@Article{信息:doi 10.2196 / / jmir.4.3。e14，作者=“Clarke, Greg和Reid, Ed和Eubanks, Donna和O'Connor, Elizabeth和DeBar, Lynn L和Kelleher, Chris和Lynch, Frances和Nunley, Sonia”，标题=“在互联网上克服抑郁(ODIN):一项网络抑郁技能干预计划的随机对照试验”，期刊=“J Med Internet Res”，年=“2002”，月=“Dec”，日=“17”，卷=“4”，数=“3”，页=“e14”，关键词=“Internet;抑郁症;认知疗法;自我保健;背景:心理教育项目越来越多地通过互联网提供。我们创建了一个基于互联网的认知疗法自助项目，作为对轻度至中度抑郁症的独立干预，或作为对更严重抑郁症的传统服务的辅助。目的:在一项随机对照试验中评估基于网络的干预计划减少抑郁症的有效性。方法:在一家私营的非营利性健康维护组织中，我们向两类人群邮寄招募手册:接受传统抑郁症医疗服务的抑郁症成年人(n = 6994)和年龄/性别匹配的非抑郁症成年人(n = 6996)。同意这项研究的参与者被随机分配到实验网站(n = 144)或一个没有访问的对照组(n = 155)。两组的参与者都可以自由地为他们的抑郁症获得非实验性的常规护理服务。 All participants completed an on-line version of the Center for Epidemiological Studies Depression Scale (CES-D) at enrollment and at 4-, 8-, 16- and 32-weeks after enrollment. Mean intake scores were in the severely depressed range. 74{\%} of participants completed at least one follow-up assessment. Unfortunately, most intervention participants accessed the Internet site infrequently. Results: We failed to find an effect for the Internet program across the entire sample. However, post-hoc, exploratory analyses revealed a modest effect among persons reporting low levels of depression at intake. Conclusions: The negative results might have resulted from infrequent patient use of the Internet site, or a more seriously depressed sample than the intervention was intended to help. Future studies should focus on recruiting persons with mild to moderate levels of depression, and on increasing participant use of the Internet site. ", issn="1438-8871", doi="10.2196/jmir.4.3.e14", url="//www.mybigtv.com/2002/3/e14/", url="https://doi.org/10.2196/jmir.4.3.e14", url="http://www.ncbi.nlm.nih.gov/pubmed/12554545" }