在香港寻求帮助的年轻人中治疗精神困扰的低强度在线干预:随机临床试验
Yi Nam Suen1, Christy Lai Ming Hui2, Lauren Ka Shun Lei2
1School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
JAMA network open
|January 15, 2025
概括
香港青少年心理健康的低强度在线干预并没有显著减少抑郁或焦虑. 然而,它在降低压力和消极情绪方面表现有希望,提供了一个潜在的可扩展解决方案.
科学领域:
- 数字心理健康干预数字心理健康干预
- 青少年心理学 青少年心理学
- 临床试验中的临床试验.
背景情况:
- 年轻人面临着越来越多的心理健康挑战.
- 传统干预措施存在诸如人力短缺和低完成率等局限性.
- 在线干预为改善可访问性提供了一个潜在的解决方案.
研究的目的:
- 评估低强度在线干预对香港年轻人中度至重度精神困扰的有效性.
- 评估心理困扰,抑郁,焦虑,压力,负面情绪,弹性和生活质量的变化.
主要方法:
- 一项随机临床试验,涉及120名年龄在12-30岁的参与者在香港.
- 参与者被随机分配到为期4周的低强度在线干预或等候名单对照组,接受自我帮助提示.
- 测量结果包括凯斯勒心理痛苦量表和抑郁,焦虑和压力量表.
主要成果:
- 在线干预组与等候名单组相比,总体压力 (P=.02) 和负面情绪 (P=.03) 在统计学上显著降低.
- 在干预组 (P=.01) 中也观察到恢复能力的改善.
- 在抑郁症,焦虑或整体心理痛苦的初级结果中没有发现显著差异.
结论:
- 虽然没有显著改善原发性心理健康症状,但低强度的在线干预显示出减少青少年普遍压力和负面情绪的潜力.
- 这种干预可能是一个可扩展的选择,以解决年轻人的心理健康需求.
- 由于一些数据限制和需要确定的证据,需要进行进一步的研究.
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