Hazumi Megumi, Miyake Michi, Kataoka Mayumi, Usuda Kentaro, Nishi Daisuke
Department of Public Mental Health Research, National Institute of Mental Health National Center of Neurology and Psychiatry Kodaira Tokyo Japan.
Department of Sleep-Wake Disorder, National Institute of Mental Health National Center of Neurology and Psychiatry Kodaira Tokyo Japan.
PCN Rep. 2024 Aug 18;3(3):e238. doi: 10.1002/pcn5.238. eCollection 2024 Sep.
This pilot examined the effect of online peer support on mental health problems among individuals with post-acute sequelae of COVID-2019 (PASC).
A single-arm pre-post design of online peer-support design consisting of eight sessions of 1 h per week with three to six participants and two facilitators per group was performed. Participants were recruited from online communities, social media, and medical clinics for the PASC between May and August 2023. The degrees of depression, anxiety, loneliness, social withdrawal, and self-esteem were measured pre- and post-intervention. Participants' statements during the sessions were analyzed using thematic analyses.
Of the 18 participants, three dropped out of the interventions, and 17 (including two participants who dropped out) completed the pre- and post-intervention questionnaires. Depression severity significantly decreased in the paired -test and linear mixed model. The following interactions were extracted: conveying the same feelings, dealing with difficulties, showing empathy, enhancing the atmosphere, and adapting to suit health conditions. Impressions extracted from participating in the interventions included feelings of emotional support, a sense of bonding, changes in perspective, changes in behaviors or new actions through participation, inadequacy during sessions, and adverse effects associated with participation.
Online peer support may be helpful in treating depression in individuals with PASC.
本试点研究探讨了在线同伴支持对新冠后遗症(PASC)患者心理健康问题的影响。
采用单组前后测设计的在线同伴支持方案,每周进行8次,每次1小时,每组3至6名参与者和2名 facilitators。2023年5月至8月期间,从在线社区、社交媒体和PASC医疗诊所招募参与者。在干预前后测量抑郁、焦虑、孤独、社交退缩和自尊程度。使用主题分析法分析参与者在 sessions 期间的陈述。
18名参与者中,3人退出干预,17人(包括2名退出者)完成了干预前后的问卷调查。在配对检验和线性混合模型中,抑郁严重程度显著降低。提取了以下互动:传达相同感受、应对困难、表达同理心、营造氛围以及适应健康状况。从参与干预中提取的印象包括情感支持感、联系感、视角变化、通过参与产生的行为变化或新行动、sessions 期间的不足以及与参与相关的不良影响。
在线同伴支持可能有助于治疗PASC患者的抑郁症。