基于互联网的自我指导程序在巴西用户样本中治疗抑郁症的有效性:随机对照试验
Rodrigo T Lopes1, Gustavo Chapetta da Rocha2, Maria Adriana Svacina2
1University of Bern, Bern, Switzerland.
JMIR formative research
|August 17, 2023
概括
基于互联网的认知行为治疗计划Deprexis有效地减少了巴西成年人的抑郁症状,并提高了自我效能. 这种数字干预提供了一个可扩展的解决方案,用于在服务不足的人群中获得心理健康护理.
科学领域:
- 临床心理学 临床心理学
- 数字健康干预措施 数字健康干预措施
- 心理健康服务研究 心理健康服务研究
背景情况:
- 抑郁症是一种普遍的疾病,在巴西经常受到治疗,特别是在文盲率低和社会不平等的情况下.
- 使用认知行为疗法的基于互联网的程序Deprexis在德语国家和美国已经证明了它的有效性.
- 关于这种数字干预在不同人群中的有效性及其对自我效能等心理因素的影响的研究有限.
研究的目的:
- 在巴西使用者中复制Deprexis在减少抑郁症状方面的疗效.
- 评估Deprexis对巴西队列一般心理状态和感知自我效能的影响.
- 在中度至重度抑郁症患者中,比较Deprexis即时接入与延迟接入的结果.
主要方法:
- 一项随机对照试验,涉及189名中度至重度抑郁症的参与者,在线招募.
- 参与者被分配到90天的Deprexis即时接入或延迟接入 (8周后).
- 抑郁症状,心理状态和自我有效性被评估使用验证的措施 (PHQ-9, CORE-OM).
主要成果:
- 与对照组相比,立即服用Deprexis的组显示出抑郁症状 (PHQ-9,Cohen d=0.80) 和心理状态 (CORE-OM,Cohen d=0.82) 的明显改善.
- 在干预组中,感知到的自我有效性也显著改善 (科恩d=0.63).
- 德普雷克西斯组的缓解率 (21%) 与对照组 (7%) 相比较高,恶化率较低.
结论:
- 德普雷克西斯在3个月的时间内有效促进巴西抑郁症患者的症状改善.
- 这些发现支持扩大基于互联网的心理健康干预措施,特别是在获得护理的机会有限的地区.
- 这项研究扩展了先前的研究,通过证明Deprexis对感知到的自我有效性的积极影响.
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