Yen Shirley, Ranney Megan L, Krek Maya, Peters Jessica R, Mereish Ethan H, Tezanos Katherine M, Kahler Christopher W, Solomon Joel, Beard Courtney, Spirito Anthony
Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, USA.
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, USA.
J Posit Psychol. 2020;15(3):348-361. doi: 10.1080/17439760.2019.1615105. Epub 2019 May 16.
The objective of this study was to examine the feasibility, acceptability, and preliminary effects of an intervention, Skills to Enhance Positivity (STEP) that aims to increase attention to positive emotions and experiences and to decrease suicidal events. STEP involves four in-person individual sessions delivered during an inpatient psychiatric admission, followed by one month of weekly phone calls and daily text messages with mood monitoring and skills practice. A pilot randomized controlled trial of STEP vs. enhanced treatment as usual (ETAU) was conducted with 52 adolescents. Results indicated that on average 83% of sessions were completed and that on 70% of days, participants engaged with the text-messaging component of the intervention. Acceptability for both in-person and text-messaging components were also high, with satisfaction ratings averaging between good and excellent. STEP participants reported fewer suicide events than ETAU participants (6 vs. 13) after six months of follow-up.
本研究的目的是检验一项名为“增强积极情绪技能（STEP）”干预措施的可行性、可接受性和初步效果，该干预旨在提高对积极情绪和经历的关注，并减少自杀事件。STEP包括在住院精神科治疗期间进行的四次面对面的个体治疗，随后是为期一个月的每周电话随访以及每日短信随访，同时进行情绪监测和技能练习。对52名青少年进行了一项STEP与强化常规治疗（ETAU）对比的试点随机对照试验。结果表明，平均83%的治疗课程得以完成，并且在70%的日子里，参与者参与了干预措施中的短信部分。面对面治疗和短信部分的可接受性也很高，满意度评分平均在良好到优秀之间。在六个月的随访后，STEP参与者报告的自杀事件比ETAU参与者少（分别为6起和13起）。
