University of Michigan Medical School.
University of Michigan Medical School.
Behav Ther. 2022 Mar;53(2):365-375. doi: 10.1016/j.beth.2021.10.001. Epub 2021 Oct 18.
Depression and suicidal ideation have substantially increased among college students, yet many students with clinically significant symptoms do not perceive their distress as warranting mental health services. Personalized feedback (PF) interventions deliver objective data, often electronically, comparing an individual's reported symptoms or behaviors to a group norm. Several studies have shown promise for PF interventions in the context of mood and depression, yet little is known regarding how, and for whom, mood-focused PF interventions might be best deployed. The primary aim of this study was to examine the sociodemographic, clinical, and treatment-seeking factors associated with reviewing PF reports on emotional distress among college students (N = 1,673) screening positive for elevated suicide risk and not receiving mental health treatment. Results indicated that PF engagement was greatest among those with higher depression scores, and those reporting privacy/stigma concerns as barriers to treatment. Sexual minority students were more likely to review their PF than heterosexual students. Taken together, PF interventions may be a useful tool for engaging those with greater clinical acuity, and those hesitant to seek in-person care. Further research is warranted to examine the circumstances in which PF interventions might be used in isolation, or as part of a multitiered intervention strategy.
抑郁和自杀意念在大学生中大幅增加，但许多出现临床显著症状的学生并不认为自己的痛苦需要精神卫生服务。个性化反馈（PF）干预措施提供客观数据，通常是电子方式，将个人报告的症状或行为与群体规范进行比较。几项研究表明，PF 干预措施在情绪和抑郁方面有很大的希望，但对于如何以及针对哪些人群，情绪为重点的 PF 干预措施可能是最好的部署方式，人们知之甚少。本研究的主要目的是检查与审查情绪困扰的 PF 报告相关的社会人口统计学、临床和治疗寻求因素，这些学生在自杀风险升高的情况下接受筛查，但未接受心理健康治疗（N=1673）。结果表明，PF 参与度在抑郁得分较高的人群以及报告隐私/耻辱感障碍是治疗障碍的人群中最高。性少数群体学生比异性恋学生更有可能审查他们的 PF。总的来说，PF 干预措施可能是一种有用的工具，可以吸引那些临床症状更严重、不愿寻求当面治疗的人。需要进一步的研究来检查在什么情况下可以单独使用 PF 干预措施，或者作为多层次干预策略的一部分。
