Initial findings on RESTORE for healthcare workers: an internet-delivered intervention for COVID-19-related mental health symptoms.

Initial findings on RESTORE for healthcare workers: an internet-delivered intervention for COVID-19-related mental health symptoms.
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DOI:
10.1038/s41398-022-01965-3
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发表时间:
2022-06-01
影响因子:
6.8
通讯作者:
Abbey, Susan E.
Abbey, Susan E.
中科院分区:
医学1区
文献类型:
--
作者:
Trottier, Kathryn;Monson, Candice M.;Kaysen, Debra;Wagner, Anne C.;Liebman, Rachel E.;Abbey, Susan E.

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COVID-19疫情前线的许多医护人员正经历临床水平的心理健康症状。迫切需要循证干预措施来解决这些症状。RESTORE(通过在线资源和电子健康从极端压力中恢复)是一种在线指导的跨诊断干预,包括认知行为干预。它专门用于改善与COVID-19相关的创伤和极端压力源相关的焦虑、抑郁和创伤后应激障碍(PTSD)症状。本研究旨在评估RESTORE在COVID-19疫情前线医护人员中的可行性、可接受性和初步疗效。我们在21名医护人员中进行了一项RESTORE的初步非对照试验,这些医护人员在工作中暴露于COVID-19相关的创伤或极度压力体验,并且他们的焦虑、抑郁和/或PTSD症状的临床水平筛查呈阳性。RESTORE被认为是可行和安全的,并且在干预过程中通过随访导致焦虑,抑郁和PTSD症状的统计学显著和大效应量改善。RESTORE有可能成为一种广泛传播的循证干预措施,以解决与大规模创伤相关的心理健康症状。临床试验注册:本试验注册于ClinicalTrials.gov ID:NCT 04873622
Many healthcare workers on the frontlines of the COVID-19 pandemic are experiencing clinical levels of mental health symptoms. Evidence-based interventions to address these symptoms are urgently needed. RESTORE (Recovering from Extreme Stressors Through Online Resources and E-health) is an online guided transdiagnostic intervention including cognitive-behavioral interventions. It was specifically designed to improve symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD) associated with COVID-19-related traumatic and extreme stressors. The aims of the present study were to assess the feasibility, acceptability, and initial efficacy of RESTORE in healthcare workers on the frontline of the COVID-19 pandemic. We conducted an initial uncontrolled trial of RESTORE in 21 healthcare workers who were exposed to COVID-19-related traumatic or extremely stressful experiences in the context of their work and who screened positive for clinical levels of anxiety, depression, and/or PTSD symptoms. RESTORE was found to be feasible and safe, and led to statistically significant and large effect size improvements in anxiety, depression, and PTSD symptoms over the course of the intervention through follow-up. RESTORE has the potential to become a widely disseminable evidence-based intervention to address mental health symptoms associated with mass traumas. Clinical Trials Registration: This trial was registered with ClinicalTrials.gov ID: NCT04873622
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