Pregnancy and the Acceptability of Computer-Based Versus Traditional Mental Health Treatments
Pregnancy and the Acceptability of Computer-Based Versus Traditional Mental Health Treatments
复制标题
DOI：
10.1089/jwh.2016.6255
复制
发表时间：
2017-10-01
影响因子：
3.5
通讯作者：
Kim, Deborah R.
中科院分区：
文献类型：
--
作者：
Hantsoo, Liisa;Podcasy, Jessica;Kim, Deborah R.
背景：最近的建议敦促增加对孕妇和产后妇女的抑郁症筛查，这可能会增加对治疗的需求。基于计算机的心理治疗可以解决一些围产期妇女独特的心理健康治疗需求和障碍。材料与方法：我们对孕妇（妊娠12周）进行了一项关于计算机治疗与传统治疗（心理治疗和药物治疗）相比的偏好的定量调查。非妊娠女性和男性作为对照组。参与者被提供了三种基于计算机的治疗的描述：视频远程医疗治疗（VTT），计算机辅助治疗（CAT）和自我指导在线治疗（SGO）。参与者被要求选择他们将考虑的所有治疗方案以及首选偏好。患者健康问卷-9（PHQ-9）评估了当前的抑郁性精神病学，迷你国际神经精神访谈（MINI）评估了精神病史。结果：参与者包括妊娠女性（n=111），非妊娠女性（n=147）和男性（n=54）。在孕妇中，77.5%（n=86）表示，他们会考虑在怀孕期间进行某种形式的基于计算机的心理健康治疗; VTT是最常考虑的，其次是CAT和SGO。当被要求选择他们最喜欢的干预措施时，传统的谈话疗法是所有三组中的首选，控制了治疗史和PHQ-9评分。大约三分之一的孕妇选择某种形式的基于计算机的治疗作为首选。结论：虽然基于计算机的治疗是可以接受的大多数孕妇在这个样本中，传统的谈话治疗是首选。未来的研究应该考虑如何根据围产期妇女的独特需求定制基于计算机的治疗。
Background: Recent recommendations urge increased depression screening in pregnant and postpartum women, potentially increasing demand for treatment. Computer-based psychotherapy treatments may address some of perinatal women's unique mental health treatment needs and barriers. Materials and Methods: We conducted a quantitative survey of pregnant women (12 weeks of gestation) on preferences regarding computer-based therapies compared with traditional therapies (psychotherapy and medication). Nonpregnant women and men served as comparison groups. Participants were provided descriptions of three computer-based therapies: video telehealth therapy (VTT), computer-assisted therapy (CAT), and self-guided online therapy (SGO). Participants were asked to select all options that they would consider for treatment as well as first choice preference. The Patient Health Questionnaire-9 (PHQ-9) assessed current depressive symptomatology, and the Mini International Neuropsychiatric Interview (MINI) assessed psychiatric history. Results: Participants included pregnant females (n=111), nonpregnant females (n=147), and males (n=54). Among pregnant women, 77.5% (n=86) indicated that they would consider some form of computer-based therapy for mental health treatment during pregnancy; VTT was the most commonly considered, followed by CAT and SGO. When asked to select their preferred intervention, traditional talk therapy was the first choice among all three groups, controlling for treatment history and PHQ-9 score. About one-third of pregnant women chose some form of computer-based therapy as their top choice. Conclusions: While computer-based therapies were acceptable to most pregnant women in this sample, traditional talk therapy was the preferred option. Future research should consider how to tailor computer-based therapies to the unique needs of perinatal women.