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妈妈网络:针对低收入抑郁母亲的互联网辅助认知行为干预评估

Mom-net: Evaluation of an internet-facilitated cognitive behavioral intervention for low-income depressed mothers.

作者信息

Sheeber Lisa B, Feil Edward G, Seeley John R, Leve Craig, Gau Jeff M, Davis Betsy, Sorensen Erik, Allan Steve

机构信息

Oregon Research Institute.

Independent Practice.

出版信息

J Consult Clin Psychol. 2017 Apr;85(4):355-366. doi: 10.1037/ccp0000175.

Abstract

OBJECTIVE

Evaluate an Internet-facilitated cognitive-behavioral treatment intervention for depression, tailored to economically disadvantaged mothers of young children.

METHOD

Economically disadvantaged mothers (N = 266) of preschool aged children, who reported elevated levels of depressive symptoms, were randomized to either the 8-session, Internet-facilitated intervention (Mom-Net) or to Motivational Interviewing and Referral to Services (MIRS). Outcomes were measured using the Patient Health Questionnaire 9 (PHQ-9; Spitzer et al., 1999), the Structured Clinical Interview for Diagnostic and Statistical Manual for Mental Disorders-Fourth Edition-Text Revised (DSM-IV-TR) Axis I Disorders (SCID; First, Spitzer, Gibbon, & Williams, 2002), and the Hamilton Depression Rating Scale (HDRS; Hamilton, 1960).

RESULTS

Relative to participants in the MIRS condition, participants in Mom-Net demonstrated significantly greater reduction in depression as indexed by self-report questionnaire (primary outcome), interviewer-rated symptoms, and diagnostic outcomes.

CONCLUSIONS

Results suggest that the Mom-Net intervention is effective as a remotely delivered intervention for economically disadvantaged mothers. (PsycINFO Database Record

摘要

目的

评估一种针对经济弱势的幼儿母亲的、通过互联网实施的抑郁症认知行为治疗干预措施。

方法

将报告有较高抑郁症状水平的经济弱势的学龄前儿童母亲(N = 266)随机分为接受为期8节的互联网辅助干预(妈妈网络)组或动机性访谈与服务转介(MIRS)组。使用患者健康问卷9(PHQ - 9;斯皮策等人,1999年)、《精神疾病诊断与统计手册(第四版)修订版》轴I障碍的结构化临床访谈(DSM - IV - TR;第一、斯皮策、吉本和威廉姆斯,2002年)以及汉密尔顿抑郁评定量表(HDRS;汉密尔顿,1960年)来测量结果。

结果

与MIRS组参与者相比,妈妈网络组参与者在自我报告问卷(主要结果)、访谈者评定症状和诊断结果所衡量的抑郁症状减轻方面表现出显著更大的程度。

结论

结果表明,妈妈网络干预作为一种针对经济弱势母亲的远程干预措施是有效的。(PsycINFO数据库记录)

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