Dowrick Christopher, Billington Josie, Robinson Jude, Hamer Andrew, Williams Clare
Department of Mental Health and Behavioural Sciences, University of Liverpool, Liverpool, UK.
Med Humanit. 2012 Jun;38(1):15-20. doi: 10.1136/medhum-2011-010083. Epub 2012 Feb 18.
There is increasing evidence for the efficacy of non-medical strategies to improve mental health and well-being. Get into Reading is a shared reading intervention which has demonstrable acceptability and feasibility. This paper explores potential catalysts for change resulting from Get into Reading. Two weekly reading groups ran for 12 months, in a GP surgery and a mental health drop-in centre, for people with a GP diagnosis of depression and a validated severity measure. Data collection included quantitative measures at the outset and end of the study, digital recording of sessions, observation and reflective diaries. Qualitative data were analysed thematically and critically compared with digital recordings. The evidence suggested a reduction in depressive symptoms for Get into Reading group participants. Three potential catalysts for change were identified: literary form and content, including the balance between prose and poetry; group facilitation, including social awareness and communicative skills; and group processes, including reflective and syntactic mirroring. This study has generated hypotheses about potential change processes of Get into Reading groups. Evidence of clinical efficacy was limited by small sample size, participant attrition and lack of controls. The focus on depression limited the generalisability of findings to other clinical groups or in non-clinical settings. Further research is needed, including assessment of the social and economic impact and substantial trials of the clinical effectiveness and cost-effectiveness of this intervention.
越来越多的证据表明非医学策略在改善心理健康和幸福感方面具有有效性。“爱上阅读”是一项共享阅读干预活动，已证明具有可接受性和可行性。本文探讨了“爱上阅读”带来改变的潜在催化剂。两个每周一次的阅读小组在一家全科医生诊所和一个心理健康咨询中心开展了为期12个月的活动，参与者为被全科医生诊断为患有抑郁症且有经过验证的严重程度测量指标的人群。数据收集包括研究开始和结束时的定量测量、活动的数字记录、观察和反思日记。定性数据进行了主题分析，并与数字记录进行了批判性比较。证据表明“爱上阅读”小组的参与者抑郁症状有所减轻。确定了三个潜在的改变催化剂：文学形式和内容，包括散文和诗歌之间的平衡；小组引导，包括社会意识和沟通技巧；以及小组过程，包括反思和句法镜像。本研究提出了关于“爱上阅读”小组潜在改变过程的假设。临床疗效的证据受到样本量小、参与者流失和缺乏对照的限制。对抑郁症的关注限制了研究结果对其他临床群体或非临床环境的普遍性。需要进一步的研究，包括评估社会和经济影响以及对该干预措施的临床有效性和成本效益进行大规模试验。
