Effects of a cognitive behavioral self-help program and a computerized structured writing intervention on depressed mood for HIV-infected people: A pilot randomized controlled trial
Effects of a cognitive behavioral self-help program and a computerized structured writing intervention on depressed mood for HIV-infected people: A pilot randomized controlled trial
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DOI：
10.1016/j.pec.2009.08.014
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发表时间：
2010-08-01
影响因子：
3.5
通讯作者：
Maes, Stan
中科院分区：
文献类型：
--
作者：
Kraaij, Vivian;van Emmerik, Arnold;Maes, Stan
目的：本研究的目的是检验低资源、低成本的干预方案是否能有效改善HIV感染者的抑郁情绪。认知行为自助计划(CBS)和计算机化结构化写作干预(SWI)的有效性在先导性随机对照试验中被测试。他们完成了前测和后测。调查问卷包括HADS。参与者被随机分配到CBS(n=24)、SWI(n=25)或等待名单条件(WLC，n=24)。为评估连续结果的变化，采用3x2(x组时间)重复测量ANCOVA。结果：与WLC相比，遵循CBS的受访者有显著的进步。然而，对于处于SWI状态的人来说，没有发现抑郁的显著改善。结论：这项初步研究表明，低资源、高成本效益的CBS项目似乎在减少艾滋病毒携带者的抑郁情绪方面有效。实践意义：由于自助计划可以通过普通邮件或互联网提供，因此可以在克服治疗的地理和社会障碍的同时接触到大量患者。(C)2009爱思唯尔爱尔兰有限公司。保留所有权利。
Objective: The aim of the present study was to examine whether low-resource, cost-effective intervention programs can be effective in improving depressed mood in people with HIV. The efficacy of a cognitive-behavioral self-help program (CBS) and a computerized structured writing intervention (SWI) were tested in a pilot randomized controlled trial.Methods: Participants were members of a patient organization. They completed a pretest and posttest. The questionnaire included the HADS. Participants were randomly allocated to CBS (n = 24), SWI (n = 25) or a waiting list condition (WLC, n = 24). To evaluate changes in the continuous outcome measure, a 3 x 2 (group x time) repeated measures ANCOVA was performed. Also, an ANCOVA was performed using change scores.Results: Respondents who followed the CBS improved significantly compared to the WLC. However, for people in the SWI condition no significant improvement on depression was found.Conclusion: This pilot study suggests that a low-resource, cost-effective CBS program seems to be effective in reducing depressed mood in people living with HIV. Practice implications: Because self-help programs can be delivered through regular mail or the internet, a high number of people could be reached while overcoming geographical and social barriers to treatment. (C) 2009 Elsevier Ireland Ltd. All rights reserved.