Levin Michael E, Haeger Jack A, Pierce Benjamin G, Twohig Michael P
1 Utah State University, Logan, UT, USA.
Behav Modif. 2017 Jan 1;41(1):141-162. doi: 10.1177/0145445516659645. Epub 2016 Jul 20.
There are significant challenges in addressing the mental health needs of college students. The current study tested an acceptance and commitment therapy (ACT), web-based self-help program to treat a broad range of psychological problems students struggle with. A sample of 79 college students was randomized to web-based ACT or a waitlist condition, with assessments at baseline and posttreatment. Results indicated adequate acceptability and program engagement for the ACT website. Relative to waitlist, participants receiving ACT improved on overall distress, general anxiety, social anxiety, depression, academic concerns, and positive mental health. There were no between-group effects on eating concerns, alcohol use, or hostility, or on some key ACT process of change measures. ACT participants improved more on mindful acceptance and obstruction to valued living, both of which mediated treatment outcomes. Results are discussed in the context of lessons learned with the website prototype, and areas for further research are presented.
满足大学生的心理健康需求面临重大挑战。当前的研究测试了一种基于网络的自助式接受与承诺疗法（ACT）项目，以治疗学生们所面临的一系列心理问题。79名大学生样本被随机分为接受基于网络的ACT项目组或等待名单组，并在基线和治疗后进行评估。结果表明，ACT网站具有足够的可接受性和项目参与度。相对于等待名单组，接受ACT治疗的参与者在总体困扰、一般焦虑、社交焦虑、抑郁、学业担忧和积极心理健康方面均有改善。在饮食担忧、酒精使用或敌意方面，以及在一些关键的ACT改变过程指标上，两组之间没有差异。ACT参与者在正念接受和对有价值生活的阻碍方面改善更大，这两者都介导了治疗效果。本文在网站原型经验教训的背景下讨论了研究结果，并提出了进一步研究的领域。
