一项预防大学生焦虑和抑郁的网络程序的随机对照试验。

IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Journal of consulting and clinical psychology Pub Date : 2024-01-01 Epub Date: 2023-09-28 DOI:10.1037/ccp0000843
Leslie R Rith-Najarian, Elizabeth Gong-Guy, John C Flournoy, Denise A Chavira
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引用次数: 0

摘要

目的:针对大学生焦虑和抑郁的在线干预措施很少是针对普遍分娩而设计的,也没有针对群体分娩而设计。这项随机对照试验(NCT编号04361045)检验了这种预防方案的有效性。方法:StriveWeekly是一种基于网络的干预措施,设计了每周自我指导的技能模块(如行为激活),并同步交付给所有用户。学生参与者(n=1607)来自一所大型公立大学,65.4%的人以前没有使用过心理健康服务。参与者被随机分配到8周的每周奋斗(n=804)或等待名单条件(n=803)。参与者在基线、测试后和3个月的随访中完成了基于网络的调查。主要结果是自我报告的抑郁-焦虑和压力量表21。结果:分段线性混合效应模型发现,抑郁(t=-3.05,p=.002)、焦虑(t=-3.01,p=.003)和总症状(t=-3.34,p<.001)存在显著的逐时交互作用,被分配到《奋斗周刊》的学生从基线到后测的进步更大(组d=0.18-0.21)。这些小的影响通过随访得以保持,随后被原始的候补名单复制。干预措施由73.0%处于每周努力状态的学生发起(完成的模块:M=3.72),71.6%的后测受访者对干预措施给予了高度评价。结论:研究结果支持了《奋斗周刊》在大规模预防大学生焦虑和抑郁症状方面的有效性。然而,仍需要进一步的发展和研究,因为并非所有学生都使用了干预措施,报告了满意度或体验到了改善。(PsycInfo数据库记录(c)2023 APA,保留所有权利)。
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Randomized controlled trial of a web-based program for preventing anxiety and depression in university students.

Objective: Few online interventions targeting anxiety and depression in university students are designed for universal delivery, and none for group-level delivery. This randomized controlled trial (NCT No. 04361045) examined the effectiveness of such a prevention program.

Method: StriveWeekly is a web-based intervention designed with weekly self-guided skill modules (e.g., behavioral activation) that are synchronously delivered to all users. Student participants (n = 1,607) were recruited from one large public university, and 65.4% had no prior mental health service use. Participants were randomly assigned to 8 weeks of StriveWeekly (n = 804) or a waitlist condition (n = 803). Participants completed web-based surveys at baseline, posttest, and 3-month follow-up. The primary outcome was the self-reported Depression Anxiety and Stress Scale-21.

Results: Piecewise linear mixed-effect models found significant group by time interactions for depression (t = -3.05, p = .002), anxiety (t = -3.01, p = .003), and total symptoms (t = -3.34, p < .001). Relative to the waitlist, students assigned to StriveWeekly improved more from baseline to posttest (between-group d = 0.18-0.21). These small effects were maintained through follow-up, and subsequently replicated by the original waitlist. The intervention was initiated by 73.0% of students in the StriveWeekly condition (modules completed: M = 3.72), and 71.6% of all posttest respondents rated the intervention highly.

Conclusion: Findings supported StriveWeekly's effectiveness for large scale indicated prevention of anxiety and depression symptoms in university students. However, further development and research are still needed, as not all students used the intervention, reported satisfaction, or experienced improvement. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
9.00
自引率
3.40%
发文量
94
期刊介绍: The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.
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