First, Do No Harm: Referring Primary Care Patients with Depression to an Internet Support Group
First, Do No Harm: Referring Primary Care Patients with Depression to an Internet Support Group
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DOI：
10.1089/tmj.2017.0004
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发表时间：
2018-01-01
影响因子：
4.7
通讯作者：
Van Voorhees, Benjamin W.
中科院分区：
文献类型：
--
作者：
Goodwin, Brady C.;Ford, Daniel E.;Van Voorhees, Benjamin W.
背景：互联网支持小组（isg）为人们提供了获取抑郁症相关信息的便捷途径，同时也为那些目前或曾经患有抑郁症的人提供了支持。isg对抑郁症患者的安全性和有效性尚未得到充分研究。通过分析干预前和干预后的抑郁症状、其他心理结果和参与者对帮助性的评分，来评估抑郁症ISG的安全性和帮助性。材料和方法：参与者通过自我推荐从六个初级保健办公室招募。参与者获得了抑郁症ISG，并参与了6周的ISG。结果：34名（n=34）参与者入组，平均年龄为32.53岁，标准差[SD]=16.10。抑郁症状随着时间的推移而减少，自我效能感随着时间的推移而增加。在整个研究过程中，没有人自残，但有两名参与者产生了自残的想法。ISG的有用性评分好坏参半。讨论：参与抑郁症ISG的初级保健患者很少报告与ISG直接相关的不良经历。抑郁症状和自我效能感有有益的发现，而乐于助人的评分则好坏参半。结论：初级保健患者可以从ISG的使用中获益。这对农村地区的人尤其重要，因为那里缺乏精神卫生资源。ISG为患有抑郁症的初级保健患者提供了一种低成本和容易获得的资源。
Background:Internet Support Groups (ISGs) offer people easy access to information regarding depression as well as support from others who are either currently suffering from depression or have previously suffered from depression. The safety and efficacy of ISGs for people with depression have not been thoroughly studied.Introduction:The safety and helpfulness of a depression ISG were assessed by analyzing pre- and postintervention depressive symptoms, other psychological outcomes, and participant ratings of helpfulness.Materials and Methods:Participants were recruited through self-referral from six primary care offices. Participants were given access to a depression ISG and participated in an ISG for 6 weeks.Results:Thirty-four (n=34) participants enrolled in the study (mean age=32.53, standard deviation [SD]=16.10). Depressive symptoms approached significance for decreasing over time and self-efficacy increased over time. No self-harm occurred over the course of the study, but two participants developed self-harm ideation. Ratings of ISG helpfulness were mixed.Discussion:Primary care patients participating in depression ISGs reported few adverse experiences directly related to the ISG. Depressive symptoms and self-efficacy have beneficial findings while ratings of helpfulness were mixed.Conclusions:Primary care patients can benefit from the use of an ISG. This could be particularly pertinent to people in rural settings where mental health resources are not as available. An ISG offers a low-cost and easily accessible resource for primary care patients with depression.