Development of the Depression Self-Management Program

描述(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，数百万美国人无法获得治疗，尽管有有效的干预形式可用。第一阶段和第二阶段的长期目标是发展抑郁自我管理计划(DSMP)，这是一个基于网络的、心理教育的自助系统，适用于轻度到中度抑郁的成年人。DSMP也可以作为“阶梯式护理”计划的组成部分(首先提供费用较低的护理；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。基于网络的计划将通过我们的Goalistic自我管理软件TM(GSMS)进行部署，这是一种用于交付自我管理计划的灵活和可定制的基于网络的框架。DSMP的拟议内容基于认知行为、人际关系和压力管理培训方法，这些方法在个人治疗、自助和团体环境中证明了有效性。我们不是在创造一种新的治疗模式，而是一种创新的、具有成本效益的方式，向大量抑郁症患者提供科学合理的自助干预措施。五个互动学习模块将提供自定进度的培训，旨在：1)教育用户关于抑郁症的性质、机制和治疗，2)减少功能障碍的思维，3)增加积极(强化)活动的参与，4)建立更强大的社交网络，5)通过增加有氧活动、放松和改善睡眠来增强对压力的适应能力。此外，已知对治疗改变和维持至关重要的自我调节技能的培训和实践通过Goalistic Navigator TM被整合到GSMS中。最后，拟议的DSMP包括在线论坛、消息传递功能和一个社交网络组件，该组件将允许用户与其他用户互动并邀请重要其他人的参与。在第一阶段，我们将部署Goalistic自我管理软件来开发数字学习管理计划，为单一学习模块创建内容，由专业人员团队和抑郁成年人团队进行内容审查，并为第二阶段做准备修改内容。 公共卫生相关性：拟议项目的目的是开发抑郁症自我管理计划(DSMP)，这是一个为抑郁症成年人提供的基于网络的心理教育自助系统。该计划基于基本的认知行为、人际关系和压力管理方法来管理抑郁症，这些方法已经有效地应用于临床实践、团体干预和自助书籍。该计划有可能以较低的成本向大量抑郁症患者提供科学可靠的信息。

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.