In:
Psychotherapy and Psychosomatics, S. Karger AG, Vol. 91, No. 1 ( 2022), p. 63-72
Kurzfassung:
〈 b 〉 〈 i 〉 Introduction: 〈 /i 〉 〈 /b 〉 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. 〈 b 〉 〈 i 〉 Objective: 〈 /i 〉 〈 /b 〉 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. 〈 b 〉 〈 i 〉 Methods: 〈 /i 〉 〈 /b 〉 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 ( 〈 i 〉 n 〈 /i 〉 = 120) or enhanced usual care (EUC, 〈 i 〉 n 〈 /i 〉 = 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. 〈 b 〉 〈 i 〉 Results: 〈 /i 〉 〈 /b 〉 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], 〈 i 〉 p 〈 /i 〉 = 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. 〈 b 〉 〈 i 〉 Conclusions: 〈 /i 〉 〈 /b 〉 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.
Materialart:
Online-Ressource
ISSN:
0033-3190
,
1423-0348
Sprache:
Englisch
Verlag:
S. Karger AG
Publikationsdatum:
2022
ZDB Id:
1472321-9
SSG:
5,2
SSG:
15,3
