GROUPS 4 HEALTH: Evidence that a social-identity intervention that builds and strengthens social group membership improves mental health
GROUPS 4 HEALTH: Evidence that a social-identity intervention that builds and strengthens social group membership improves mental health
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DOI：
10.1016/j.jad.2016.01.010
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发表时间：
2016-04-01
影响因子：
6.6
通讯作者：
Chang, Melissa Xue-Ling
中科院分区：
文献类型：
--
作者：
Haslam, Catherine;Cruwys, Tegan;Chang, Melissa Xue-Ling
背景资料：社会孤立和脱节对心理健康有深远的负面影响，但很少有理论上的干预措施直接针对这个问题。我们评估了一种新的干预，组4健康（G4H），手动5模块的心理干预，目标是发展和维护社会群体关系，以治疗心理困扰所产生的社会isolation.Methods：G4H进行了测试，使用非随机对照设计。该计划是交付给年轻人提出的社会孤立和情感障碍。主要结果指标评估了心理健康（抑郁，一般性焦虑，社交焦虑和压力），幸福感（生活满意度，自尊）和社会联系（孤独，社会功能）。我们的第二个目标是评估社会认同机制是否负责outcome.Results的变化：G4H被发现显着改善心理健康，幸福感和社会联系的所有措施，无论是在程序完成和6个月的后续行动。根据社会认同理论，分析还表明，抑郁、焦虑、压力、孤独和生活满意度的改善是由参与者对G4H群体和多个群体的认同增加所支撑的。局限性：本研究为G4 H的潜在价值及其潜在机制提供了初步证据，但需要在其他人群中进行进一步检查以解决普遍性问题，并在随机对照试验中解决其更广泛的疗效。这项初步研究的结果证实，G4H有可能减少社会脱节的负面健康相关后果。未来的研究将确定其在更广泛的社区背景下的效用。皇冠版权所有（C）2016由Elsevier B.V.出版。保留所有权利。
Background: Social isolation and disconnection have profound negative effects on mental health, but there are few, if any, theoretically-derived interventions that directly target this problem. We evaluate a new intervention, GROUPS 4 HEALTH (G4H), a manualized 5-module psychological intervention that targets the development and maintenance of social group relationships to treat psychological distress arising from social isolation.Methods: G4H was tested using a non-randomized control design. The program was delivered to young adults presenting with social isolation and affective disturbance. Primary outcome measures assessed mental health (depression, general anxiety, social anxiety, and stress), well-being (life satisfaction, self-esteem) and social connectedness (loneliness, social functioning). Our secondary goal was to assess whether mechanisms of social identification were responsible for changes in outcomes.Results: G4H was found to significantly improve mental health, well-being, and social connectedness on all measures, both on program completion and 6-month follow-up. In line with social identity theorizing, analysis also showed that improvements in depression, anxiety, stress, loneliness, and life satisfaction were underpinned by participants' increased identification both with their G4H group and with multiple groups.Limitations: This study provides preliminary evidence of the potential value of G4H and its underlying mechanisms, but further examination is required in other populations to address issues of generalizability, and in randomized controlled trials to address its wider efficacy.Conclusions: Results of this pilot study confirm that G4H has the potential to reduce the negative health related consequences of social disconnection. Future research will determine its utility in wider community contexts. Crown Copyright (C) 2016 Published by Elsevier B.V. All rights reserved.