Kelman Alex R, Stanley Meagan L, Barrera Alinne Z, Cree Michelle, Heineberg Yotam, Gilbert Paul
Palo Alto University, Palo Alto, CA, United States.
JMIR Res Protoc. 2016 Apr 15;5(2):e65. doi: 10.2196/resprot.5332.
Depression that occurs during the perinatal period has substantial costs for both the mother and her baby. Since in-person care often falls short of meeting the global need of perinatal women, Internet interventions may function as an alternate to help women who currently lack adequate access to face-to-face psychological resources. However, at present there are insufficient empirically supported Internet-based resources for perinatal women.
The aim of this study is to compare the relative efficacy of Internet-based cognitive behavioral therapy (CBT) to a novel Internet-based compassionate mind training approach (CMT) across measures of affect, self-reassurance, self-criticizing, self-attacking, self-compassion, depression, and anxiety. While CBT has been tested and has some support as an Internet tool for perinatal women, this is the first trial to look at CMT for perinatal women over the Internet.
Participants were recruited through Amazon Mechanical Turk (MTurk) and professional networks. Following completion of demographic items, participants were randomly assigned to either the CBT or CMT condition. Each condition consisted of 45-minute interactive didactic and follow-up exercises to be completed over the course of two weeks.
Post course data was gathered at two weeks. A 2x2 repeated measures analysis of variance will be conducted to analyze differences between conditions at post course.
The implications of the trial will be discussed as well as the strengths and limitations of MTurk as a tool for recruitment. We will also briefly introduce the future directions along this same line of research.
ClinicalTrials.gov NCT02469324; https://clinicaltrials.gov/ct2/show/NCT02469324 (Archived by WebCite at http://www.webcitation.org/6fkSG3yuW).
围产期发生的抑郁症对母亲及其婴儿都会造成巨大代价。由于面对面护理往往无法满足全球围产期妇女的需求，网络干预可能成为一种替代方式，帮助目前无法充分获得面对面心理资源的妇女。然而，目前针对围产期妇女的基于网络且有实证支持的资源不足。
本研究旨在比较基于网络的认知行为疗法（CBT）与一种新型的基于网络的慈悲心训练方法（CMT）在情感、自我安慰、自我批评、自我攻击、自我同情、抑郁和焦虑等测量指标上的相对疗效。虽然CBT已作为一种网络工具对围产期妇女进行了测试并获得了一些支持，但这是首次针对围产期妇女通过网络进行CMT的试验。
通过亚马逊土耳其机器人（MTurk）和专业网络招募参与者。完成人口统计学项目后，参与者被随机分配到CBT组或CMT组。每组都包括45分钟的互动式教学和后续练习，需在两周内完成。
课程结束两周后收集数据。将进行2×2重复测量方差分析，以分析课程结束后两组之间的差异。
将讨论该试验的意义以及MTurk作为招募工具的优缺点。我们还将简要介绍同一研究方向的未来发展。
ClinicalTrials.gov NCT02469324；https://clinicaltrials.gov/ct2/show/NCT02469324（由WebCite存档于http://www.webcitation.org/6fkSG3yuW）
