Development of the Depression Self-Management Program

描述（由申请人提供）：抑郁症是最常见的心理障碍之一（Kessler, Berglund, Demler, Jin, & Walters, 2005; Kessler, Chiu, Demler, & Walters, 2005）。由于各种原因，尽管有有效的干预手段，仍有数百万美国人无法获得治疗。第一阶段和第二阶段的长期目标是抑郁症自我管理项目（DSMP）的发展，这是一个基于网络的、心理教育的、针对轻度到中度抑郁症成年人的自助系统。dsm也可以作为“阶梯护理”计划的组成部分（首先提供较便宜的护理；Katon, Von Korff, Lin, Walker, Simon, & Bush, 1999），作为传统干预措施的补充，以及作为复发预防工具。基于网络的项目将通过我们的Goalistics自我管理软件TM （GSMS）进行部署，这是一个灵活的、可定制的基于网络的框架，用于交付自我管理项目。dsm的建议内容是基于认知行为、人际关系和压力管理训练方法，这些方法在个体治疗、自助和团体设置中已被证明有效。我们不是在创造一种新的治疗模式，而是一种创新的、经济有效的方式，向大量抑郁症患者提供科学合理的自助干预。五个互动学习模块将提供自定节奏的培训，旨在：1)教育用户抑郁症的本质、机制和治疗；2)减少功能失调的思维；3)增加积极（强化）活动的参与；4)建立更强大的社会网络；5)通过增加有氧运动、放松和改善睡眠来增强对压力的适应能力。此外，自我调节技能的培训和实践对于治疗改变和维持至关重要，通过目标导航员TM整合到GSMS中。最后，拟议的DSMP包括在线讨论论坛、消息传递功能和社交网络组件，允许用户与其他用户交互并邀请重要他人参与。在第一阶段，我们将部署目标自我管理软件来开发dsm，为单个学习模块创建内容，由专业团队和抑郁成年人团队进行内容审查，并修改内容为第二阶段做准备。

DESCRIPTION (provided by applicant): Depression is one of the most common of the psychological disorders (Kessler, Berglund, Demler, Jin, & Walters, 2005; Kessler, Chiu, Demler, & Walters, 2005). For a variety of reasons, millions of Americans do not have access to treatment, despite the availability of effective forms of intervention. The long-term goal of Phases I and II is the development of the Depression Self-Management Program (DSMP), a web-based, psycho-educational, self-help system for mildly to moderately depressed adults. The DSMP could also serve as a component of a "stepped care" program (providing less expensive care first; Katon, Von Korff, Lin, Walker, Simon, & Bush, 1999), as a supplement to traditional interventions, and as a relapse prevention tool. The web-based program will be deployed via our Goalistics Self-Management Software TM (GSMS), a flexible and customizable web-based framework for the delivery of self-management programs. The proposed content of the DSMP is based on cognitive-behavioral, interpersonal, and stress- management training approaches that have demonstrated efficacy in individual therapy, self-help, and group settings. We are not creating a new mode of treatment, but rather an innovative and cost effective way of delivering scientifically sound self-help interventions to large numbers of depressed individuals. Five interactive learning modules will offer self-paced training designed to: 1) educate the user in the nature, mechanisms, and treatment of depression, 2) decrease dysfunctional thinking, 3) increase participation in positive (reinforcing) activities, 4) develop a stronger social network, and 5) enhance resilience to stress via increased aerobic activity, relaxation, and improved sleep. Moreover, training and practice in self-regulatory skills known to be essential to therapeutic change and maintenance are integrated into the GSMS via the Goalistics Navigator TM. Finally, the proposed DSMP includes online discussion forums, messaging capabilities, and a social networking component that will allow the user to interact with other users and invite involvement from significant others. In Phase I, we will deploy the Goalistics Self-Management Software for the development of the DSMP, create content for a single learning module, conduct content reviews by a team of professionals and a team of depressed adults, and revise the content in preparation for Phase II. PUBLIC HEALTH RELEVANCE: The purpose of the proposed project is the development of the Depression Self-Management Program (DSMP), a web-based psychoeducational self-help system for depressed adults. The program is based on fundamental cognitive-behavioral, interpersonal, and stress-management approaches to the management of depression that have been effectively applied in clinical practice, group interventions, and self-help books. The DSMP has the potential to provide scientifically sound information to large numbers of depressed individuals at low cost.