Bisby Madelyne, Staples Lauren, Dear Blake, Titov Nickolai
MindSpot Clinic, MQ Health, Macquarie University, Sydney, Australia.
School of Psychological Sciences, Macquarie University, Sydney, Australia.
JMIR Form Res. 2024 Jul 25;8:e57938. doi: 10.2196/57938.
Specific daily actions (eg, goal setting, meaningful activities) are associated with mental health. Performing specific daily actions at a higher frequency is associated with significantly lower baseline symptoms of depression and anxiety, as well as better psychological treatment outcomes for depression and anxiety.
This study explored how the frequency of specific daily actions associated with mental health may differ prior to, during, and following treatment according to demographic and clinical characteristics.
Using a sample of 448 patients from an Australian national digital psychology service, we examined baseline differences in daily action frequency and changes in daily action frequency during a digital psychological treatment according to demographic and clinical subgroups. A total of 5 specific types of daily actions were measured using the Things You Do Questionnaire: healthy thinking, meaningful activities, goals and plans, healthy habits, and social connections.
The frequency of daily actions differed according to employment status (largest P=.005) and educational level (largest P=.004). Daily action frequency was lower in those participants with more severe or chronic depression or anxiety symptoms (largest P=.004). Participants reported larger increases in how often they did these daily actions from baseline to midtreatment compared to mid- to posttreatment. Depression duration (P=.01) and severity (P<.001) were associated with differences in how daily action frequency changed during treatment.
The findings of this study support continued research exploring the relationship between daily actions and mental health, how this relationship might differ between individuals, and the clinical potential of supporting individuals to increase the frequency of daily actions to improve mental health.
特定的日常行为（如设定目标、开展有意义的活动）与心理健康相关。更频繁地进行特定日常行为与抑郁和焦虑的基线症状显著减轻以及抑郁和焦虑的心理治疗效果更好相关。
本研究探讨了与心理健康相关的特定日常行为的频率在治疗前、治疗期间和治疗后如何根据人口统计学和临床特征而有所不同。
我们使用来自澳大利亚国家数字心理服务机构的448名患者样本，根据人口统计学和临床亚组，研究了日常行为频率的基线差异以及数字心理治疗期间日常行为频率的变化。使用《你所做的事情问卷》测量了总共5种特定类型的日常行为：健康思维、有意义的活动、目标与计划、健康习惯和社交联系。
日常行为的频率因就业状况（最大P = 0.005）和教育水平（最大P = 0.004）而异。患有更严重或慢性抑郁或焦虑症状的参与者日常行为频率较低（最大P = 0.004）。与治疗中期到后期相比，参与者报告从基线到治疗中期进行这些日常行为的频率增加幅度更大。抑郁持续时间（P = 0.01）和严重程度（P < 0.001）与治疗期间日常行为频率变化的差异相关。
本研究结果支持继续开展研究，探索日常行为与心理健康之间的关系、这种关系在个体之间可能存在的差异，以及支持个体增加日常行为频率以改善心理健康的临床潜力。
