Fenski Friederike, Rozental Alexander, Heinrich Manuel, Knaevelsrud Christine, Zagorscak Pavle, Boettcher Johanna
Division of Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Habelschwerdter Allee 45, 14195 Berlin, Germany.
Department of Psychology, Upsala University, Von Kraemers allé 1A, 752 37 Uppsala, Sweden.
Internet Interv. 2021 Oct 14;26:100469. doi: 10.1016/j.invent.2021.100469. eCollection 2021 Dec.
An increasing number of studies is proving the efficacy of Internet-based interventions (IBI) for treating depression. While the focus of most studies is thereby lying on the potential of IBI to alleviate emotional distress and enhance well-being, few studies are investigating possible negative effects that might be encountered by participants. The current study was therefore exploring self-reported negative effects of participants undergoing a cognitive-behavioral IBI targeting mild to moderate depression over 6 weeks. Data from the client pool of a German insurance company ( = 814, 68% female) revealed that 8.6% of the participants reported the experience of negative effects. Qualitative content analysis yielded two broad categories and five subcategories for the nature of participants' experiences of negative effects: participant-related negative effects (insight and symptom) and program-related negative effects (online format, contact, and implementation). By using both, qualitative and quantitative methods, results did not only shed light on the characteristics of negative effects but analyses also found that working alliance was a predictor for the experience of negative effects. Monitoring the occurrences of negative effects as well as working alliance throughout treatment was considered essential to help prevent negative effects and attrition among participants undergoing IBI for depression.
越来越多的研究证明基于互联网的干预措施（IBI）治疗抑郁症的有效性。虽然大多数研究的重点在于IBI缓解情绪困扰和提高幸福感的潜力，但很少有研究调查参与者可能遇到的负面影响。因此，本研究探讨了在为期6周的针对轻度至中度抑郁症的认知行为IBI中，参与者自我报告的负面影响。来自一家德国保险公司客户库的数据（n = 814，68%为女性）显示，8.6%的参与者报告有负面影响的经历。定性内容分析得出了参与者负面影响经历性质的两大类和五个子类别：与参与者相关的负面影响（洞察力和症状）以及与项目相关的负面影响（在线形式、接触和实施）。通过使用定性和定量方法，结果不仅揭示了负面影响的特征，分析还发现工作联盟是负面影响经历的一个预测因素。在整个治疗过程中监测负面影响的发生情况以及工作联盟被认为对于帮助预防接受抑郁症IBI治疗的参与者出现负面影响和流失至关重要。
