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[基于互联网的心理韧性训练与精神障碍预防]

[Internet-based resilience training and prevention of mental disorders].

作者信息

Lehr D, Kunzler A, Helmreich I, Behrendt D, Chmitorz A, Lieb K

机构信息

Abteilung für Gesundheitspsychologie und Angewandte Biologische Psychologie, Institut für Psychologie, Leuphana Universität Lüneburg, Universitätsallee 1, C1.120, 21335, Lüneburg, Deutschland.

Deutsches Resilienz Zentrum (DRZ) Mainz, Mainz, Deutschland.

出版信息

Nervenarzt. 2018 Jul;89(7):766-772. doi: 10.1007/s00115-018-0532-2.

DOI:10.1007/s00115-018-0532-2
PMID:29846750
Abstract

BACKGROUND

Resilience is associated with a positive and resource-oriented perspective. Therefore, it seems especially attractive for health promotion and prevention. In recent years, interventions to foster resilience have been increasingly developed, which train resilience factors and are mainly conducted in a face to face group format.

OBJECTIVE

The question is raised what potential internet-based interventions (i-interventions) that train resilience factors have for health promotion and prevention.

MATERIAL AND METHODS

Based on a narrative overview, the possibilities for i‑interventions that train resilience factors for health promotion and prevention are investigated and the state of research is described.

RESULTS

The effects of the i‑interventions presented here, which aim at fostering resilience, on measures of mental health and well-being are heterogeneous and vary between low to high effects. Stronger evidence for the efficacy of these measures exists for more general i‑interventions that also train resilience factors but are conceptualized for the prevention of specific disorders, such as depression or for stress reduction.

DISCUSSION

Given the heterogeneous nature of intervention contents, theoretical foundations and therapeutic methods used, the heterogeneity of the evidence is discussed. In addition, perspectives for the further development of resource-oriented resilience interventions are outlined.

摘要

背景

心理韧性与积极且以资源为导向的观点相关联。因此,它在健康促进和预防方面似乎特别具有吸引力。近年来,培养心理韧性的干预措施不断涌现,这些措施训练心理韧性因素,主要以面对面小组形式开展。

目的

探讨训练心理韧性因素的基于互联网的干预措施(i-干预措施)在健康促进和预防方面的潜力。

材料与方法

基于叙述性综述,研究训练心理韧性因素的i-干预措施在健康促进和预防方面的可能性,并描述研究现状。

结果

这里介绍的旨在培养心理韧性的i-干预措施对心理健康和幸福感指标的影响各异,效果从低到高不等。对于那些也训练心理韧性因素但针对预防特定疾病(如抑郁症)或减轻压力而进行概念化设计的更一般性i-干预措施,这些措施有效性的证据更为充分。

讨论

鉴于所使用的干预内容、理论基础和治疗方法的异质性,对证据的异质性进行了讨论。此外,还概述了以资源为导向的心理韧性干预措施的进一步发展前景。

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J Occup Environ Med. 2018 Jun;60(6):559-568. doi: 10.1097/JOM.0000000000001285.
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Intervention studies to foster resilience - A systematic review and proposal for a resilience framework in future intervention studies.促进韧性的干预研究——系统综述及未来干预研究中韧性框架的建议
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Nervenarzt. 2019 May;90(5):497-502. doi: 10.1007/s00115-018-0663-5.
Prevention of Mental Health Disorders Using Internet- and Mobile-Based Interventions: A Narrative Review and Recommendations for Future Research.
利用基于互联网和移动设备的干预措施预防心理健康障碍:一项叙述性综述及对未来研究的建议
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[Internet-based interventions in the treatment of mental disorders : Overview, quality criteria, perspectives].[基于互联网的精神障碍治疗干预措施:概述、质量标准、展望]
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