治愈悲伤--针对长期悲伤的丧亲中国人的在线自助干预计划:随机对照试验的研究方案。

IF 4.2 2区 医学 Q1 PSYCHIATRY European Journal of Psychotraumatology Pub Date : 2024-01-01 Epub Date: 2024-03-20 DOI:10.1080/20008066.2024.2323422
Suqin Tang, Wenjie Peng, Xueying Qian, Yulin Chen
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引用次数: 0

摘要

背景:在中国,心理健康服务目前还不能满足具有长期悲伤障碍(PGD)症状的丧亲者的需求。基于互联网的悲伤干预可能有助于填补这一空白,但此类项目尚未在中国开发或评估。本研究旨在调查一个名为 "治愈悲伤 "的在线自助干预项目对有长期悲伤症状的中国丧亲者的有效性、可接受性和可行性,并探索潜在改善的心理机制:我们设计了一项双臂随机对照试验。方法:我们设计了一项双臂随机对照试验,将至少128名参与者随机分配到基于互联网的干预组或等待对照组。基于互联网的干预将以双重过程模型为基础,整合心理教育、行为激活、认知再评价和意义重建等技术,并通过表达性写作的方式进行。干预包括六个模块,每个模块有两节课,要求参与者每周完成两节课,并在 6 周内完成干预。主要结果包括有效性、可接受性和可行性。有效性将通过测量长期悲伤、创伤后应激、焦虑和抑郁症状来评估。可接受性和可行性将通过对用户体验特征的调查和访谈进行评估。次要结果包括调节因素和中介因素,如双重过程应对、悲伤反刍、正念和持续联系,以探索潜在改善的心理机制。评估将在干预前、干预后和 3 个月的随访中进行:拟议的研究将确定新开发的针对长期悲伤的丧亲中国人的在线自助干预的有效性、可接受性和可行性,并阐明该干预如何帮助改善症状。这种干预可能会在缓解中国丧亲心理服务的提供和接受之间的不平衡方面发挥重要作用。
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Healing grief - an online self-help intervention programme for bereaved Chinese with prolonged grief: study protocol for a randomised controlled trial.

Background: In China, mental health services do not currently meet the needs of bereaved people with symptoms of prolonged grief disorder (PGD). Internet-based grief interventions may help fill this gap, but such programmes have not yet been developed or evaluated in China. The proposed study aims to investigate the effectiveness, acceptability, and feasibility of an online self-help intervention programme named Healing Grief for bereaved Chinese with prolonged grief, and to explore the psychological mechanisms of potential improvements.Methods: We designed a two-arm randomised controlled trial. At least 128 participants will be randomly assigned to either an Internet-based intervention group or a waitlist-control group. The Internet-based intervention will be developed based on the dual process model, integrating techniques of psychoeducation, behavioural activation, cognitive reappraisal, and meaning reconstruction, and will be delivered via expressive writing. The intervention comprises six modules, with two sessions in each module, and requires participants to complete two sessions per week and complete the intervention in 6 weeks. The primary outcomes include effectiveness, acceptability, and feasibility. The effectiveness will be assessed by measures of prolonged grief, posttraumatic stress, anxiety, and depressive symptoms. Acceptability and feasibility will be evaluated using survey and interview on user experience characteristics. Secondary outcomes include moderators and mediators, such as dual process coping, grief rumination, mindfulness, and continuing bond, to explore the psychological mechanisms of potential improvement. Assessments will take place at pre-intervention, post-intervention, and 3-month follow-up.Conclusion: The proposed study will determine the effectiveness, acceptability, and feasibility of the newly developed online self-help intervention for bereaved Chinese with prolonged grief and clarify how the intervention helps with symptom improvements. Such an intervention may play an important role in easing the imbalance between the delivery and receipt of bereavement psychological services in China.

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来源期刊
CiteScore
7.60
自引率
12.00%
发文量
153
审稿时长
18 weeks
期刊介绍: The European Journal of Psychotraumatology (EJPT) is a peer-reviewed open access interdisciplinary journal owned by the European Society of Traumatic Stress Studies (ESTSS). The European Journal of Psychotraumatology (EJPT) aims to engage scholars, clinicians and researchers in the vital issues of how to understand, prevent and treat the consequences of stress and trauma, including but not limited to, posttraumatic stress disorder (PTSD), depressive disorders, substance abuse, burnout, and neurobiological or physical consequences, using the latest research or clinical experience in these areas. The journal shares ESTSS’ mission to advance and disseminate scientific knowledge about traumatic stress. Papers may address individual events, repeated or chronic (complex) trauma, large scale disasters, or violence. Being open access, the European Journal of Psychotraumatology is also evidence of ESTSS’ stand on free accessibility of research publications to a wider community via the web. The European Journal of Psychotraumatology seeks to attract contributions from academics and practitioners from diverse professional backgrounds, including, but not restricted to, those in mental health, social sciences, and health and welfare services. Contributions from outside Europe are welcome. The journal welcomes original basic and clinical research articles that consolidate and expand the theoretical and professional basis of the field of traumatic stress; Review articles including meta-analyses; short communications presenting new ideas or early-stage promising research; study protocols that describe proposed or ongoing research; case reports examining a single individual or event in a real‑life context; clinical practice papers sharing experience from the clinic; letters to the Editor debating articles already published in the Journal; inaugural Lectures; conference abstracts and book reviews. Both quantitative and qualitative research is welcome.
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