对焦虑和抑郁症的成年人进行自我指导的跨诊断干预的有效性:随机对照试验
Walter Staiano1,2, Christine E Callahan3, Michelle Davis3
1Department of Physical Education and Sport, University of Valencia, Valencia, Spain.
JMIR mHealth and uHealth
|October 23, 2025
概括
头部空间数字程序显著减少了成年人的焦虑和抑郁症状. 这种基于证据的干预措施在随访时显示出持续的益处,为心理健康护理提供了可扩展的解决方案.
科学领域:
- 数字心理健康数字心理健康
- 临床心理学 临床心理学
- 随机对照试验是随机对照试验.
背景情况:
- 焦虑和抑郁障碍影响全球数以百万计的人,他们获得CBT等治疗方法的机会有限.
- 数字干预可以改善获得心理健康支持的机会.
- 随机试验证据对于临床采用数字心理健康工具至关重要.
研究的目的:
- 评估头部空间焦虑和抑郁计划在减少焦虑和抑郁的有效性.
- 将数字干预与等候名单对照组进行比较.
- 评估二次结果,包括睡眠,压力,正念和幸福感.
主要方法:
- 一个远程的,双臂平行组RCT,有168名参与者 (GAD-7≥10或PHQ-8≥10).
- 参与者被随机分配到Headspace计划 (每天21次会议) 或等候名单对照.
- 在基线,干预后和3周后期使用治疗意向分析评估的初级和二级结局.
主要成果:
- 高保留率 (91.7%) 和坚持 (82.1%) 没有严重的不良事件.
- 在Headspace组 (P<.001) 中,焦虑 (GAD-7: 34.5%) 和抑郁 (PHQ-8: 33.9%) 的显著减少 (P<.001).
- 在Headspace组中,更高的缓解率 (21.4%与8.3%) 和响应率 (27.3%与2.3%);睡眠,压力,正念和幸福感的显著改善.
结论:
- 头部空间计划在减少焦虑和抑郁症状方面是有效的,与已知的治疗方法相美.
- 观察到的好处在3周的随访中持续存在.
- 支持使用基于证据的数字干预来解决心理健康护理差距.
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