Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: a qualitative study.
Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: a qualitative study.
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DOI：
10.2196/jmir.3129
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发表时间：
2014-03-24
影响因子：
7.4
通讯作者：
Segal ZV
中科院分区：
文献类型：
--
作者：
Boggs JM;Beck A;Felder JN;Dimidjian S;Metcalf CA;Segal ZV
正念情绪平衡（MMB）是一种基于网络的干预措施，旨在治疗残留的抑郁症状和防止复发。MMB旨在传递基于正念的认知疗法（MBCT）的核心概念，这是一种群体治疗，尽管有强大的证据基础，但面临着许多传播挑战。本研究对被试的MMB体验进行了定性调查。定性内容分析是通过对38位MMB参与者的离职访谈进行的。纳入研究要求当前PHQ-9（患者健康问卷）评分≤12，终生史≥1次重度抑郁发作。获得了关于特定网站组件、程序内容、管理以及学到的技能的反馈。代码被分配到访谈回应中，并被组织成四个主题：MBCT网络内容、MBCT基于网络的小组过程、家庭实践和概念理解的证据。在这四个领域，与会者强调了以网络形式翻译和提供MBCT的优势和障碍。建议增加对排除会话内容的支持，以及管理完成家庭正念练习的时间挑战。与会者赞同发展影响管理技能，并确定了基于web的交付的若干优势，包括灵活性、成本降低和时间承诺。这些发现支持在线提供MBCT的可行性，并且与先前从现场MBCT群体中获得的定性描述一致。虽然在项目支持和参与方面肯定有创新的空间，但高水平的参与者满意度表明，MMB可以显著增加对单极情感障碍亚阈值症状的循证心理治疗的获取。
Mindful Mood Balance (MMB) is a Web-based intervention designed to treat residual depressive symptoms and prevent relapse. MMB was designed to deliver the core concepts of mindfulness-based cognitive therapy (MBCT), a group treatment, which, despite its strong evidence base, faces a number of dissemination challenges. The present study is a qualitative investigation of participants’ experiences with MMB. Qualitative content analysis was conducted via 38 exit interviews with MMB participants. Study inclusion required a current PHQ-9 (Patient Health Questionnaire) score ≤12 and lifetime history ≥1 major depressive episode. Feedback was obtained on specific website components, program content, and administration as well as skills learned. Codes were assigned to interview responses and organized into four main themes: MBCT Web content, MBCT Web-based group process, home practice, and evidence of concept comprehension. Within these four areas, participants highlighted the advantages and obstacles of translating and delivering MBCT in a Web-based format. Adding increased support was suggested for troubleshooting session content as well as managing time challenges for completing home mindfulness practice. Participants endorsed developing affect regulation skills and identified several advantages to Web-based delivery including flexibility, reduced cost, and time commitment. These findings support the viability of providing MBCT online and are consistent with prior qualitative accounts derived from in-person MBCT groups. While there is certainly room for innovation in the domains of program support and engagement, the high levels of participant satisfaction indicated that MMB can significantly increase access to evidence-based psychological treatments for sub-threshold symptoms of unipolar affective disorder.
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影响因子：
4.1
作者：
Hollandare, Fredrik;Anthony, Susanne A.;Engstrom, Ingemar
通讯作者：
Engstrom, Ingemar
影响因子：
7.4
作者：
Clarke G;Eubanks D;Reid E;Kelleher C;O'Connor E;DeBar LL;Lynch F;Nunley S;Gullion C
通讯作者：
Gullion C
影响因子：
3.1
作者：
Melville, Katherine M.;Casey, Leanne M.;Kavanagh, David J.
通讯作者：
Kavanagh, David J.
DOI：
10.1348/000711201160911
发表时间：
2001-06-01
期刊：
BRITISH JOURNAL OF MEDICAL PSYCHOLOGY
影响因子：
--
作者：
Mason, O;Hargreaves, I
通讯作者：
Hargreaves, I
影响因子：
7.4
作者：
Hoifodt, Ragnhild Sorensen;Lillevoll, Kjersti R.;Kolstrup, Nils
通讯作者：
Kolstrup, Nils