دورية أكاديمية
أعرض في EDS

Effectiveness of a Videoconferencing-Delivered Psychological Intervention for Mental Health Problems during COVID-19: A Proof-of-Concept Randomized Clinical Trial.

التفاصيل البيبلوغرافية
العنوان: Effectiveness of a Videoconferencing-Delivered Psychological Intervention for Mental Health Problems during COVID-19: A Proof-of-Concept Randomized Clinical Trial.
المؤلفون: Bryant RA; University of New South Wales, Sydney, New South Wales, Australia.; Westmead Institute for Medical Research, Sydney, New South Wales, Australia.; Black Dog Institute, University of New South Wales, Sydney, New South Wales, Australia., Dawson KS; University of New South Wales, Sydney, New South Wales, Australia., Keyan D; University of New South Wales, Sydney, New South Wales, Australia., Azevedo S; University of New South Wales, Sydney, New South Wales, Australia., Yadav S; University of New South Wales, Sydney, New South Wales, Australia., Tran J; University of New South Wales, Sydney, New South Wales, Australia., Rawson N; University of New South Wales, Sydney, New South Wales, Australia., Harvey S; University of New South Wales, Sydney, New South Wales, Australia.; Black Dog Institute, University of New South Wales, Sydney, New South Wales, Australia.
المصدر: Psychotherapy and psychosomatics [Psychother Psychosom] 2022; Vol. 91 (1), pp. 63-72. Date of Electronic Publication: 2021 Dec 07.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Karger Country of Publication: Switzerland NLM ID: 0024046 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1423-0348 (Electronic) Linking ISSN: 00333190 NLM ISO Abbreviation: Psychother Psychosom Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Basel : Karger
مواضيع طبية MeSH: COVID-19*, Adult ; Depression/therapy ; Humans ; Mental Health ; Pandemics ; Psychosocial Intervention ; SARS-CoV-2 ; Single-Blind Method ; Treatment Outcome ; Videoconferencing
مستخلص: Introduction: Anxiety and depression have increased markedly during the COVID-19 pandemic. There is a lack of evidence-based strategies to address these mental health needs during the pandemic.
Objective: We aim to conduct a proof-of-concept trial of the efficacy of a brief group-based psychological intervention delivered via videoconferencing for adults in Australia distressed by the pandemic.
Methods: In this single-blind, parallel, randomised controlled trial, adults who screened positive for COVID-related psychological distress across Australia were randomly allocated to either a 6-session group-based program based on behavioural principles (n = 120) or enhanced usual care (EUC, n = 120). Primary outcome was total score on the Hospital Anxiety and Depression (HADS) anxiety and depression subscales assessed at baseline, 1 week posttreatment, 2 months (primary outcome time point), and 6 months after treatment, as well as secondary outcome measures of worry, sleep impairment, anhedonia, mood, and COVID-19-related stress.
Results: Between May 20, 2020, and October 20, 2020, 240 patients were enrolled into the trial. Relative to EUC, at 2 months participants receiving intervention showed greater reduction on anxiety (mean difference, 1.4 [95% CI, 0.3 to 2.6], p = 0.01; effect size, 0.4 [95% CI, 0.1 to 0.7]) and depression (mean difference, 1.6 [95% CI, 0.4 to 2.8], p = 0.009; effect size, 0.4 [95% CI, 0.2 to 0.7]) scales. These effects were maintained at 6 months. There were also greater reductions of worry, anhedonia, COVID-19-related fears, and contamination fears.
Conclusions: This trial provides initial evidence that brief group-based behavioural intervention delivered via videoconferencing results in moderate reductions in common psychological problems arising during the COVID-19 pandemic. This program may offer a viable and scalable means to mitigate the rising mental health problems during the pandemic.
(The Author(s). Published by S. Karger AG, Basel.)
References: Lancet. 2019 Apr 27;393(10182):1733-1744. (PMID: 30948286)
Ann Intern Med. 2008 Feb 19;148(4):295-309. (PMID: 18283207)
Psychother Psychosom. 2021;90(3):191-199. (PMID: 33212440)
BMC Public Health. 2021 Mar 9;21(1):474. (PMID: 33750351)
Am J Public Health. 2020 Nov;110(11):1624-1627. (PMID: 32941063)
Global Health. 2021 Mar 29;17(1):34. (PMID: 33781283)
Psychother Psychosom. 2021;90(2):94-106. (PMID: 32544912)
Acta Psychiatr Scand. 1983 Jun;67(6):361-70. (PMID: 6880820)
Sleep Med. 2001 Jul;2(4):297-307. (PMID: 11438246)
Psychother Psychosom. 2020;89(3):130-132. (PMID: 32213775)
Med Care. 2003 May;41(5):582-92. (PMID: 12719681)
Prog Neuropsychopharmacol Biol Psychiatry. 2021 Jul 13;109:110207. (PMID: 33338558)
Occup Med (Lond). 2014 Jul;64(5):393-4. (PMID: 25005549)
Psychother Psychosom. 2021;90(3):156-159. (PMID: 33517335)
Psychiatry Res. 2020 Aug;290:113117. (PMID: 32480121)
Nord J Psychiatry. 2010 Dec;64(6):363-71. (PMID: 20297944)
J Clin Psychiatry. 1987 Sep;48(9):366-7. (PMID: 3114242)
Arch Intern Med. 2006 May 22;166(10):1092-7. (PMID: 16717171)
JAMA. 2016 Dec 27;316(24):2609-2617. (PMID: 27837602)
Annu Rev Psychol. 2001;52:501-25. (PMID: 11148315)
PLoS One. 2020 Dec 28;15(12):e0244630. (PMID: 33370404)
J Affect Disord. 2020 Mar 15;265:395-401. (PMID: 32090765)
Arch Gen Psychiatry. 1983 Jan;40(1):79-84. (PMID: 6849623)
J Pers Soc Psychol. 1988 Jun;54(6):1063-70. (PMID: 3397865)
J Anxiety Disord. 2020 May;72:102232. (PMID: 32408047)
Sci Rep. 2021 May 13;11(1):10173. (PMID: 33986414)
J Psychosom Res. 2002 Feb;52(2):69-77. (PMID: 11832252)
J Gen Intern Med. 2020 Nov;35(11):3406-3408. (PMID: 32875507)
Sleep. 2011 May 01;34(5):601-8. (PMID: 21532953)
Prev Med. 2021 Feb;143:106362. (PMID: 33388325)
PLoS Med. 2017 Aug 15;14(8):e1002371. (PMID: 28809935)
Lancet Psychiatry. 2021 Feb;8(2):121-129. (PMID: 33306975)
J Psychosom Res. 2021 Mar;142:110366. (PMID: 33494004)
Psychother Psychosom. 2018;87(5):276-284. (PMID: 30007961)
J Vestib Res. 2018;27(5-6):295-303. (PMID: 29125530)
World Psychiatry. 2015 Oct;14(3):354-7. (PMID: 26407793)
فهرسة مساهمة: Keywords: Anxiety; Behaviour therapy; COVID-19; Controlled trial; Depression
تواريخ الأحداث: Date Created: 20211207 Date Completed: 20220124 Latest Revision: 20220216
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC8820421
DOI: 10.1159/000520283
PMID: 34875669
قاعدة البيانات: MEDLINE
الوصف
تدمد:1423-0348
DOI:10.1159/000520283