Werremeyer Amy, Skoy Elizabeth, Burns William, Bach-Gorman Amber
Associate Professor, Department of Pharmacy Practice, North Dakota State University, Fargo, North Dakota.
Director, Counseling Center, North Dakota State University, Fargo, North Dakota.
Ment Health Clin. 2020 Jul 2;10(4):237-243. doi: 10.9740/mhc.2020.07.237. eCollection 2020 Jul.
Photovoice is a participatory-action research method in which participants capture and collectively reflect upon photos of their lived experience. Photovoice participation may be beneficial for individuals living with mental illness, but its effects have not been quantitatively measured.
In this pilot study, 20 college students living with a mental illness and prescribed at least 1 medication were randomized to a Photovoice group intervention or usual group counseling, which was an active control. Participants completed the BURNS Anxiety Inventory, Beck Depression Inventory, and Medication Adherence Rating Scale at baseline and 8 weeks. Between-groups comparisons were conducted.
Photovoice participants experienced a significantly greater reduction in the BURNS Anxiety Inventory (-8.5 vs -2.6; = .049) compared to control participants. No difference was seen in change in the Beck Depression Inventory (6.7 in the Photovoice group vs 0.2 among controls; = .26). Mean medication adherence scores worsened in both groups from baseline with no difference between the groups (1 vs 0.86; = .16).
Photovoice may be a resource-efficient and effective intervention to reduce anxiety among college students with mental illness; however, it may be associated with poorer medication adherence. Further study is needed to evaluate these findings.
摄影声音法是一种参与式行动研究方法，参与者通过拍摄照片来捕捉并集体反思他们的生活经历。参与摄影声音法可能对患有精神疾病的个体有益，但其效果尚未进行定量测量。
在这项试点研究中，20名患有精神疾病且至少开具了1种药物处方的大学生被随机分为摄影声音法组干预或常规团体咨询组（作为积极对照）。参与者在基线和8周时完成了伯恩斯焦虑量表、贝克抑郁量表和药物依从性评定量表。进行了组间比较。
与对照组参与者相比，摄影声音法参与者在伯恩斯焦虑量表上的得分显著降低更多（-8.5对-2.6；P = 0.049）。贝克抑郁量表的变化没有差异（摄影声音法组为6.7，对照组为0.2；P = 0.26）。两组的平均药物依从性得分从基线开始均变差，组间无差异（1对0.86；P = 0.16）。
摄影声音法可能是一种资源高效且有效的干预措施，可减轻患有精神疾病的大学生的焦虑；然而，它可能与较差的药物依从性有关。需要进一步研究来评估这些发现。
