在使用智能手机应用程序的工人中选择性预防抑郁症:随机对照试验
Mark Deady1, Daniel A J Collins1, Isobel Lavender1
1Black Dog Institute, Faculty of Medicine and Health, University of New South Wales, Randwick, Australia.
Journal of medical Internet research
|August 24, 2023
概括
一个智能手机应用程序在减轻压力工作者的抑郁和焦虑症状方面表现有希望. 对应用程序的高度参与导致了显著的抑郁症预防和改善幸福感.
科学领域:
- 心理健康 心理健康
- 数字健康数字健康
- 职业健康 职业健康 职业健康
背景情况:
- 抑郁症是可以预防的,但普遍的干预措施取得了有限的成功.
- 工作场所的压力是抑郁症的重要危险因素.
- 针对有风险的个体进行干预至关重要,但具有挑战性.
研究的目的:
- 为了评估基于智能手机的干预措施 (Anchored) 以预防压力工作者的抑郁症.
- 评估干预对抑郁症状,焦虑,压力和工作表现的影响.
主要方法:
- 一项随机对照试验,涉及2084名有工作的成年人中等压力.
- 干预组接受了为期30天的基于应用程序的认知行为和正念干预 (Anchored).
- 对照组接受了心理教育网站;结果在基线和1,3,6个月评估.
主要成果:
- 两组之间整体抑郁症发病率没有显著差异 (治疗意图).
- 固定用户显示,抑郁症状和焦虑症的减少更大,工作表现改善.
- 高度参与的用户 (≥2/3完成) 显著降低了抑郁症发病率 (1.1%与9.0%相比),并改善了二次结果.
结论:
- 智能手机干预 (Anchored) 显示出减轻症状和功能改善的潜力,特别是在高用户参与度的情况下.
- 在整体治疗意图分析中,未能实现病例级抑郁症的选择性预防.
- 未来的研究应该专注于加强用户参与数字心理健康干预措施.
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