Shafran R, Gyani A, Rostron J, Allen S, Myles-Hooton P, Allcott-Watson H, Rose S
UCL Great Ormond Street Institute of Child Health,30 Guilford Street,London WC1N 1EH,UK.
School of Psychology and Clinical Language Sciences,University of Reading,Reading,Berkshire RG6 6AL,UK.
Behav Cogn Psychother. 2019 Jan;47(1):114-128. doi: 10.1017/S1352465818000498. Epub 2018 Aug 23.
Most people with common mental health problems do not seek evidence-based psychological interventions.
The aim of this study was to investigate whether monitoring symptoms of depression and anxiety using an app increased treatment-seeking.
Three hundred and six people with significant levels of anxiety and depression, none of whom were currently receiving treatment, were randomly allocated to receive either (a) information about local psychological services only, (b) information plus regular symptom monitoring (every 6 days), or (c) information plus open symptom monitoring (monitoring when they felt like it). An app was used to provide information and monitor mood.
The proportion of participants who reported receiving treatment after starting the study was 7.2% (10/138) in the information only group, 8.1% (9/111) in the information plus regular monitoring group and 15.8% (9/57) in the information plus open monitoring group. There was a trend for participants who were able to monitor whenever they wished to be more likely to report receiving treatment than people who were only given information about their local treatment services. The impact of the intervention was greatest among participants who intended to seek treatment before taking part. Limitations were that only a small minority of those who downloaded the app completed the study and that the study relied on self-reported measures of treatment-seeking.
Symptom monitoring can increase actual treatment-seeking in those with an intention to seek treatment.
大多数有常见心理健康问题的人不会寻求循证心理干预。
本研究旨在调查使用一款应用程序监测抑郁和焦虑症状是否会增加治疗寻求行为。
306名焦虑和抑郁水平较高且目前均未接受治疗的人被随机分配接受以下处理：(a)仅提供当地心理服务信息；(b)提供信息并定期（每6天）监测症状；(c)提供信息并进行开放式症状监测（在他们感觉有需要时进行监测）。使用一款应用程序来提供信息并监测情绪。
在仅提供信息组中，开始研究后报告接受治疗的参与者比例为7.2%（10/138）；在提供信息并定期监测组中为8.1%（9/111）；在提供信息并进行开放式监测组中为15.8%（9/57）。与仅获得当地治疗服务信息的人相比，能够随时进行监测的参与者更有可能报告接受了治疗，存在这样一种趋势。干预的影响在参与前就打算寻求治疗的参与者中最为显著。局限性在于，下载应用程序的人中只有一小部分完成了研究，且该研究依赖于自我报告的治疗寻求措施。
症状监测可以增加有治疗意愿者的实际治疗寻求行为。
