OBJECTIVE: To determine whether 8-12 weeks culturally adapted counselling (CAC) is better than waiting (waitlist (WL) group) to reduce depressive and anxiety symptoms and stress levels among EMs with elevated mental distress.
METHODS: Hong Kong EMs with mild and above-mild mental distress were randomly assigned to CAC or WL in this pragmatic, randomised, WL-controlled trial. The CAC group received the intervention after randomisation and the WL group received the intervention after 8-12 weeks (T1). The prespecified primary outcomes were depressive and anxiety symptoms and stress levels measured by the Depression, Anxiety and Stress subscales of the Depression, Anxiety and Stress Scale (DASS-D, DASS-A and DASS-S, respectively) at postintervention (T1, 8-12 weeks).
RESULTS: A total of 120 participants were randomly assigned to either CAC (n=60) or WL (n=60), of whom 110 provided primary outcome data. At T1, CAC led to significantly lower depressive and anxiety symptom severity and stress levels compared with waiting, with unstandardised regression coefficients of -8.91 DASS-D points (95% CI -12.57 to -5.25; d=-0.90),-6.33 DASS-A points (95% CI -9.81 to -2.86; d=-0.68) and -8.60 DASS-S points (95% CI -12.14 to -5.06; d=-0.90).
CONCLUSIONS: CAC clinically outperformed WL for mild and above-mild levels of mental distress in EMs.
CONCLUSIONS: Making CAC routinely available for EMs in community settings can reduce healthcare burden.
BACKGROUND: NCT04811170.
目的:确定8-12周的文化适应咨询(CAC)是否比等待(等待(WL)组)更好地减少抑郁和焦虑症状以及精神困扰升高的EMs的压力水平。
方法:在此语用中,将患有轻度和轻度以上精神困扰的香港EMs随机分配到CAC或WL,随机化,WL对照试验。CAC组在随机分组后接受干预,WL组在8-12周(T1)后接受干预。预设的主要结果是抑郁和焦虑症状以及由抑郁症测量的压力水平,抑郁症的焦虑和压力分量表,焦虑和压力量表(DASS-D,DASS-A和DASS-S,分别)在干预后(T1,8-12周)。
结果:总共120名参与者被随机分配到CAC(n=60)或WL(n=60),其中110人提供了主要结果数据。与等待相比,在T1,CAC导致抑郁和焦虑症状严重程度和压力水平显着降低,不标准化回归系数为-8.91DASS-D点(95%CI-12.57至-5.25;d=-0.90),-6.33DASS-A点(95%CI-9.81至-2.86;d=-0.68)和-8.60DASS-S点(95%CI-12.14至-5.06;d=-0.90)。
结论:CAC在临床上优于WL,在EMs中具有轻度和轻度以上的精神困扰。
结论:使社区环境中的EMs常规使用CAC可以减轻医疗负担。
背景:NCT04811170。