Development and Open Trial of a Technology-Enhanced Family Intervention for Adolescents at Risk for Mood Disorders.
Development and Open Trial of a Technology-Enhanced Family Intervention for Adolescents at Risk for Mood Disorders.
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DOI：
10.1016/j.jad.2020.12.012
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发表时间：
2021-02-15
影响因子：
6.6
通讯作者：
Arevian AA
中科院分区：
文献类型：
--
作者：
Miklowitz DJ;Weintraub MJ;Posta F;Walshaw PD;Frey SJ;Morgan-Fleming GM;Wilkerson CA;Denenny DM;Arevian AA
将心理社会干预与移动的应用程序相结合可能会增加青少年的治疗参与度。我们研究了在有情绪障碍风险的青少年中使用移动增强的家庭为中心的治疗（FFT）的用户体验，吸收和临床效果。我们创建了一个移动的应用程序，其中包含与每周FFT课程内容相对应的12个课程计划，以及有关情绪管理、家庭沟通和解决问题的模块。我们在一项FFT开放试验中对该应用程序进行了试点测试（18周内进行了12次会议），对象是有活跃抑郁或轻躁狂症状的青少年，患有情绪障碍的父母，以及至少一位表达了高度批评的父母。青少年和父母每天和每周对青少年的情绪、父母/子女批评的数量以及FFT心理教育、沟通或解决问题技能的实践进行评级。独立评估者在基线和27周内每9周采访一次青少年，以测量症状轨迹。参与者为青少年（n=22;平均年龄15.4 ± 1.8岁; 45.5%为女性）及其34名父母。在18周的治疗中，青少年和家长平均完成了46%-65%的应用程序评估和技能练习。青少年在27周内表现出临床医生评定的抑郁评分显著改善（科恩d=1.58，95%CI，0.83至2.32），并报告父母表达的批评减少。不受控制的设计限制了关于移动的应用程序是否增强了FFT对情绪或家庭关系的影响的推断。移动的应用程序可以增强用户对家庭治疗的响应，并为临床医生提供有关临床状态的信息。Clinicaltrials.gov www.example.com
Integrating psychosocial interventions with mobile apps may increase treatment engagement among adolescents. We examined the user experience, uptake, and clinical effects of a mobile-enhanced family-focused therapy (FFT) among adolescents at risk for mood disorders. We created a mobile app containing 12 lesson plans corresponding to content of weekly FFT sessions, with modules concerning mood management, family communication and problem-solving. We pilot tested the app in an open trial of FFT (12 sessions in 18 weeks) for adolescents who had active depressive or hypomanic symptoms, a parent with mood disorder, and at least one parent who expressed high levels of criticism. Teens and parents made daily and weekly ratings of youths’ moods, amount of parent/offspring criticism, and practice of FFT psychoeducational, communication or problem-solving skills. Independent evaluators interviewed adolescents at baseline and every 9 weeks over 27 weeks to measure symptom trajectories. Participants were adolescents (n=22; mean age 15.4 ± 1.8 years; 45.5% female) and their 34 parents. Completion of requested app assessment and skill practices averaged 46%–65% among adolescents and parents over 18 weeks of treatment. Adolescents showed significant improvement in clinician-rated depression scores over 27 weeks (Cohen’s d=1.58, 95% CI, 0.83 to 2.32) and reported reductions in the amount of perceived criticism expressed by parents. The uncontrolled design limits inferences about whether the mobile app augmented the effects of FFT on moods or family relationships. Mobile applications may enhance users’ responses to family therapy and provide clinicians with information regarding clinical status. Clinicaltrials.gov NCT03913013
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影响因子：
6.6
作者：
Faurholt-Jepsen, Maria;Christensen, Ellen Margrethe;Kessing, Lars Vedel
通讯作者：
Kessing, Lars Vedel
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通讯作者：
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