Myklebost Sunniva Brurok, Amundsen Ole Myklebust, Geraghty Adam W A, Inal Yavuz, Hammar Åsa, Nordgreen Tine
Department of Biological and Medical Psychology, Faculty of Psychology, University of Bergen, Bergen, Norway.
Division of Psychiatry, Haukeland University Hospital, Bergen, Norway.
J Ment Health. 2022 Dec;31(6):842-850. doi: 10.1080/09638237.2021.2022618. Epub 2022 Jan 5.
Cognitive difficulties are rarely addressed after the treatment of major depressive disorder (MDD). New scalable treatments are needed. To ensure relevance and engagement of novel interventions, there is a need to understand the perspectives of the users.
Explore former depressed adults needs and perspectives during the planning and development of a novel internet-delivered intervention targeting residual cognitive symptoms after MDD.
The planning phase included exploratory qualitative interviews with former depressed adults ( = 16). In the development phase, a prototype including psychoeducation, attention training and compensatory strategies was tested in think-aloud interviews with former depressed adults ( = 7) and psychologists ( = 4). Data were analysed thematically.
Analysis of exploratory interviews identified four themes. Experiences of residual cognitive symptoms consisted of two sub-themes (Everyday life is more demanding; Concerns about cognitive difficulties). Coping with residual cognitive symptoms had two sub-themes (Compensatory strategies; Acceptance). Needs from an intervention consisted of two-subthemes (Need for information; Therapist support). Barriers for engagement consisted of three sub-themes (Being overwhelmed; Not being motivated; Frequent registration). Analysis of think-aloud interviews was organized into three themes: Positive perceptions of content; Concerns regarding content; Perceptions of Layout, Visuals and Navigation.
The intervention may address concerns and consequences of cognitive difficulties by including psychoeducation, compensatory strategies and elements to increase acceptance and motivation, provided in manageable proportions.
重度抑郁症（MDD）治疗后，认知困难很少得到解决。需要新的可扩展治疗方法。为确保新型干预措施的相关性和参与度，有必要了解用户的观点。
在针对MDD后残留认知症状的新型互联网干预措施的规划和开发过程中，探索曾患抑郁症成年人的需求和观点。
规划阶段包括对曾患抑郁症成年人（n = 16）进行探索性定性访谈。在开发阶段，一个包括心理教育、注意力训练和补偿策略的原型在与曾患抑郁症成年人（n = 7）和心理学家（n = 4）的出声思考访谈中进行了测试。对数据进行了主题分析。
探索性访谈分析确定了四个主题。残留认知症状的经历包括两个子主题（日常生活要求更高；对认知困难的担忧）。应对残留认知症状有两个子主题（补偿策略；接受）。对干预措施的需求包括两个子主题（信息需求；治疗师支持）。参与的障碍包括三个子主题（不堪重负；缺乏动力；频繁注册）。出声思考访谈分析分为三个主题：对内容的积极看法；对内容的担忧；对布局、视觉效果和导航的看法。
该干预措施可以通过纳入心理教育、补偿策略以及以可管理的比例提供的增加接受度和动力的元素，来解决认知困难的问题和后果。
