基于网络的应对技巧培训和教练支持,为与伴侣生活的妇女与酒精使用障碍:随机对照试验
Robert G Rychtarik1, Brian G Danaher2, Neil B McGillicuddy3
1Department of Psychiatry and Clinical and Research Institute on Addictions, University at Buffalo, The State University of New York, Buffalo, NY, United States.
Journal of medical Internet research
|August 29, 2024
概括
与酒精使用障碍 (AUD) 患者合作的女性使用基于网络的Stop Spinning My Wheels (SSMW) 程序减少了抑郁和愤怒. 与通常的网络护理相比,SSMW计划,有或没有指导,改善了抑郁症状的缓解率.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 与酒精使用障碍 (AUD) 患者合作的个人经历了显著的痛苦和增加了医疗保健利用率.
- 现有的治疗方法通常集中在患有AUD的个体上,为寻求支持的伴侣创造障碍.
- 一个自我指导的,基于网络的应对技巧计划,停止旋转我的轮子 (SSMW),显示了这个服务不足的人群的希望.
研究的目的:
- 评估SSMW计划在与AUD患者合作的女性中减少负面影响 (抑郁和愤怒) 的有效性.
- 为了比较SSMW与通常的网络护理 (UWC) 控制组.
- 评估简短的电话辅导 (SSMW+coach) 与单独的SSMW的影响.
主要方法:
- 女性 (N=456) 被随机分配到只有SSMW,SSMW+教练或UWC.
- 抑郁和愤怒在基线,12周后测试以及6个月和12个月的随访时被评估.
- 基线负面影响被检查为治疗效果的调节者.
主要成果:
- 所有组都显示了抑郁症的减少;SSMW组也减少了愤怒,与UWC组不同.
- 与UWC相比,SSMW+coach在测试后显著减少了抑郁症 (P<.001).
- SSMW+教练表现出更高的参与度和满意度;与UWC相比,这两种SSMW条件都显示出更高的抑郁症状缓解率.
结论:
- 辅导或不辅导的SSMW计划有效地减少了AUD患者的伴侣在临床上有意义的痛苦.
- 虽然UWC显示了一些积极的变化,但SSMW条件在抑郁症状缓解方面优越.
- 对于这一群体来说,SSMW提供了可用的治疗选择的宝贵补充,SSMW+coach显示了增强的参与度.
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