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IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL Journal of Contextual Behavioral Science Pub Date : 2024-09-06 DOI:10.1016/j.jcbs.2024.100839

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引用次数: 0

摘要

背景鉴于抑郁症在全球的高发病率，迫切需要提高治疗的可及性，并确定可持续解决抑郁症的治疗模式。本研究旨在测试基于情境模式疗法原则的简短成人抑郁症状在线自助项目（nCompass）的可行性、可接受性、结果和机制。方法在线招募贝克抑郁量表（第二版）得分超过 14 分的 102 名参与者，并随机分配到为期 15 天的 nCompass 干预项目或自控在线心理教育组。受试者在基线、干预结束后和两周的随访中填写了关于抑郁、模式应对和心理灵活性的自我报告测量。此外，还对 nCompass 参与者进行了程序可接受性测量。结果 nCompass 干预总体上是可行和可接受的，大多数参与者都完成了干预，并认为它易于使用、令人满意且有用。此外，结果表明，与对照组相比，nCompass 组的抑郁症状和模式应对能力在随访中的下降幅度更大。nCompass 小组抑郁症状从测试前到测试后以及随访期间的变化可以用投降应对方式的变化来解释。我们的研究结果表明，nCompass 计划是治疗普通人群抑郁症状的一种很有前景的选择。

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Feasibility, acceptability and outcomes of a contextual schema therapy-based mobile program for depressive symptoms in adults

Background

Given the high prevalence of depression worldwide, there is a pressing need for increasing treatment accessibility and identifying treatment modalities that can sustainably address depression. The present study aims to test the feasibility, acceptability, outcomes and mechanisms of a brief online self-help program for depressive symptoms in adults (nCompass), based on Contextual Schema Therapy principles.

Method

102 participants scoring above 14 on the Beck Depression Inventory – Second Version were recruited online and randomly allocated to either the 15-day nCompass intervention or a self-administered online psychoeducation group. Participants filled in self-report measures of depression, schema coping and psychological flexibility at baseline, immediately following the intervention and at a two-week follow-up. Additionally, nCompass participants were administered an instrument measuring the acceptability of the program.

Results

The nCompass intervention was overall feasible and acceptable, with most participants completing the intervention and assessing it as easy to use, satisfactory and useful. Furthermore, results indicate higher decreases in depression and schema coping in the nCompass group by follow-up, compared to the control group. Changes in depressive symptoms from pre-test to post-test and follow-up in the nCompass group were explained by changes in surrender coping. There were no significant differences in psychological flexibility between the groups at either post-test or follow-up.

Discussion

Our results highlight the nCompass program as a promising option for treating depressive symptoms in the general population.

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来源期刊

Journal of Contextual Behavioral Science PSYCHOLOGY, CLINICAL-

CiteScore

8.50

自引率

18.00%

发文量

审稿时长

61 days

期刊介绍： The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.