PDF(Pubmed)
Abstract：
BACKGROUND: Growing evidence suggests that Latina immigrant survivors of adverse childhood experiences (ACEs) are at increased risk for developing and remaining with either depression or anxiety or both symptoms. This study examined the feasibility and acceptability of a telehealth intervention-Cuidándome (quee-DAN-doh-meh, \"taking care of myself\"). Cuidándome is a 10-week, patient-centered, trauma-informed intervention delivered by a trained facilitator that promotes self-management of depression and anxiety symptoms through improved problem-solving skills and strategies.
OBJECTIVE: The aim of this study was to examine the feasibility and acceptability of Cuidándome delivered remotely (via Zoom) with Latina immigrant ACE survivors with either depression or anxiety or both symptoms. We also estimated the effect sizes associated with the intervention on decreasing depression and anxiety symptoms and improving social problem-solving styles.
METHODS: We evaluated Cuidándome using a randomized controlled trial design. Latina immigrants (N=47) who had experienced at least 1 ACE and had at least mild depression or anxiety symptoms were randomized to Cuidándome or a comparison group delivered by trained facilitators. We assessed for changes in depression and anxiety symptoms as well as social problem-solving styles at baseline, post intervention, and 3- and 6-month follow-up.
RESULTS: Analyses indicated significant decreases over time within both Cuidándome and comparison groups for depression and anxiety symptoms and maladaptive problem-solving. The intervention effect was largest for anxiety; at 6-month follow-up, Cuidándome participants had significantly lower anxiety scores than the comparison group. In addition, we observed a greater average point reduction in depression symptoms at 6 months among Cuidándome participants (5.7 points) than in the comparison group (3.7 points).
CONCLUSIONS: A mental health program delivered via Zoom by a trained facilitator was feasible and acceptable to Latina immigrant women and can be beneficial for reducing anxiety and depression symptoms. More research is needed to assess the effectiveness of Cuidándome among a powered sample size of Latina immigrants.
BACKGROUND: ISRCTN Registry ISRCTN16668518; https://www.isrctn.com/ISRCTN16668518.
OBJECTIVE: The aim of this study was to examine the feasibility and acceptability of Cuidándome delivered remotely (via Zoom) with Latina immigrant ACE survivors with either depression or anxiety or both symptoms. We also estimated the effect sizes associated with the intervention on decreasing depression and anxiety symptoms and improving social problem-solving styles.
METHODS: We evaluated Cuidándome using a randomized controlled trial design. Latina immigrants (N=47) who had experienced at least 1 ACE and had at least mild depression or anxiety symptoms were randomized to Cuidándome or a comparison group delivered by trained facilitators. We assessed for changes in depression and anxiety symptoms as well as social problem-solving styles at baseline, post intervention, and 3- and 6-month follow-up.
RESULTS: Analyses indicated significant decreases over time within both Cuidándome and comparison groups for depression and anxiety symptoms and maladaptive problem-solving. The intervention effect was largest for anxiety; at 6-month follow-up, Cuidándome participants had significantly lower anxiety scores than the comparison group. In addition, we observed a greater average point reduction in depression symptoms at 6 months among Cuidándome participants (5.7 points) than in the comparison group (3.7 points).
CONCLUSIONS: A mental health program delivered via Zoom by a trained facilitator was feasible and acceptable to Latina immigrant women and can be beneficial for reducing anxiety and depression symptoms. More research is needed to assess the effectiveness of Cuidándome among a powered sample size of Latina immigrants.
BACKGROUND: ISRCTN Registry ISRCTN16668518; https://www.isrctn.com/ISRCTN16668518.
摘要：
背景：越来越多的证据表明，儿童时期不良经历（ACE）的拉丁裔移民幸存者发展和保持抑郁或焦虑或两种症状的风险增加。这项研究检查了远程保健干预-Cuidándome（quee-DAN-doh-meh，“照顾好自己”）。Cuidándome是10周，以病人为中心,由训练有素的辅导员提供创伤知情干预，通过改进解决问题的技能和策略促进抑郁和焦虑症状的自我管理。
目的：这项研究的目的是研究与患有抑郁或焦虑或两种症状的拉丁裔移民ACE幸存者远程（通过Zoom）交付Cuidándome的可行性和可接受性。我们还估计了与干预措施有关的减少抑郁和焦虑症状以及改善社会问题解决方式的效果大小。
方法：我们使用随机对照试验设计评估了Cuidándome。经历过至少1次ACE且至少有轻度抑郁或焦虑症状的拉丁裔移民（N=47）被随机分配到Cuidándome或由训练有素的主持人提供的对照组。我们评估了基线时抑郁和焦虑症状的变化以及社会问题解决方式，干预后，3个月和6个月的随访。
结果：分析表明，随着时间的推移，Cuidándome和对照组的抑郁和焦虑症状以及适应不良的问题解决能力均显着下降。对焦虑的干预效果最大；在6个月的随访中，Cuidándome参与者的焦虑评分明显低于对照组。此外,我们观察到Cuidándome参与者在6个月时抑郁症状的平均减少点(5.7分)大于对照组(3.7分).
结论：由经过培训的促进者通过Zoom实施的心理健康计划是可行的，并且拉丁裔移民妇女可以接受，并且有助于减轻焦虑和抑郁症状。需要更多的研究来评估Cuidándome在拉丁裔移民的有效样本量中的有效性。
背景：ISRCTN注册表ISRCTN16668518;https://www.isrctn.com/ISRCTN16668518.
目的：这项研究的目的是研究与患有抑郁或焦虑或两种症状的拉丁裔移民ACE幸存者远程（通过Zoom）交付Cuidándome的可行性和可接受性。我们还估计了与干预措施有关的减少抑郁和焦虑症状以及改善社会问题解决方式的效果大小。
方法：我们使用随机对照试验设计评估了Cuidándome。经历过至少1次ACE且至少有轻度抑郁或焦虑症状的拉丁裔移民（N=47）被随机分配到Cuidándome或由训练有素的主持人提供的对照组。我们评估了基线时抑郁和焦虑症状的变化以及社会问题解决方式，干预后，3个月和6个月的随访。
结果：分析表明，随着时间的推移，Cuidándome和对照组的抑郁和焦虑症状以及适应不良的问题解决能力均显着下降。对焦虑的干预效果最大；在6个月的随访中，Cuidándome参与者的焦虑评分明显低于对照组。此外,我们观察到Cuidándome参与者在6个月时抑郁症状的平均减少点(5.7分)大于对照组(3.7分).
结论：由经过培训的促进者通过Zoom实施的心理健康计划是可行的，并且拉丁裔移民妇女可以接受，并且有助于减轻焦虑和抑郁症状。需要更多的研究来评估Cuidándome在拉丁裔移民的有效样本量中的有效性。
背景：ISRCTN注册表ISRCTN16668518;https://www.isrctn.com/ISRCTN16668518.
