基于智能手机评估的微干预以减少抑郁性反刍的可行性研究方案

Study protocol for a feasibility study of microinterventions in smartphone-based assessments to reduce depressive rumination.

机构信息

Department of Clinical Psychology and Psychotherapy, Charlotte Fresenius Hochschule, Düsseldorf, Germany

Department of Clinical Psychology and Psychotherapy, University of Duisburg-Essen, Essen, Germany.

出版信息

BMJ Open. 2023 Dec 22;13(12):e076031. doi: 10.1136/bmjopen-2023-076031.

DOI:10.1136/bmjopen-2023-076031

PMID:38135315

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10749015/

Abstract

INTRODUCTION

Depression as well as suicidal ideation and behaviours share several precipitating and maintaining factors and are subject to the influence of overlapping constructs. One of these transdiagnostic constructs is rumination. For the treatment of rumination, a variety of interventions are already available. However, not everyone with a need receives psychotherapeutic treatment. And even if they do: implementing learnt strategies alone at home can be challenging for patients. Therefore, this study aims to test the feasibility of delivering microinterventions for the reduction of rumination in a smartphone-based setting with the goal to make these interventions accessible to a larger number of people and support their use in everyday life.

METHODS AND ANALYSIS

The study's design is an uncontrolled-within-group design. Participants with at least mild depressive symptoms and reported rumination will be included and recruited via outpatient clinics as well as in the general population. The aim is to recruit at least N=70 participants. Participants first undergo a short telephone screening, a baseline assessment, a 7-day smartphone-based assessment including microinterventions in case participants report rumination and a postassessment. For feasibility purposes, primary outcomes relate to participants' compliance, their evaluation of the smartphone-based assessment as well as the microinterventions delivered during the assessment. As a secondary goal, clinical utility will be examined. Clinical outcomes (eg, depressive symptoms, rumination) will be measured at baseline and postassessment.

ETHICS AND DISSEMINATION

The ethics committee of the institute of psychology of the university of Duisburg-Essen and University of Leipzig has approved the study. Study results will be disseminated to healthcare communities, in peer-reviewed science journals and at conferences.

TRIAL REGISTRATION NUMBER

DRKS00031743.

摘要

简介

抑郁、自杀意念和行为有几个共同的诱发和维持因素，并受到重叠结构的影响。这些跨诊断结构之一是反刍思维。对于反刍思维的治疗，已经有多种干预措施可用。然而，并非每个有需要的人都能接受心理治疗。即使他们接受了治疗：独自在家中实施所学策略对患者来说可能具有挑战性。因此，本研究旨在测试在基于智能手机的环境中提供减少反刍思维的微干预的可行性，目的是使更多的人能够获得这些干预措施，并支持他们在日常生活中的使用。

方法和分析

该研究的设计是一个无对照组的组内设计。将纳入至少有轻度抑郁症状和报告反刍思维的参与者，并通过门诊诊所以及一般人群招募参与者。目标是招募至少 70 名参与者。参与者首先接受简短的电话筛查、基线评估、为期 7 天的基于智能手机的评估，包括在参与者报告反刍思维的情况下进行微干预，以及后评估。为了可行性目的，主要结果与参与者的依从性、他们对基于智能手机的评估以及评估期间提供的微干预的评价有关。作为次要目标，将检查临床实用性。在基线和后评估时测量临床结果（例如，抑郁症状、反刍思维）。