Hart Tessa, Vaccaro Monica, Collier George, Chervoneva Inna, Fann Jesse R
Moss Rehabilitation Research Institute, Elkins Park, PA, USA.
Sixth Wave Technologies LLC, Asheville, NC, USA.
Neuropsychol Rehabil. 2020 Sep;30(8):1523-1542. doi: 10.1080/09602011.2019.1592761. Epub 2019 Mar 14.
We compared two treatments for depression and/ or anxiety in chronic moderate to severe traumatic brain injury (TBI) (Clinicaltrials.gov NCT02061553). Fifty-nine participants were randomized 2:1 to a single session of Behavioural Activation followed by 8 weeks of daily SMS (text) messages in the form of implementation intentions supporting individualized goals for increased rewarding/ meaningful activities (INT), or a single (attention control) session focused on the importance of motivation followed by 8 weeks of motivational SMS messages (MOT). Both conditions resulted in modestly improved emotional status. The INT condition led to more exposure to environmental reward and greater productivity. Gains in both conditions were of questionable clinical significance but suggested different mechanisms of action, which should be confirmed by further research. The delivery of frequent text messages proved to be a very feasible means of supporting treatment in this population.
我们比较了两种针对慢性中度至重度创伤性脑损伤（TBI）患者的抑郁和/或焦虑的治疗方法（Clinicaltrials.gov NCT02061553）。59名参与者按2:1随机分组，一组接受单次行为激活治疗，随后8周每天收到以实施意图形式呈现的短信，这些短信支持增加奖励性/有意义活动的个性化目标（INT组）；另一组接受单次（注意力控制）治疗，重点关注动机的重要性，随后8周收到激励性短信（MOT组）。两种治疗都使情绪状态有适度改善。INT组接触到更多的环境奖励，生产力更高。两种治疗的效果在临床意义上存疑，但提示了不同的作用机制，这有待进一步研究证实。事实证明，频繁发送短信是支持该人群治疗的一种非常可行的方式。
