认知行为治疗短信对情绪的影响:一个微型随机试验
Marvyn R Arévalo Avalos1, Jing Xu2, Caroline Astrid Figueroa1,3
1School of Social Welfare, University of California Berkeley, Berkeley, California, United States of America.
PLOS digital health
|February 21, 2024
概括
在疫情期间,StayWell at Home短信计划改善了成年人的情绪. 在下午3点至6点之间发送消息比早晨的消息更有效地提高了情绪.
科学领域:
- 数字健康数字健康
- 行为科学 行为科学
- 心理健康干预 心理健康干预
背景情况:
- COVID-19 流行病对成人心理健康产生了不利影响,增加了抑郁和焦虑症状.
- 使用认知行为疗法 (CBT) 原则进行的60天短信计划StayWell at Home干预措施是为了减轻这些影响而开发的.
- 以前的发现表明抑郁和焦虑症状减少,但对情绪和有效成分的影响仍然不清楚.
研究的目的:
- 检查短信内容 (应对策略:行为激活,其他应对技巧,社会支持) 和交付时间对情绪的影响.
- 了解疫情期间在多样化的成年人群中改善情绪的作用机制.
- 评估干预对自我报告的情绪评级的持续影响.
主要方法:
- 在两个独立的试验中利用微随机试验 (MRT) 设计,涉及569名成年人 (18岁以上).
- 参与者通过在线平台和社区机构招募,以确保多样化的代表性.
- 分析了与消息类型 (CBT告知策略) 和交付时间窗口 (上午9点至下午12点与下午3点至下午6点) 相关的情绪评级.
主要成果:
- 参与StayWell at Home计划显著改善并维持了自我报告的情绪评分.
- 根据传递的CBT信息信息内容类型,没有发现情绪改善的显著差异.
- 在下午3点至下午6点之间发送的消息显示,与在上午9点至下午12点之间发送的消息相比,情绪显著改善.
结论:
- 在疫情期间,StayWell在家干预有效地改善并维持了成年参与者的情绪.
- 消息定时,特别是下午窗口 (下午3点至下午6点),在情绪提升方面发挥了重要作用.
- 低负担,基于短信的干预措施显示出解决不同社区行为健康需求的希望.
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