Department of Psychology, Stony Brook University, Stony Brook, NY, USA.
Department of Psychology, University of Denver, Denver, CO, USA.
Nat Hum Behav. 2022 Feb;6(2):258-268. doi: 10.1038/s41562-021-01235-0. Epub 2021 Dec 9.
The COVID-19 pandemic has potentially increased the risk for adolescent depression. Even pre-pandemic, <50% of youth with depression accessed care, highlighting needs for accessible interventions. Accordingly, this randomized controlled trial (ClinicalTrials.gov: NCT04634903 ) tested online single-session interventions (SSIs) during COVID-19 in adolescents with elevated depression symptoms (N = 2,452, ages 13-16). Adolescents from all 50 US states, recruited via social media, were randomized to one of three SSIs: a behavioural activation SSI, an SSI teaching that traits are malleable and a supportive control. We tested each SSI's effects on post-intervention outcomes (hopelessness and agency) and three-month outcomes (depression, hopelessness, agency, generalized anxiety, COVID-19-related trauma and restrictive eating). Compared with the control, both active SSIs reduced three-month depressive symptoms (Cohen's d = 0.18), decreased post-intervention and three-month hopelessness (d = 0.16-0.28), increased post-intervention agency (d = 0.15-0.31) and reduced three-month restrictive eating (d = 0.12-17). Several differences between active SSIs emerged. These results confirm the utility of free-of-charge, online SSIs for high-symptom adolescents, even in the high-stress COVID-19 context.
新冠疫情大流行可能增加了青少年抑郁的风险。即使在疫情之前,也只有不到 50%的抑郁青少年接受了治疗,这突显了对可及干预措施的需求。因此,这项随机对照试验(ClinicalTrials.gov:NCT04634903)在新冠疫情期间测试了针对有抑郁症状的青少年的在线单次干预(SSI)(N=2452,年龄 13-16 岁)。来自美国所有 50 个州的青少年通过社交媒体招募,随机分配到三种 SSI 中的一种:行为激活 SSI、教授特质可塑的 SSI 或支持性对照。我们测试了每种 SSI 对干预后结果(绝望和能动性)和三个月结果(抑郁、绝望、能动性、广泛性焦虑、与新冠疫情相关的创伤和限制进食)的影响。与对照组相比,两种积极的 SSI 均降低了三个月的抑郁症状(Cohen's d=0.18),减少了干预后和三个月的绝望感(d=0.16-0.28),增加了干预后的能动性(d=0.15-0.31)并减少了三个月的限制进食(d=0.12-17)。两种积极的 SSI 之间出现了一些差异。这些结果证实了免费的在线 SSI 对高症状青少年的有效性,即使在高压力的新冠疫情背景下也是如此。
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