A randomized trial of online single-session interventions for adolescent depression during COVID-19.
A randomized trial of online single-session interventions for adolescent depression during COVID-19.
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DOI：
10.1038/s41562-021-01235-0
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发表时间：
2022-03
影响因子：
29.9
通讯作者：
Roulston CA
中科院分区：
文献类型：
--
作者：
Schleider JL;Mullarkey MC;Fox KR;Dobias ML;Shroff A;Hart EA;Roulston CA
COVID-19 大流行可能会增加青少年抑郁症的风险。即使在大流行前，<50% 的抑郁症青少年也获得了护理，这凸显了对可及干预措施的需求。因此，这项随机对照试验 (ClinicalTrials.gov: NCT04634903) 在 COVID-19 期间对抑郁症状加重的青少年（N=2,452，13-16 岁）进行了在线单次干预 (SSI) 测试。通过社交媒体招募的来自美国所有 50 个州的青少年被随机分配到 3 个 SSI 中的一个：行为激活 SSI、教导特质可塑性的 SSI 或支持性对照。我们测试了每种 SSI 对干预后（绝望、能动性）和 3 个月结果（抑郁、绝望、能动性、广泛性焦虑、新冠相关创伤、限制性饮食）的影响。与对照相比，两种主动 SSI 均减轻了 3 个月的抑郁症状 (ds=0.18)；干预后和 3 个月绝望感降低 (ds=0.16-0.28)；干预后能动性增加（ds=0.15-0.31）；并减少 3 个月的限制性饮食 (ds=0.12-17)。活跃 SSI 之间出现了一些差异。结果证实了免费的在线 SSI 对于高症状青少年的效用，即使是在高压力的 COVID-19 背景下。
The COVID-19 pandemic has potentially increased the risk for adolescent depression. Even pre-pandemic, <50% of youth with depression accessed care, highlighting needs for accessible interventions. Accordingly, this randomized-controlled trial (ClinicalTrials.gov: NCT04634903) tested online single-session interventions (SSIs) during COVID-19 in adolescents with elevated depression symptoms (N=2,452, ages 13-16). Adolescents from all 50 U.S. states, recruited via social media, were randomized to 1 of 3 SSIs: a behavioural activation SSI, an SSI teaching that traits are malleable, or a supportive control. We tested each SSI’s effects on post-intervention (hopelessness, agency) and 3-month outcomes (depression, hopelessness, agency, generalized anxiety, COVID-related trauma, restrictive eating). Versus control, both active SSIs reduced 3-month depressive symptoms (ds=0.18); decreased post-intervention and 3-month hopelessness (ds=0.16-0.28); increased post-intervention agency (ds=0.15-0.31); and reduced 3-month restrictive eating (ds=0.12-17). Several differences between active SSIs emerged. Results confirm the utility of free-of-charge, online SSIs for high-symptom adolescents, even in the high-stress COVID-19 context.
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影响因子：
2.7
作者：
Perczel Forintos, Dora;Rozsa, Sandor;Kopp, Maria
通讯作者：
Kopp, Maria
影响因子：
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作者：
Baumel, Amit;Muench, Frederick;Kane, John M.
通讯作者：
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影响因子：
3.6
作者：
Hammen, Constance;Brennan, Patricia A.;Keenan-Miller, Danielle
通讯作者：
Keenan-Miller, Danielle
影响因子：
3.8
作者：
Harpaz-Rotem, I;Leslie, D;Rosenheck, RA
通讯作者：
Rosenheck, RA
DOI：
10.1007/s40519-014-0161-0
发表时间：
2015-09
期刊：
Eating and weight disorders : EWD
影响因子：
--
作者：
Haynos AF;Fruzzetti AE
通讯作者：
Fruzzetti AE