A CONTROLLED TRIAL OF A SCHOOL-BASED INTERNET PROGRAM FOR REDUCING DEPRESSIVE SYMPTOMS IN ADOLESCENT GIRLS
A CONTROLLED TRIAL OF A SCHOOL-BASED INTERNET PROGRAM FOR REDUCING DEPRESSIVE SYMPTOMS IN ADOLESCENT GIRLS
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DOI：
10.1002/da.20507
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发表时间：
2009-01-01
影响因子：
7.4
通讯作者：
Griffiths, Kathy
中科院分区：
文献类型：
--
作者：
O'Kearney, Richard;Kang, Kanwal;Griffiths, Kathy
背景：这项研究评估了作为高中课程一部分的自我定向互联网抑郁症干预(MoodGYM)的好处。方法：将157名15岁至16岁的女生随机分为两组，一组为MoodGYM组，另一组为常规课程组。采用随机效应回归分析MoodGYM对抑郁症状、抑郁风险、归因方式、抑郁素养和抑郁态度的影响。结果：在试验期间，MoodGYM产生的抑郁症状的下降速度明显快于对照组。MoodGYM的效应大小在干预后即刻并不显著(Cohen‘s d=.19，95%CI-.18-.56)，但在干预20周后中度显著(d=.46，95%CI.10-.82)。干预前抑郁得分高的女孩在随访时对自我报告的抑郁表现出最大的益处(d=0.92，95%CI)。10-1.38)。在抑郁状态、归因方式、抑郁素养和态度方面没有显著的干预效果。在MoodGYM组中，大约70%的女孩完成的模块不到三个，完成较少的模块与干预前的高抑郁评分有关。结论：研究结果表明，MoodGym对自我报告的抑郁症状有好处，但完成率较低，在确保坚持互联网治疗抑郁症方面存在问题。抑郁和焦虑26.65-72,2009。(C)2008年Wiley-Liss，Inc.
Background: This study evaluates the benefits of a self-directed Internet intervention for depression (MoodGYM delivered as a part of the high school curriculum. Method: One hundred and fifty-seven girls, aged 15 and 16 years, were allocated to undertake either MoodGYM or their usual curriculum. MoodGYM's impact on depressive symptoms, risk of depression, attributional style, depression literacy and attitudes toward depression was examined using random effect regression. Results: MoodGYM produced a significantly faster rate of decline in depressive symptoms over the trial period than the control condition. The effect size for MoodGYM was not significant immediately after the intervention (Cohen's d = .19, 95% CI -.18-.56) but was moderate and significant 20 weeks after the intervention (d= .46, 95% CI .10-.82). Girls with high depression scores before intervention showed the strongest benefits on self-reported depression at follow-up (d = .92, 95% CI. 10-1.38). There were no significant intervention effects on depression status, attributional style, depression literacy, and attitudes. Approximately 70% of girls in the MoodGYM group completed less than three of its modules and completion of fewer modules was related to high depression score before intervention. Conclusions: The findings suggest that there are benefits from MoodGym on self-reported depressive symptoms but has low rates of completion highlight problems in ensuring adherence to Internet programs for depression. Depression and anxiety 26.65-72, 2009. (c) 2008 Wiley-Liss, Inc.