一个个性化的,跨诊断的智能手机干预 (Mello) 针对抑郁和焦虑的年轻人的反复消极思维:试点随机对照试验
Imogen Bell1,2, Chelsea Arnold1,2, Tamsyn Gilbertson1,2
1Orygen, Melbourne, Australia.
Journal of medical Internet research
|December 13, 2023
概括
智能手机的干预有效地减少了重复的负面思维 (RNT),抑郁和焦虑在年轻人. 这种基于技术的方法显示了可扩展的心理健康治疗的前景.
科学领域:
- 数字心理健康数字心理健康
- 临床心理学 临床心理学
- 青少年精神病学 青少年精神病学
背景情况:
- 重复的负面思维 (RNT) 是抑郁和焦虑的核心机制.
- 基于智能手机的即时自适应干预 (JITAI) 提供实时RNT中断.
- 个性化数字干预可以有效地针对RNT.
研究的目的:
- 评估智能手机干预 (Mello) 对青少年RNT的可行性和可接受性.
- 评估初步的临床结果和Mello的潜在机制.
- 确定梅洛作为治疗抑郁症和焦虑症的跨诊断干预措施的潜力.
主要方法:
- 试点随机对照试验,55名参与者 (患有抑郁症,焦虑症,RNT的年轻人).
- 干预组接受了Mello;对照组接受了非活性干预.
- 在基线,3周和6周通过Zoom进行的评估.
主要成果:
- 高招聘率 (86%) 和保留率 (95%) 证明了可行性和可接受性.
- 对于Mello用户来说,抑郁症 (科恩d=0.50),焦虑症 (科恩d=0.61) 和RNT (科恩d=0.87) 的显著减少.
- 调解分析证实RNT变化导致抑郁和焦虑的改善.
结论:
- 梅洛是一个可行的和可接受的智能手机干预青年RNT,抑郁和焦虑.
- 机械化,有针对性的数字干预表明了可扩展的青少年心理健康治疗的潜力.
- 基于技术的解决方案可以促进青少年精神疾病的治疗.
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