Choi Isabella, Sharpe Louise, Li Stephen, Hunt Caroline
School of Psychology, Brennan MacCallum Building (A18), The University of Sydney, Sydney, NSW, 2006, Australia,
Soc Psychiatry Psychiatr Epidemiol. 2015 Jan;50(1):77-87. doi: 10.1007/s00127-014-0921-1. Epub 2014 Jul 4.
Internet treatments have the potential to improve access, especially for cultural groups who face considerable treatment barriers. This study explored the perceived barriers and likelihood of using Internet and face-to-face treatments for depression among Chinese and Caucasian Australian participants.
Three-hundred ninety-five (289 Chinese, 106 Caucasian) primary care patients completed a questionnaire about depression history, previous help-seeking, perceived barriers to Internet and face-to-face treatment, and likelihood of using either treatment for depressive symptoms.
Internet treatment reduced perceived barriers (including stigma, lack of motivation, concerns of bringing up upsetting feelings, time constraints, transport difficulties, and cost) for both groups to a similar degree, except for time constraints. There were heightened concerns about the helpfulness, suitability, and confidentiality of Internet treatments. Chinese participants and individuals with a probable depression history reported increased perceived barriers across treatments. Both Chinese and Caucasian groups preferred face-to-face treatment across depression severity. However, when age was controlled, there were no significant concerns about Internet treatment, and face-to-face treatment was only preferred for severe depression. Only 12 % of the entire sample refused to try Internet treatment for depression. Endorsement of perceived Internet treatment barriers (including concerns of bringing up upsetting feelings, that treatment would be unhelpful or unsuitable, lack of motivation, cost, cultural sensitivity, and confidentiality) reduced the likelihood to try Internet treatments.
Internet treatment reduced perceived treatment barriers across groups, with encouraging support for Internet treatment as an acceptable form of receiving help. Negative concerns about Internet treatment need to be addressed to encourage use.
网络治疗有可能改善治疗的可及性，尤其是对于面临重大治疗障碍的文化群体。本研究探讨了华裔澳大利亚人和高加索裔澳大利亚参与者在使用网络治疗和面对面治疗来治疗抑郁症方面所感知到的障碍以及可能性。
395名（289名华裔、106名高加索裔）初级保健患者完成了一份问卷，内容涉及抑郁病史、既往寻求帮助的经历、网络治疗和面对面治疗的感知障碍以及使用其中任何一种治疗方法治疗抑郁症状的可能性。
网络治疗在相似程度上降低了两组人群对障碍的感知（包括耻辱感、缺乏动机、担心引发不良情绪、时间限制、交通困难和费用），但时间限制除外。人们对网络治疗的有效性、适用性和保密性更为担忧。华裔参与者以及有抑郁症病史的个体报告称，在各种治疗方式中，他们感知到的障碍有所增加。华裔和高加索裔群体在各个抑郁严重程度级别上都更倾向于面对面治疗。然而，在控制年龄因素后，对网络治疗没有显著担忧，只有在重度抑郁时才更倾向于面对面治疗。整个样本中只有12%的人拒绝尝试网络治疗抑郁症。认可对网络治疗障碍的感知（包括担心引发不良情绪、治疗无效或不适用、缺乏动机、费用、文化敏感性和保密性）会降低尝试网络治疗的可能性。
网络治疗降低了各群体对治疗障碍的感知，令人鼓舞的是，网络治疗作为一种可接受的求助形式得到了支持。需要解决对网络治疗的负面担忧，以鼓励人们使用。
