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评估基于正念和技能的电子心理健康“应对它”干预措施对减轻 COVID-19 疫情期间心理困扰的效果:一项双中心纵向研究的结果

Evaluation of the E-Mental Health Mindfulness-Based and Skills-Based "CoPE It" Intervention to Reduce Psychological Distress in Times of COVID-19: Results of a Bicentre Longitudinal Study.

作者信息

Bäuerle Alexander, Jahre Lisa, Teufel Martin, Jansen Christoph, Musche Venja, Schweda Adam, Fink Madeleine, Dinse Hannah, Weismüller Benjamin, Dörrie Nora, Junne Florian, Graf Johanna, Skoda Eva-Maria

机构信息

Clinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Department of Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Eberhard Karls University Tübingen, Tübingen, Germany.

出版信息

Front Psychiatry. 2021 Nov 4;12:768132. doi: 10.3389/fpsyt.2021.768132. eCollection 2021.

Abstract

The SARS-CoV-2 pandemic poses immense challenges for health care systems and population-wide mental health. The e-mental health intervention "CoPE It" has been developed to offer standardized and manualized support to overcome psychological distress caused by the pandemic. The aim of this study was to assess the effectiveness of "CoPE It" in terms of reducing distress (primary outcome), depression and anxiety symptoms, and improving self-efficacy, and mindfulness (secondary outcomes). Furthermore, the intervention's usability, feasibility, and participants' satisfaction with "CoPE It" was evaluated (tertiary outcome). The study protocol has been published previously. A bicentre longitudinal study was conducted from April 27th 2020 to May 3rd 2021. = 110 participants were included in the analyses. The intervention consisted of four modules featuring different media promoting evidence-based methods of cognitive behavioral therapy and mindfulness-based stress reduction. Difference in psychological distress between baseline (T0) and post-intervention (T1) were analyzed by repeated measure analysis of covariance. Mixed linear models were applied to assess moderating effects. Depressive symptoms, generalized anxiety symptoms, self-efficacy, and mindfulness were compared between baseline (T0) and post-intervention (T1) via -tests. Usability of the "CoPE It" intervention and participants' satisfaction was evaluated by calculation means and frequencies. : A significant effect of time on psychological distress at post-intervention (T1) after controlling for age, gender, education, mental illness and attitudes toward online interventions was found. Depressive and anxiety symptoms, and mindfulness were a significant moderators of the relationship between time and psychological distress for consistent wording. There was a significant decrease in depressive symptoms and generalized anxiety, and a significant increase in self-efficacy and mindfulness between baseline (T0) and post-intervention (T1). 95.83% of the participants thought the "CoPE It" intervention was easy to use and 87.50% were satisfied with the "CoPE It" intervention in an overall, general sense. The e-mental health "CoPE It" intervention seems to be an effective approach in reducing psychological distress, anxiety and depressive symptoms, and in enhancing self-efficacy and mindfulness during the COVID-19 pandemic. Participants' satisfaction and the program's feasibility, and usability were proven to be high. www.ClinicalTrials.gov, identifier: DRKS00021301.

摘要

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)大流行给医疗系统和全人群心理健康带来了巨大挑战。电子心理健康干预措施“应对它”(CoPE It)已被开发出来,以提供标准化和手册化的支持,帮助克服大流行引发的心理困扰。本研究的目的是评估“应对它”在减轻困扰(主要结果)、抑郁和焦虑症状以及提高自我效能感和正念(次要结果)方面的有效性。此外,还评估了该干预措施的可用性、可行性以及参与者对“应对它”的满意度(第三级结果)。该研究方案此前已发表。2020年4月27日至2021年5月3日进行了一项双中心纵向研究。110名参与者纳入分析。该干预措施包括四个模块,采用不同媒体宣传基于证据的认知行为疗法方法和基于正念的减压方法。通过重复测量协方差分析来分析基线(T0)和干预后(T1)之间心理困扰的差异。应用混合线性模型来评估调节效应。通过t检验比较基线(T0)和干预后(T1)之间的抑郁症状、广泛性焦虑症状、自我效能感和正念。通过计算均值和频率来评估“应对它”干预措施的可用性和参与者的满意度。结果:在控制年龄、性别、教育程度、精神疾病和对在线干预的态度后,发现时间对干预后(T1)的心理困扰有显著影响。抑郁和焦虑症状以及正念是时间与心理困扰之间关系的显著调节因素,表述一致。基线(T0)和干预后(T1)之间,抑郁症状和广泛性焦虑显著降低,自我效能感和正念显著提高。95.83%的参与者认为“应对它”干预措施易于使用,87.50%的参与者总体上对该干预措施感到满意。电子心理健康“应对它”干预措施似乎是在新冠疫情期间减轻心理困扰、焦虑和抑郁症状以及提高自我效能感和正念的有效方法。参与者的满意度以及该项目的可行性和可用性都很高。ClinicalTrials.gov网站,标识符:DRKS00021301。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1405/8599585/a7e761ad3e5d/fpsyt-12-768132-g0001.jpg

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