School of Rural Health, Monash University, Warragul, Australia, Australia.
School of Educational Psychology and Counselling, Faculty of Education, Monash University, Clayton, Australia.
Early Interv Psychiatry. 2022 Nov;16(11):1249-1258. doi: 10.1111/eip.13274. Epub 2022 Feb 3.
Young adults aged 18-25 whose parents have a mental illness or substance use problem can be vulnerable to multiple difficulties in adulthood. There are, however, few available interventions designed for this group. This study evaluated a 6 week online intervention (mi. spot; mental illness: supported, preventative, online, targeted) specifically designed for this population. The intervention aims to improve mental health and wellbeing.
Forty-one young people, recruited from the community, participated in a two-arm parallel randomized controlled trial where participants were randomized to mi. spot (n = 22) or a wait list control group (n = 19). They were assessed at baseline, immediately post intervention and at six weeks post intervention with measures covering depression, anxiety and stress, wellbeing, coping, general self-efficacy, help seeking and social connectedness.
Intervention participants reported significantly improved psychological wellbeing, coping, general self-efficacy, and a reduction in anxiety. Participants in the control group reported significant improvements in emotional wellbeing and help seeking and a reduction in self-blame.
This pilot controlled trial supported previous findings and shows preliminary evidence that mi.spot is effective for young adults who grew up with parents who have a mental illness or substance use problem. A large-scale, randomized controlled trial with a diverse group of young people is needed.
18-25 岁的年轻人,如果其父母有精神疾病或药物滥用问题,成年后可能会面临多种困难。然而,针对这一群体的干预措施却很少。本研究评估了一项专门为该人群设计的 6 周在线干预措施(mi. spot;精神疾病:支持、预防、在线、靶向)。该干预旨在改善心理健康和幸福感。
41 名年轻人从社区招募,参与了一项两臂平行随机对照试验,参与者被随机分配到 mi. spot(n=22)或等待名单对照组(n=19)。他们在基线、干预后立即和干预后六周接受了涵盖抑郁、焦虑和压力、幸福感、应对方式、一般自我效能感、寻求帮助和社交联系的评估。
干预组参与者报告心理幸福感、应对方式、一般自我效能感显著改善,焦虑减轻。对照组参与者报告情绪幸福感、寻求帮助和自责减少显著改善。
这项小型对照试验支持了先前的研究结果,并初步表明 mi.spot 对与有精神疾病或药物滥用问题的父母一起长大的年轻人有效。需要一项针对不同人群的大规模、随机对照试验。