Department of Psychology, University of A Coruña, 15071 A Coruña, Spain.
Department of Clinical Psychology and Psychobiology, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain.
Int J Environ Res Public Health. 2020 Jun 25;17(12):4578. doi: 10.3390/ijerph17124578.
Despite its potential, no intervention aimed at non-professional caregivers administered through a smartphone app has been proven to prevent depression. The objective of this pilot study was to evaluate the efficacy and feasibility of an indicated depression-prevention intervention for non-professional caregivers administered through an app with the addition of conference-call contact. The intervention was administered to 31 caregivers (Mean age = 54.0 years, 93.5% women). An independent evaluation determined the incidence of depression, depressive symptoms, risk of developing depression, and the variables in the theoretical model (positive environmental reinforcement, negative automatic thoughts) at the pre-intervention and post-intervention, as well as the one- and three-month follow-ups. The incidence of depression at 3 months of follow-up was 6.5%. There was a significant reduction in depressive symptoms ( < 0.001) and in the risk of developing depression ( < 0.001) at the post-intervention and at the one- and three-month follow-ups. The model's variables improved significantly after the intervention and were associated with post-intervention depressive symptoms. The intervention was more effective in caregivers who had a lower level of depressive symptoms at the pre-intervention. Adherence and satisfaction with the intervention were high. The results encourage future research using a randomized controlled clinical trial.
尽管有潜力，但没有通过智能手机应用程序向非专业护理人员提供的干预措施被证明可以预防抑郁症。本试点研究的目的是评估通过应用程序结合电话会议联系向非专业护理人员提供的有针对性的预防抑郁症干预措施的疗效和可行性。该干预措施被应用于 31 名护理人员（平均年龄=54.0 岁，93.5%为女性）。独立评估在干预前、干预后以及 1 个月和 3 个月的随访中确定了抑郁症的发生率、抑郁症状、抑郁风险以及理论模型中的变量（积极的环境强化、消极的自动思维）。在 3 个月的随访中，抑郁症的发生率为 6.5%。在干预后以及 1 个月和 3 个月的随访中，抑郁症状（<0.001）和抑郁风险（<0.001）显著降低。干预后，模型的变量显著改善，并与干预后的抑郁症状相关。在干预前抑郁症状水平较低的护理人员中，干预效果更显著。对干预的依从性和满意度都很高。研究结果鼓励未来使用随机对照临床试验进行进一步研究。
