简短的视频干预增加治疗寻求意图的精神病症状的年轻成年人:一个随机对照试验
Chana T Fisch1, Amit Lazarov2, Roberto Lewis-Fernández1,3
1New York State Psychiatric Institute and Department of Psychiatry, New York, New York.
The Journal of clinical psychiatry
|October 29, 2025
概括
一个简短的视频干预有效地增加了在COVID-19大流行期间基本工作者的心理健康治疗寻求意图. 那些没有先前接受心理健康护理的人表现出最大的改善,突出了干预的影响力.
科学领域:
- 心理健康 心理健康
- 公共卫生干预措施 公共卫生干预措施
- 精神病学是一种精神病学.
背景情况:
- 在COVID-19大流行期间,基本工作人员面临着重大的心理健康挑战,包括焦虑,抑郁和PTSD.
- 自我耻辱和缺乏先前的治疗参与可能是寻求专业心理帮助的障碍.
- 基于社交接触的简短视频干预已经显示出减少自我耻辱和鼓励治疗启动的希望.
研究的目的:
- 评估基于社交接触的简短视频干预在增加报告焦虑,抑郁或创伤后应激障碍症状的基本工作者中寻求治疗意向方面的有效性.
- 为了比较干预措施对治疗寻求意图的影响,在有或没有先前心理健康诊断或治疗的基本工作者之间进行治疗.
- 检查视频干预的情感参与与治疗寻求意图的变化之间的关系.
主要方法:
- 一项随机对照试验涉及1309名基本工作者,他们自我报告了焦虑,抑郁或PTSD症状的门水平.
- 参与者被分配观看基于社交接触的简短视频干预或控制视频.
- 寻求治疗的意图在基线,干预后立即和干预后30天被评估,使用经过验证的天平.
主要成果:
- 与对照组相比,干预组在寻求治疗的意图中显示出统计学上显著的立即增加 (P = .006,科恩的d = 0.22).
- 在没有先前精神病诊断或治疗经验的基本工作者中,干预组内寻求治疗意图的增加显著增加 (P < .001).
- 对视频干预的更高情绪参与度与寻求治疗意向的更大增加相关 (P < .001).
结论:
- 简短的视频干预有效地增加了心理健康治疗寻求意向的重要工作者,他们经历了严重的心理痛苦.
- 这项干预措施对以前没有心理健康护理史的人来说特别有前途,这表明它可以有效地接触到服务不足的人群.
- 易于传播的视频干预可以成为改善心理健康护理获取和参与的宝贵工具,特别是在公共卫生危机期间.
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