Get into Reading as an intervention for common mental health problems: exploring catalysts for change
Get into Reading as an intervention for common mental health problems: exploring catalysts for change
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DOI：
10.1136/medhum-2011-010083
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发表时间：
2012-06-01
影响因子：
1.2
通讯作者：
Williams, Clare
中科院分区：
文献类型：
--
作者：
Dowrick, Christopher;Billington, Josie;Williams, Clare
越来越多的证据表明非医疗策略可以有效改善心理健康和福祉。 Get into Reading是一种共享阅读干预措施，具有明显的可接受性和可行性。本文探讨了“进入阅读”带来的变革的潜在催化剂。每周两次的阅读小组在全科医生手术室和心理健康临时中心进行了 12 个月，对象是全科医生诊断为抑郁症且严重程度经过验证的患者。数据收集包括研究开始和结束时的定量测量、会议的数字记录、观察和反思日记。与数字记录相比，对定性数据进行了主题和批判性分析。有证据表明，“进入阅读”小组参与者的抑郁症状有所减轻。确定了变革的三个潜在催化剂：文学形式和内容，包括散文和诗歌之间的平衡；团体促进，包括社会意识和沟通技巧；和群体过程，包括反思和句法镜像。这项研究提出了有关“进入阅读”群体的潜在变化过程的假设。临床疗效的证据受到样本量小、参与者流失和缺乏对照的限制。对抑郁症的关注限制了研究结果对其他临床群体或非临床环境的普遍适用性。需要进一步的研究，包括评估这种干预措施的社会和经济影响以及临床有效性和成本效益的大量试验。
There is increasing evidence for the efficacy of non-medical strategies to improve mental health and well-being. Get into Reading is a shared reading intervention which has demonstrable acceptability and feasibility. This paper explores potential catalysts for change resulting from Get into Reading. Two weekly reading groups ran for 12 months, in a GP surgery and a mental health drop-in centre, for people with a GP diagnosis of depression and a validated severity measure. Data collection included quantitative measures at the outset and end of the study, digital recording of sessions, observation and reflective diaries. Qualitative data were analysed thematically and critically compared with digital recordings. The evidence suggested a reduction in depressive symptoms for Get into Reading group participants. Three potential catalysts for change were identified: literary form and content, including the balance between prose and poetry; group facilitation, including social awareness and communicative skills; and group processes, including reflective and syntactic mirroring. This study has generated hypotheses about potential change processes of Get into Reading groups. Evidence of clinical efficacy was limited by small sample size, participant attrition and lack of controls. The focus on depression limited the generalisability of findings to other clinical groups or in non-clinical settings. Further research is needed, including assessment of the social and economic impact and substantial trials of the clinical effectiveness and cost-effectiveness of this intervention.