Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Canada.
Addiction and Mental Health, Alberta Health Services, Edmonton, Canada.
Disaster Med Public Health Prep. 2022 Aug;16(4):1326-1330. doi: 10.1017/dmp.2021.27. Epub 2021 Feb 8.
This study reports on the changes in stress, anxiety, and depressive symptoms of subscribers after 3 months using Text4Hope, a supportive text messaging program designed to provide support during the pandemic.
Standardized self-report measures were used to evaluate perceived stress (measured with the Perceived Stress Scale-10 [PSS-10]), anxiety (measured with the General Anxiety Disorder Scale 7 [GAD-7]), and depressive symptoms (measured with the Patient Health Questionnaire [PHQ-9]), at baseline and 3rd month ( = 373).
After 3 months of using Text4Hope, subscribers' self-reports revealed significant (< 0.001) mean score reductions compared with baseline on: the GAD-7 by 22.7%, PHQ-9 by 10.3%, and PSS-10 scores by 5.7%. Reductions in inferred prevalence rates for moderate to high symptoms were also observed, with anxiety demonstrating the largest reduction (15.7%).
Observed Text4Hope-related reductions in psychological distress during COVID-19 indicate that Text4Hope is an effective, convenient, and accessible means of implementing a population-level psychological intervention.
本研究报告了在使用 Text4Hope（一种旨在大流行期间提供支持的支持性短信计划） 3 个月后，用户的压力、焦虑和抑郁症状的变化。
使用标准化的自我报告措施评估感知压力（使用感知压力量表 10 项 [PSS-10]）、焦虑（使用广泛性焦虑障碍量表 7 项 [GAD-7]）和抑郁症状（使用患者健康问卷 [PHQ-9]），在基线和第 3 个月（=373）进行评估。
使用 Text4Hope3 个月后，用户的自我报告显示，与基线相比，GAD-7 平均得分显著降低（<0.001），降低了 22.7%；PHQ-9 降低了 10.3%；PSS-10 得分降低了 5.7%。中度至高度症状的推断患病率也有所降低，焦虑症状降幅最大（15.7%）。
在 COVID-19 期间观察到 Text4Hope 相关的心理困扰减少表明，Text4Hope 是实施人群水平心理干预的有效、便捷和可及的手段。
