A Randomized Controlled Trial of Internet-Based Self-Help for Stress During the COVID-19 Pandemic.
A Randomized Controlled Trial of Internet-Based Self-Help for Stress During the COVID-19 Pandemic.
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DOI：
10.1016/j.jadohealth.2022.01.227
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发表时间：
2022-08
期刊：
影响因子：
--
通讯作者：
Newman MG
中科院分区：
文献类型：
--
作者：
Rackoff GN;Fitzsimmons-Craft EE;Taylor CB;Eisenberg D;Wilfley DE;Newman MG
COVID-19大流行加剧了对可以远程和大规模向大学生提供心理保健的需求。这项研究评估了疫情期间学生在线自助减压的效果。在2020年11月至2021年2月期间，当COVID-19对高校产生重大影响时，招募了中等或更高压力的大学生（N = 585）。参与者被随机分配接受使用认知行为疗法和积极心理学原则的在线自助，以支持恢复力和应对与流行病相关的压力源（n = 301）或转诊到常规护理（n = 284）。在治疗前、治疗后1个月和3个月随访时评估压力（主要结局）、抑郁和焦虑（次要结局）。从治疗前到治疗后，在线自助条件下的参与者的压力（d =-0.18，p = 0.035）和抑郁（d =-0.20，p = 0.018）的减少幅度明显大于转诊组。治疗组从治疗前到随访期间的压力降低幅度也大于转诊组（d =-0.23，p = .005）。各组在焦虑的变化上没有差异。更多的时间使用自助计划预测治疗后（d =-0.41，p = 0.001）和随访（d =-0.32，p = 0.007）抑郁症的改善更大，尽管使用与压力或焦虑的变化无关。针对疫情期间的韧性和应对的在线自助对长期缓解大学生的压力和短期缓解抑郁症状似乎有效。ClinicalTrials.gov（NCT 04762173）。
The COVID-19 pandemic has heightened the need for mental healthcare that can be delivered remotely and at scale to college students. This study evaluated the efficacy of online self-help for stress among students during the pandemic. College students with moderate or higher stress (N = 585) were recruited between November 2020 and February 2021, when COVID-19 had a major impact on colleges. Participants were randomly assigned to receive either online self-help using cognitive-behavioral therapy and positive psychology principles to support resilience and coping with pandemic-related stressors (n = 301) or referral to usual care (n = 284). Stress (primary outcome), depression, and anxiety (secondary outcomes) were assessed at pretreatment, one-month post-treatment, and three-month follow-up. Participants in the online self-help condition experienced significantly larger reductions in stress (d = –0.18, p = .035) and depression (d = –0.20, p = .018) from pretreatment to post-treatment than participants in the referral group. Reductions in stress from pretreatment to follow-up were also larger in the treatment versus referral group (d = –0.23, p = .005). Groups did not differ in change in anxiety. More time using the self-help program predicted greater improvement in depression at post-treatment (d = –0.41, p = .001) and follow-up (d = –0.32, p = .007), although usage was unrelated to change in stress or anxiety. Online self-help targeting resilience and coping during the pandemic appears efficacious for long-term alleviation of stress and short-term alleviation of depression symptoms among the college students. ClinicalTrials.gov (NCT04762173).
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影响因子：
2.8
作者：
Kim H;Rackoff GN;Fitzsimmons-Craft EE;Shin KE;Zainal NH;Schwob JT;Eisenberg D;Wilfley DE;Taylor CB;Newman MG
通讯作者：
Newman MG
影响因子：
11.3
作者：
Guessoum, Selim Benjamin;Lachal, Jonathan;Moro, Marie Rose
通讯作者：
Moro, Marie Rose
影响因子：
4.3
作者：
Waters, Lea;Algoe, Sara B.;Steger, Michael
通讯作者：
Steger, Michael
一项基于智能手机的应用程序治疗焦虑的随机对照试验。
DOI：
10.1080/10503307.2020.1790688
发表时间：
2021-04
期刊：
Psychotherapy research : journal of the Society for Psychotherapy Research
影响因子：
--
作者：
Newman MG;Jacobson NC;Rackoff GN;Bell MJ;Taylor CB
通讯作者：
Taylor CB
影响因子：
5.8
作者：
Koller, Manuel
通讯作者：
Koller, Manuel