一个以法语语言的基于Web的干预,针对丧亲和分居的人的长期悲伤症状:随机对照试验
Anik Debrot1, Liliane Efinger1, Maya Kheyar1
1Institute of Psychology, Faculty of Social and Political Sciences, University of Lausanne, Lausanne, Switzerland.
JMIR formative research
|October 16, 2024
概括
两个基于网络的干预措施 (WBI) 有效地减少了悲伤,抑郁和焦虑症状,丧失和分离的个人. 利维亚1和利维亚2.0都显示出类似的疗效,在6个月的随访后持续改善.
科学领域:
- 心理学 心理学 心理学
- 心理健康 心理健康
- 数字健康数字健康
背景情况:
- 丧亲和分居是极具压力的人生事件,影响健康.
- 大约15%的个人经历重大困难应对损失.
- 基于网络的干预措施 (WBI) 显示对长期悲伤的有效性,但验证的法国选择是有限的.
研究的目的:
- 为了比较两个WBI在长期悲伤症状方面的疗效和坚持.
- 评估遭受损失的个体的症状减缓和福祉.
- 评估LIVIA 2.0与已建立的LIVIA 1之间的有效性.
主要方法:
- 一项随机对照试验比较了长期悲伤的LIVIA 2.0和LIVIA 1.
- 参与者通过基于网络的问卷获得了按需的指导.
- 在基线,12周和24周测量的结果包括悲伤,抑郁,焦虑和幸福感.
主要成果:
- 两种WBI都显著减少了悲伤,抑郁症状,以及在治疗意图样本中的损失的中心性.
- 每项协议分析显示,额外显著减少了焦虑症状.
- 在LIVIA 2.0和LIVIA 1之间没有发现有效性的显著差异.
- 报告显示,高水平的项目满意度,在6个月的随访后持续改善.
结论:
- 这两种与悲伤相关的WBIs有效地减少了丧亲和分居的个人的症状.
- 与LIVIA 1相比,LIVIA 2.0中的创新并没有产生统计学上显著的结果差异.
- 有限的样本功率在解释结果时需要谨慎,因为只能检测到中等效应大小.
相关概念视频
01:17Bonanno's Theory of Grieving
68
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
Resilience
68
01:25Interpersonal Psychotherapy
22
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
22
02:34Empathy
9.6K
Some researchers suggest that altruism operates on empathy. Empathy is the capacity to understand another person’s perspective, to feel what he or she feels. An empathetic person makes an emotional connection with others and feels compelled to help (Batson, 1991). Empathy can be expressed in several ways, including cognitive, affective, and motor.
9.6K
01:26Group Therapy
26
Group therapy is a sociocultural approach to psychological treatment, where individuals with shared psychological challenges come together under the guidance of a mental health professional. This therapeutic modality offers unique opportunities for individuals to connect, share, and grow within the context of a supportive group. By fostering mutual understanding and collaboration, group therapy can address a range of psychological concerns effectively, often complementing or surpassing the...
26
01:21Kubler Ross's Stages of Dying
61
Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
61
01:28Self-Help Support Groups
27
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
27