的随访期间 (d=0.90) 保持不变.
- 发现干预是可行的,对参与者来说是可以接受的;负面评价部分介导了影响.
结论:
- 这种新的在线自我指导认知干预措施显示了减少新父母与UIT相关的痛苦和损伤的潜力.
- 该干预是可行的和可接受的,提供了一个有前途的数字心理健康解决方案.
- 需要进一步的大规模试验来证实这些发现,并探索更广泛的实施.
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