Leveraging the social network for treatment of social anxiety: Pilot study of a youth-specific digital intervention with a focus on engagement of young men
Leveraging the social network for treatment of social anxiety: Pilot study of a youth-specific digital intervention with a focus on engagement of young men
复制标题
利用社交网络治疗社交焦虑：针对青年的数字干预试点研究，重点关注年轻男性的参与
DOI：
10.1016/j.invent.2020.100323
复制
发表时间：
2020
期刊：
影响因子：
--
通讯作者：
M. Alvarez
中科院分区：
文献类型：
--
作者：
S. Rice;B. O’Bree;Michael J Wilson;Carla McEnery;M. Lim;Matthew Hamilton;J. Gleeson;S. Bendall;Simon D’Alfonso;Penni Russon;Lee Valentine;Daniela Cagliarini;Simmone Howell;Christopher Miles;Marc Pearson;Laura Nicholls;Nicola Garland;E. Mullen;P. McGorry;M. Alvarez
目的主要目的是确定新型数字干预（Entourage）对于具有突出社交焦虑症状的年轻人的可接受性、可行性和安全性，特别关注年轻人的参与。第二个目的是探讨干预措施是否与已知与社交焦虑同时发生的临床和社会变量的临床显着改善相关。方法由心理健康临床医生、研究人员、年轻成人小说作家、漫画艺术家和有社交焦虑生活经历的年轻人组成的多学科团队合作开发了 Entourage 平台。 Entourage 将基于证据的社交焦虑治疗技术与基于社交媒体的引人入胜的界面相结合，使用户能够建立社交联系，同时还获得专家的临床调节和同事的支持。 Entourage 的可接受性、可行性和安全性结果在一项为期 12 周的试点研究中进行了测试，该研究有 89 名年轻人（48.3% 为男性；年龄 M= 19.8 岁，SD= 3.3 岁）。合格的参与者是通过与墨尔本西北部的四个顶空早期干预中心联络招募的。结果 56.8% 的样本报告基线时有严重或非常严重的社交焦虑症状。结果表明，Entourage 干预是可行、安全的，并且可能是可以接受的，98.6% 的参与者表示，他们会向另一位经历社交焦虑的年轻人推荐 Entourage。男性和非男性参与者的使用结果也具有可比性。结果表明，年轻人在临床和社会变量方面得到了可靠且显着的改善。特别是，年轻男性在社交焦虑症状（d= 0.79，p < .001）、抑郁（d= 0.71，p < .001）、归属感（d= 0.58，p= .001）、社交联系感增强（d= 0.46，p= .004）和孤独感减少方面表现出临床显着改善（d=0.46，p=.006）。非男性参与者的社交联系也显着增加 (d=0.76,p<.001)，同时社交焦虑减少 (d=0.78,p<.001) 和体验性回避 (d=0.81,p<.001)。结论 Entourage 是一种高度有吸引力且潜在有效的干预措施，代表了一种新颖的功能组合，旨在减少社交焦虑症状并改善年轻人的社交联系。 Entourage 表现出一定的可接受性、可行性和安全性，对临床和社会变量具有令人鼓舞的益处。 《Entourage》对于患有社交焦虑症状的年轻男性的参与和支持也显示出良好的结果。
ObjectiveThe primary objective was to determine the acceptability, feasibility and safety of a novel digital intervention (Entourage) for young people with prominent social anxiety symptoms, with a particular focus on the engagement of young men. The secondary aim was to explore whether the intervention was associated with clinically significant improvements to clinical and social variables known to co-occur with social anxiety.MethodA multidisciplinary team comprising of mental health clinicians, researchers, young adult fiction writers, a comic artist and young people with a lived experience of social anxiety developed the Entourage platform in collaboration. Entourage combines evidence-based therapeutic techniques for social anxiety with an engaging, social-media-based interface that allows users to build social connections, while also receiving expert clinical moderation and support from peer workers. Acceptability, feasibility and safety outcomes of Entourage were tested in a 12-week pilot study with 89 young people (48.3% male; ageM= 19.8 years,SD= 3.3 years). Eligible participants were recruited via liaison with four headspace early-intervention centres in north-western Melbourne.Results56.8% of the sample reported social anxiety symptoms in the severe or very severe range at baseline. Results demonstrated the Entourage intervention was feasible, safe, and potentially acceptable, with 98.6% of participants reporting they would recommend Entourage to another young person experiencing social anxiety. Usage results were also comparable across male and non-male participants. Results showed that young people reliably and significantly improved on clinical and social variables. In particular, young males showed a clinically significant improvement on social anxiety symptoms (d= 0.79,p< .001), depression (d= 0.71,p< .001), belongingness (d= 0.58,p= .001), increased feelings of social connectedness (d= 0.46,p= .004) and decreased loneliness (d=0.46,p= .006). Non-male participants also experienced a significant increase in social connectedness (d= 0.76,p< .001), alongside reduced social anxiety (d= 0.78,p< .001) and experiential avoidance (d= 0.81,p< .001).ConclusionsEntourage is a highly engaging and potentially effective intervention that represents a novel combination of features designed both to reduce social anxiety symptoms and improve social connection among young people. Entourage demonstrated some acceptability, feasibility and safety, with encouraging benefits to clinical and social variables. Entourage also showed favorable results for the engagement and support of young men with social anxiety symptoms.
影响因子：
5.9
作者：
JACOBSON, NS;TRUAX, P
通讯作者：
TRUAX, P
DOI：
10.1007/springerreference_180601
发表时间：
1995
影响因子：
4.7
作者：
通讯作者：
--