Surviving and Thriving During Stress: A Randomized Clinical Trial Comparing a Brief Web -Based Therapist-Assisted Acceptance-Based Behavioral Intervention Versus Waitlist Control for College Students
Surviving and Thriving During Stress: A Randomized Clinical Trial Comparing a Brief Web -Based Therapist-Assisted Acceptance-Based Behavioral Intervention Versus Waitlist Control for College Students
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在压力中生存和发展： 基于网络的简短治疗师辅助接受行为干预与大学生候补名单对照的随机临床试验比较
DOI：
10.1016/j.beth.2018.05.009
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发表时间：
2018-11-01
期刊：
影响因子：
3.7
通讯作者：
Roemer, Lizabeth
中科院分区：
文献类型：
--
作者：
Eustis, Elizabeth H.;Hayes-Skelton, Sarah A.;Roemer, Lizabeth
大学生的高焦虑率以及在社区和校园中获得循证护理的许多障碍表明，显然需要探索增加循证治疗的方法。基于网络的干预和预防是弥合这一差距的一种方式;它们有可能减少心理健康差距，提高学生的功能。目前的随机对照试验研究了3个会议的基于网络的治疗师辅助接受为基础的行为干预，针对焦虑（生存和蓬勃发展的压力）的大学生与等待名单（WL）控制条件，在种族和民族多样化的大学生样本的可接受性和有效性。总体而言，参与者认为该计划是有益的和可接受的。在SPSS中运行混合效应回归模型（MRM），以检查时间、条件和条件x时间对结果和假设机制的影响。出现了广泛焦虑、抑郁和生活质量（QOL）的显著条件x时间相互作用，表明SATDS参与者报告的这些结果从治疗前到治疗后的变化显著大于WL。然而，交互作用对焦虑唤醒和社交焦虑无显著影响。MRM检查假设的机制，揭示了显着的条件x时间相互作用的经验回避，偏心，和价值观为基础的生活。然而，正念的交互作用是不显着的。除生活质量外，所有显著改善均在1个月随访时保持。结果有助于越来越多的文献的可接受性和基于网络的方法的有效性，并建议这些方法可以有效地为不同的大学生，并可能提供一个独特的平台，以增加获得循证护理。
The high rates of anxiety in college students and the many barriers to accessing evidence-based care in communities and on campuses indicate a clear need to explore ways to increase access to evidence-based treatments. Web-based interventions and preventions are one way to bridge this gap; they hold the potential to decrease mental health disparities and enhance student functioning. The current RCT examined the acceptability and efficacy of a 3-session web-based therapist-assisted acceptance-based behavioral intervention targeting anxiety (Surviving and Thriving During Stress) for college students versus a waitlist (WL) control condition, in a sample of racially and ethnically diverse college students. Overall, participants rated the program as helpful and acceptable. Mixed-effects regression models (MRMs) were run in SPSS to examine the effects of time, condition, and Condition x Time on outcomes and hypothesized mechanisms. Significant Condition x Time interactions for general anxiety, depression, and quality of life (QOL) emerged, suggesting that SATDS participants reported significantly greater changes on these outcomes from pre- to posttreatment versus WL. However, interaction effects were nonsignificant for anxious arousal and social anxiety. MRMs examining hypothesized mechanisms revealed significant Condition x Time interactions for experiential avoidance, decentering, and values-based living. However, interaction effects were nonsignificant for mindfulness. All significant gains were maintained at 1-month follow-up, with the exception of QOL. Results contribute to the growing literature on the acceptability and efficacy of web-based approaches, and suggest these approaches can be effective for diverse college students, and may provide a unique platform to increase access to evidence-based care.