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What might affect acceptability of online positive psychology interventions for depression: a qualitative study on patient expectations’

机译:可能影响抑郁症的在线积极心理干预措施可接受性的因素:关于患者期望的定性研究

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Positive psychology interventions are brief self-adminstered exercises designed to promote positive emotions, behaviours, or thoughts. They are potentially effective for reducing depression and are considered suitable for online dissemination to people with depression and related conditions, as they are assumed to be more acceptable than traditional symptom-focused approaches. However, there is little investigation into perceived acceptability and potential factors that might affect it. This might limit the development and evaluation of effective interventions. Semi-structured interviews with patients with depression and/or anxiety (n?=?18) and professionals, including GPs and psychologists (n?=?5) were conducted on their perceptions of a proposed online intervention using positive psychology. Thematic analysis, according to Braun and Clarke, was used to identify meaningful patterns in the data. Four key themes were identified. The fit between the positive psychological approach and the patient’s context, including their personality, symptoms and other treatments, was important in determining acceptability. Social aspects of interventions were thought to facilitate acceptability, as long as these were balanced. Support was identified as important in facilitating intervention suitability, although it was not without limitations. Finally, participants identified how design features can enhance acceptability. The findings suggest that positive psychology interventions might not be acceptable to all and that specific exercises might be more or less appropriate to deliver online. Design aspects can help to facilitate acceptability, beyond the psychological content. These findings may inform the design of future online psychology interventions for people with depression and anxiety, which can then be evaluated in future research.
机译:积极的心理干预是旨在促进积极的情绪,行为或思想的简短自我管理型锻炼。它们被认为比传统的以症状为中心的治疗方法更容易接受,因此对于减轻抑郁症具有潜在的作用,并且被认为适合于在线传播给患有抑郁症和相关疾病的人。但是,很少有关于感知可接受性和可能影响它的潜在因素的调查。这可能会限制有效干预措施的开发和评估。对抑郁症和/或焦虑症患者(n = 18)和专业人员(包括全科医生和心理学家)(n = 5)进行了半结构化访谈,以了解他们对使用积极心理学进行在线干预的看法。根据布劳恩和克拉克的说法,主题分析用于识别数据中有意义的模式。确定了四个关键主题。积极的心理态度和患者情境(包括他们的性格,症状和其他治疗方法)之间的契合性对于确定可接受性很重要。干预措施的社会方面被认为可以促进人们的接受程度,只要这些方面保持平衡即可。尽管支持并非没有限制,但在促进干预适应性方面被认为是重要的。最后,参与者确定了设计功能如何增强可接受性。调查结果表明,积极的心理干预可能并不为所有人所接受,并且特定的锻炼或多或少地适合于在线进行。设计方面可以帮助提高人们的接受能力,而不仅仅是心理上的内容。这些发现可能会为抑郁症和焦虑症患者的未来在线心理干预设计提供依据,然后可以在未来的研究中对其进行评估。

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