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Acceptance and commitment therapy as a web-based intervention for depressive symptoms: randomised controlled trial

机译:接受和承诺治疗作为基于网络的抑郁症状干预措施:随机对照试验

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Background Depression is a highly prevalent disorder, causing a large burden of disease and substantial economic costs. Web-based self-help interventions seem promising in promoting mental health. Aims To compare the efficacy of a guided web-based intervention based on acceptance and commitment therapy (ACT) with an active control (expressive writing) and a waiting-list control condition (Netherlands Trial Register NTR1296). Method Adults with depressive symptoms from the general population were randomised to ACT ( n = 82), expressive writing ( n = 67) or waiting-list control ( n = 87). The main outcome was reduction in depressive symptoms assessed with the Center for Epidemiological Studies a€“ Depression scale. Results Significant reductions in depressive symptoms were found following the ACT intervention, compared with the control group (Cohen's d = 0.56) and the expressive writing intervention ( d = 0.36). The effects were sustained at 6-month and 12-month follow-up. Conclusions Acceptance and commitment therapy as a web-based public mental health intervention for adults with depressive symptoms can be effective and applicable.
机译:背景技术抑郁症是一种高度流行的疾病,导致沉重的疾病负担和巨大的经济成本。基于网络的自助干预措施在促进心理健康方面似乎很有希望。目的比较基于接受和承诺治疗(ACT)的基于网络的引导式干预与主动控制(表达能力)和等待名单控制条件(荷兰试验注册簿NTR1296)的疗效。方法将患有抑郁症状的成年人从普通人群中随机分为ACT(n = 82),表达写作(n = 67)或等待名单控制(n = 87)。主要结果是通过流行病学研究中心和抑郁量表评估的抑郁症状的减轻。结果ACT干预后,抑郁症状明显减轻,与对照组(Cohen d = 0.56)和有表现力的写作干预(d = 0.36)相比。这些效果在6个月和12个月的随访中得以维持。结论接受和承诺治疗作为基于Web的成人抑郁症成年人的基于网络的公共心理健康干预措施可以有效且适用。

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