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首页> 外文期刊>The British journal of psychiatry : >Email-based promotion of self-help for subthreshold depression: Mood Memos randomised controlled trial
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Email-based promotion of self-help for subthreshold depression: Mood Memos randomised controlled trial

机译：基于电子邮件的亚阈下抑郁症自助服务推广：情绪备忘录的随机对照试验

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Background: Subthreshold depression is common, impairs functioning and increases the risk of major depression. Improving self-help coping strategies could help subthreshold depression and prevent major depression. Aims: To test the effectiveness of an automated email-based campaign promoting self-help behaviours.Method: A randomised controlled trial was conducted through the website: www.moodmemos.com. Participants received automated emails twice weekly for 6 weeks containing advice about self-help strategies. Emails containing general information about depression served as a control. The principal outcome was depression symptom level on the nine-item Patient Health Questionnaire (PHQ-9) (trial registration: ACTRN12609000925246). Results: The study recruited 1326 adults with subthreshold depression. There was a small significant difference in depression symptoms at post-intervention, favouring the active group (d = 0.17, 95% CI 0.01-0.34). There was a lower, although non-significant, risk of major depression in the active group (number needed to treat (NNT) 25, 95% CI 11to : to NNT(harm) 57). Conclusions: Emails promoting self-help strategies were beneficial. Internet delivery of self-help messages affords a low-cost, easily disseminated and highly automated approach for indicated prevention of depression.
机译：背景：阈下抑郁症很常见，会损害功能并增加发生严重抑郁症的风险。改善自助应对策略可以帮助缓解抑郁症的门槛并预防重度抑郁症。目的：测试基于电子邮件的自动促销活动促进自助行为的有效性。方法：通过以下网站进行随机对照试验：www.moodmemos.com。参与者每周两次收到自动电子邮件，持续6周，其中包含有关自助策略的建议。包含有关抑郁的一般信息的电子邮件作为控制。主要结果是在9个项目的患者健康问卷（PHQ-9）上出现抑郁症状水平（试验注册：ACTRN12609000925246）。结果：该研究招募了1326名患有亚阈下抑郁症的成年人。干预后抑郁症状有很小的显着差异，偏向积极组（d = 0.17，95％CI 0.01-0.34）。在活动组中，重度抑郁的风险较低（尽管不显着）（治疗所需数量（NNT）为25，95％CI 11至：达到NNT（危害）57）。结论：推广自助策略的电子邮件是有益的。互联网上自助信息的传递提供了一种低成本，易于传播且高度自动化的方法，可用于预防抑郁症。

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