MindSpot Clinic, Macquarie University, Sydney, Australia.
eCentreClinic, Department of Psychology, Macquarie University, Sydney, New South Wales, 2109, Australia.
BMC Psychiatry. 2020 Mar 11;20(1):111. doi: 10.1186/s12888-020-02486-3.
To explore the characteristics and compare clinical outcomes of non-Australian born (migrant) and Australian-born users of an Australian national digital mental health service.
The characteristics and treatment outcomes of patients who completed online treatment at the MindSpot Clinic between January 2014 and December 2016 and reported a country of birth other than Australia were compared to Australian-born users. Data about the main language spoken at home were used to create distinct groups. Changes in symptoms of depression and anxiety were measured using the Patient Health Questionnaire-9 Item (PHQ-9), and Generalized Anxiety Disorder Scale - 7 Item (GAD-7), respectively.
Of 52,020 people who started assessment at MindSpot between 1st January 2014 and 22nd December 2016, 45,082 reported a country of birth, of whom 78.6% (n = 35,240) were Australian-born, and 21.4% (n = 9842) were born overseas. Of 6782 people who completed the online treatment and reported country of birth and main language spoken at home, 1631 (24%) were migrants, 960 (59%) were from English-speaking countries, and 671 (41%) were from non-English speaking countries. Treatment-seeking migrant users reported higher rates of tertiary education than Australian-born users. The baseline symptom severity, and rates of symptom reduction and remission following online treatment were similar across groups.
Online treatment was associated with significant reductions in anxiety and depression in migrants of both English speaking and non-English speaking backgrounds, with outcomes similar to those obtained by Australian-born patients. DMHS have considerable potential to help reduce barriers to mental health care for migrants.
探讨澳大利亚国家数字心理健康服务的非澳大利亚出生（移民）和澳大利亚出生用户的特点，并比较其临床结局。
将在 2014 年 1 月至 2016 年 12 月期间在 MindSpot 诊所完成在线治疗且报告出生国非澳大利亚的患者的特征和治疗结局与澳大利亚出生的患者进行比较。使用在家中所说的主要语言的数据来创建不同的组别。使用患者健康问卷-9 项（PHQ-9）和广泛性焦虑症量表-7 项（GAD-7）分别衡量抑郁和焦虑症状的变化。
在 2014 年 1 月 1 日至 2016 年 12 月 22 日期间在 MindSpot 开始评估的 52020 人中，有 45082 人报告了出生国，其中 78.6%（n=35240）为澳大利亚出生，21.4%（n=9842）为海外出生。在 6782 名完成在线治疗并报告出生国和在家中所说的主要语言的人中，有 1631 人（24%）为移民，960 人（59%）来自英语国家，671 人（41%）来自非英语国家。寻求治疗的移民用户比澳大利亚出生的用户报告了更高的高等教育比例。在线治疗后，移民组和澳大利亚出生组的基线症状严重程度以及症状缓解和缓解率相似。
在线治疗与英语和非英语背景的移民的焦虑和抑郁显著降低有关，其结果与澳大利亚出生患者获得的结果相似。DMHS 具有帮助减少移民心理健康护理障碍的巨大潜力。
