基于互联网和应用程序的干预对大学生压力升高的有效性研究卡塔尔世界杯8强波胆分析随机对照试验%A Harrer,Mathias %A Adam,Sophia Helen %A Fleischmann,Rebecca Jessica %A Baumeister,Harald %A Auerbach,Randy %A Bruffaerts,Ronny %A Cuijpers,Pim %A Kessler,Ronald C %A Berking,Matthias %A Lehr,Dirk %A Ebert,David Daniel %+临床心理学与心理治疗，Erlangen- nuremberg大学，Nägelsbachstraße 25a, Erlangen, 91052，德国，49 1708237654,mathias.harrer@fau.de %K随机对照试验%K压力，心理抑郁远程医疗学生求助行为研究背景:心理健康问题在大学生中十分普遍。然而，大多数心理健康状况不佳的学生没有得到专业帮助。基于互联网的自助形式可能会提高治疗的利用率。目的:本随机对照试验的目的是评估基于互联网、应用程序支持的大学生压力管理干预的效果。方法:将150名压力水平较高的大学生(感知压力量表4项版本，PSS-4≥8)随机分为基于网络和移动设备的压力干预组和等候组。自我报告数据在基线、治疗后(7周)和3个月随访时进行评估。主要终点是治疗后感知应激(PSS-4)。次要结果包括心理健康结果、可改变的风险和保护因素以及与大学相关的结果。 Subgroup analyses were conducted in students with clinically relevant symptoms of depression (Center for Epidemiological Studies’ Depression Scale >17). Results: A total of 106 participants (76.8%) indicated that they were first-time help-seekers, and 77.3% (intervention group: 58/75; waitlist control group: 58/75) showed clinically relevant depressive symptoms at baseline. Findings indicated significant effects of the intervention compared with the waitlist control group for stress (d=0.69; 95% CI 0.36-1.02), anxiety (d=0.76; 95% CI 0.43-1.09), depression (d=0.63; 95% CI 0.30-0.96), college-related productivity (d=0.33; 95% CI 0.01-0.65), academic work impairment (d=0.34; 95% CI 0.01-0.66), and other outcomes after 7 weeks (posttreatment). Response rates for stress symptoms were significantly higher for the intervention group (69%, 52/75) compared with the waitlist control group (35%, 26/75, P<.001; number needed to treat=2.89, 95% CI 2.01-5.08) at posttest (7 weeks). Effects were sustained at 3-month follow-up, and similar findings emerged in students with symptoms of depression. Conclusions: Internet- and mobile-based interventions could be an effective and cost-effective approach to reduce consequences of college-related stress and might potentially attract students with clinically relevant depression who would not otherwise seek help. Trial Registration: German Clinical Trial Register DRKS00010212; http://www.drks.de/drks_web/navigate.do? navigationId=trial.HTML&TRIAL_ID=DRKS00010212 (Archived by WebCite at http://www.webcitation.org/6w55Ewhjd) %M 29685870 %R 10.2196/jmir.9293 %U //www.mybigtv.com/2018/4/e136/ %U https://doi.org/10.2196/jmir.9293 %U http://www.ncbi.nlm.nih.gov/pubmed/29685870