自主引导正念教练的临床益处 创伤后应激障碍的退伍军人使用移动应用程序:试点随机对照试验
Joseph Wielgosz1, Robyn D Walser1, Eric Kuhn1
1Dissemination and Training Division, VA National Center for PTSD.
Psychological trauma : theory, research, practice and policy
|August 27, 2024
概括
一个针对创伤后应激障碍 (PTSD) 的移动应用程序显示,对退伍军人有好处. 正念教练 (MC) 减少了创伤后应激障碍和抑郁症症状,尽管参与度因人口群体而异.
科学领域:
- 心理健康 心理健康
- 数字健康数字健康
- 临床心理学 临床心理学
背景情况:
- 正念训练有效治疗创伤后应激障碍 (PTSD),但面临着可访问性挑战.
- 自动引导的移动应用程序提供了一个潜在的解决方案,以改善获得PTSD干预的机会.
- 对于患有PTSD的退伍军人来说,移动应用程序的可接受性,可行性和好处仍然是未确定的.
研究的目的:
- 评估创伤信息移动应用程序,正念教练 (MC) 的可接受性,可行性和临床益处,用于患有PTSD的美国退伍军人.
- 进行一项试点随机试验,将自我引导的MC使用与等候名单控制 (WLC) 的比较.
主要方法:
- 173名被诊断患有PTSD的美国退伍军人被随机分配到MC应用程序或WLC组进行了为期8周的试验.
- 评估的临床结果包括PTSD症状,抑郁症状和心理社会功能.
- 收集了应用程序的采用,使用数据和可用性等级,以衡量应用程序的接受度和可行性.
主要成果:
- 尽管消耗率很高 (68.4%),但分析表明,由于缺少数据,没有偏差.
- 与WLC相比,使用MC的研究完成者在减少PTSD症状 (d = -0.69) 和抑郁症 (d = -0.52) 中显示了中等效果大小.
- 更高的应用程序使用与更大的症状减少相关;然而,女性和少数群体的参与度较低. 可用性和帮助性得到了有利的评价.
结论:
- 正念教练 (MC) 应用程序展示了跨诊断的临床益处,表明它作为患有PTSD的退伍军人公共卫生资源的潜力.
- 需要进一步的研究来证实这些发现,并解决各种退伍军人亚群中应用程序参与度的差异.
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