Vázquez Fernando L, Blanco Vanessa, Hita Isabel, Torres Ángela J, Otero Patricia, Páramo Mario, Salmerón Mar
Department of Clinical Psychology and Psychobiology, Faculty of Psychology, Rúa Xosé María Suárez Núñez, s/n, Campus Vida, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain.
Department of Evolutionary and Educational Psychology, Faculty of Psychology, Rúa Xosé María Suárez Núñez, s/n, Campus Vida, University of Santiago de Compostela, 15782 Santiago de Compostela, Spain.
J Clin Med. 2023 Sep 9;12(18):5872. doi: 10.3390/jcm12185872.
Due to the limited availability of in-person interventions for caregivers, the development of effective programs that use new technologies to prevent depression is needed. The goal of this research was to assess the efficacy of a cognitive behavioral intervention for the prevention of depression, administered to nonprofessional caregivers through a smartphone application (app). One hundred and seventy-five caregivers were randomly assigned to either an app-based cognitive behavioral intervention (CBIA), the CBIA intervention plus a telephone conference call (CBIA + CC), or an attention control group (ACG). At post-intervention, the incidence of depression was lower in the CBIA and CBIA + CC compared to the ACG (1.7% and 0.0% vs. 7.9%, respectively). The absolute risk, relative risk, and number needed to treat compared to the ACG were 6.2%, 21.6%, and 16 for the CBIA, whilst they were 8%, 0.0%, and 13 for the CBIA + CC. Depressive symptomatology was significantly lower in the CBIA and CBIA + CC compared to the ACG ( = 0.84, Cliff's = 0.49; = 1.56, Cliff's = 0.72), as well as in the CBIA + CC compared to the CBIA ( = 0.72, Cliff's = 0.44). The prevention of depression was more likely in participants who received the CBIA, and adding the conference call in the CBIA + CC group improved the likelihood of this.
由于针对护理人员的面对面干预措施有限，因此需要开发利用新技术预防抑郁症的有效项目。本研究的目的是评估通过智能手机应用程序（应用）向非专业护理人员提供的预防抑郁症的认知行为干预的效果。175名护理人员被随机分配到基于应用的认知行为干预组（CBIA）、CBIA干预加电话会议组（CBIA + CC）或注意力控制组（ACG）。干预后，CBIA组和CBIA + CC组的抑郁症发病率低于ACG组（分别为1.7%和0.0%，而ACG组为7.9%）。与ACG组相比，CBIA组的绝对风险、相对风险和需治疗人数分别为6.2%、21.6%和16，而CBIA + CC组分别为8%、0.0%和13。与ACG组相比，CBIA组和CBIA + CC组的抑郁症状明显更低（z = 0.84，Cliff's δ = 0.49；z = 1.56，Cliff's δ = 0.72），与CBIA组相比，CBIA + CC组也是如此（z = 0.72，Cliff's δ = 0.44）。接受CBIA干预的参与者更有可能预防抑郁症，在CBIA + CC组中增加电话会议提高了这种可能性。
