TY -非盟的范海峡Annemieke盟——Cuijpers Pim AU -史密特,尼尔斯PY - 2008 DA - 2008/3/25 TI -一个基于web的自助的有效性干预对抑郁的症状,焦虑和压力:随机对照试验乔- J地中海互联网Res SP - e7六世- 10 - 1 KW -阅读疗法KW -心理治疗KW -解决问题的治疗KW -抑郁KW -焦虑KW -压力AB -背景:自助疗法通常是有效的减少了心理健康问题。我们开发了一种基于解决问题疗法的基于网络的自助干预方法，它可以用于患有不同类型共病问题的人:抑郁、焦虑和工作压力。目的:目的是研究基于网络的自助干预是否有效地减少抑郁、焦虑和与工作相关的压力(倦怠)。方法:通过大众媒体招募213名参与者，随机分为干预组(n = 107)和等待名单对照组(n = 106)。网络课程花了4周时间。每周都会自动发送一封电子邮件给参与者，解释下一周的内容和练习。此外，参与者得到了训练有素的心理学学生的支持，他们通过电子邮件对完成的练习提供反馈。干预的核心要素是一个过程，在这个过程中参与者学会以结构化的方式处理可解决的问题。在测试前和测试后，我们测量了以下主要结果:抑郁(CES-D和MDI)、焦虑(SCL-A和HADS)和工作压力(MBI)。生活质量(EQ-5D)作为次要结果进行测量。 Intention-to-treat analyses were performed. Results: Of the 213 participants, 177 (83.1%) completed the baseline and follow-up questionnaires; missing data were statistically imputed. Of all 107 participants in the intervention group, 9% (n = 10) dropped out before the course started and 55% (n = 59) completed the whole course. Among all participants, the intervention was effective in reducing symptoms of depression (CES-D: Cohen’s d = 0.50, 95% confidence interval (CI) 0.22-0.79; MDI: d = 0.33, 95% CI 0.03-0.63) and anxiety (SCL-A: d = 0.42, 95% CI 0.14-0.70; HADS: d = 0.33, 95% CI 0.04-0.61) as well as in enhancing quality of life (d = 0.31, 95% CI 0.03-0.60). Moreover, a higher percentage of patients in the intervention group experienced a significant improvement in symptoms (CES-D: odds ratio [OR] = 3.5, 95% CI 1.9-6.7; MDI: OR = 3.7, 95% CI 1.4-10.0; SCL-A: OR = 2.1, 95% CI 1.0-4.6; HADS: OR = 3.1, 95% CI 1.6-6.0). Patients in the intervention group also recovered more often (MDI: OR = 2.2; SCL-A: OR = 2.0; HADS < 8), although these results were not statistically significant. The course was less effective for work-related stress, but participants in the intervention group recovered more often from burnout than those in the control group (OR = 4.0, 95% CI 1.2-13.5). Conclusions: We demonstrated statistically and clinically significant effects on symptoms of depression and anxiety. These effects were even more pronounced among participants with more severe baseline problems and for participants who fully completed the course. The effects on work-related stress and quality of life were less clear. To our knowledge, this is the first trial of a Web-based, problem-solving intervention for people with different types of (comorbid) emotional problems. The results are promising, especially for symptoms of depression and anxiety. Further research is needed to enhance the effectiveness for work-related stress. Trial Registration: International Standard Randomized Controlled Trial Number (ISRCTN) 14881571 SN - 1438-8871 UR - //www.mybigtv.com/2008/1/e7/ UR - https://doi.org/10.2196/jmir.954 UR - http://www.ncbi.nlm.nih.gov/pubmed/18364344 DO - 10.2196/jmir.954 ID - info:doi/10.2196/jmir.954 ER -