Alvarez Carmen, Aryal Subhash, Vrany Elizabeth, Sanchez R Maria Jose, Quiles Rosalphie, Escobar-Acosta Lia, Hill-Briggs Felicia
School of Nursing, University of Pennsylvania, Philadelphia, PA, United States.
Institute of Health System Science, Feinstein Institutes for Medical Research, Department of Medicine, Zucker School of Medicine, New York, NY, United States.
JMIR Form Res. 2024 Jan 8;8:e52969. doi: 10.2196/52969.
Growing evidence suggests that Latina immigrant survivors of adverse childhood experiences (ACEs) are at increased risk for developing and remaining with either depression or anxiety or both symptoms. This study examined the feasibility and acceptability of a telehealth intervention-Cuidándome (quee-DAN-doh-meh, "taking care of myself"). Cuidándome is a 10-week, patient-centered, trauma-informed intervention delivered by a trained facilitator that promotes self-management of depression and anxiety symptoms through improved problem-solving skills and strategies.
The aim of this study was to examine the feasibility and acceptability of Cuidándome delivered remotely (via Zoom) with Latina immigrant ACE survivors with either depression or anxiety or both symptoms. We also estimated the effect sizes associated with the intervention on decreasing depression and anxiety symptoms and improving social problem-solving styles.
We evaluated Cuidándome using a randomized controlled trial design. Latina immigrants (N=47) who had experienced at least 1 ACE and had at least mild depression or anxiety symptoms were randomized to Cuidándome or a comparison group delivered by trained facilitators. We assessed for changes in depression and anxiety symptoms as well as social problem-solving styles at baseline, post intervention, and 3- and 6-month follow-up.
Analyses indicated significant decreases over time within both Cuidándome and comparison groups for depression and anxiety symptoms and maladaptive problem-solving. The intervention effect was largest for anxiety; at 6-month follow-up, Cuidándome participants had significantly lower anxiety scores than the comparison group. In addition, we observed a greater average point reduction in depression symptoms at 6 months among Cuidándome participants (5.7 points) than in the comparison group (3.7 points).
A mental health program delivered via Zoom by a trained facilitator was feasible and acceptable to Latina immigrant women and can be beneficial for reducing anxiety and depression symptoms. More research is needed to assess the effectiveness of Cuidándome among a powered sample size of Latina immigrants.
ISRCTN Registry ISRCTN16668518; https://www.isrctn.com/ISRCTN16668518.
越来越多的证据表明，童年不良经历（ACEs）的拉丁裔移民幸存者出现抑郁或焦虑症状或两者兼有的风险增加。本研究考察了远程医疗干预措施“关爱自己”（Cuidándome，发音为quee-DAN-doh-meh，意为“照顾自己”）的可行性和可接受性。“关爱自己”是一项为期10周、以患者为中心、具有创伤知情理念的干预措施，由经过培训的主持人实施，通过提高解决问题的技能和策略来促进抑郁和焦虑症状的自我管理。
本研究的目的是考察通过Zoom远程提供给患有抑郁或焦虑症状或两者兼有的拉丁裔移民ACE幸存者的“关爱自己”干预措施的可行性和可接受性。我们还估计了该干预措施在减轻抑郁和焦虑症状以及改善社会问题解决方式方面的效应大小。
我们采用随机对照试验设计对“关爱自己”进行评估。将经历过至少1次ACE且至少有轻度抑郁或焦虑症状的拉丁裔移民（N = 47）随机分为“关爱自己”组或由经过培训的主持人提供的对照组。我们在基线、干预后以及3个月和6个月随访时评估抑郁和焦虑症状以及社会问题解决方式的变化。
分析表明，“关爱自己”组和对照组在抑郁和焦虑症状以及适应不良的问题解决方面随时间均有显著下降。干预对焦虑的效果最大；在6个月随访时，“关爱自己”组参与者的焦虑得分显著低于对照组。此外，我们观察到，在6个月时，“关爱自己”组参与者的抑郁症状平均得分降低幅度（5.7分）大于对照组（3.7分）。
由经过培训的主持人通过Zoom提供的心理健康项目对拉丁裔移民女性来说是可行且可接受的，并且可能有助于减轻焦虑和抑郁症状。需要更多研究来评估“关爱自己”在足够样本量的拉丁裔移民中的有效性。
ISRCTN注册库ISRCTN16668518；https://www.isrctn.com/ISRCTN16668518 。
