■智利面临严重的产后抑郁症患病率和治疗差距,需要可获得的干预措施。虽然基于认知行为的互联网干预在高收入国家被证明是有效的,这个领域在智利是不发达的。基于国家对数字技术的广泛使用,一项为期8周的指导认知行为网络应用干预,名为“Mamá,teentiendo“是开发的。
■本研究旨在评估“Mamá”的可接受性和可行性,teentiendo\“,减少产后妇女的抑郁症状。
65名患有轻度或重度抑郁症的产后妇女被随机分配到干预或等待名单中。主要结果集中在研究可行性上,干预可行性,和可接受性。对子样本的半结构化访谈丰富了对参与者经验的理解。次要结果包括基线评估的心理健康变量,干预后,和1个月的随访。
■智利妇女对干预表现出极大的兴趣。44.8%的参与者完成了干预。参与者报告了很高的满意度和参与度,受访者强调干预内容的价值,练习,和治疗师的反馈。然而,初步的疗效分析未显示出治疗组和结局指标时间之间的显著交互作用。
这项研究代表了智利的一项开创性工作,旨在评估基于互联网的产后抑郁症状干预措施。证明的可行性和可接受性凸显了将技术驱动的方法纳入心理健康干预措施的潜力。然而,干预没有显示出优越性,因为两组在几个结局中表现出相似的积极进展。因此,以下研究阶段应涉及更大和更多样化的样本,以评估干预措施的有效性,确定影响因素,并确定受益最多的个人。
UNASSIGNED: Chile faces a significant postpartum depression prevalence and treatment gap, necessitating accessible interventions. While cognitive-behavioral internet-based interventions have proven effective in high-income countries, this field is underdeveloped in Chile. Based on the country\'s widespread use of digital technology, a guided 8-week cognitive-behavioral web app intervention named \"Mamá, te entiendo\" was developed.
UNASSIGNED: This study aimed to assess the acceptability and feasibility of \"Mamá, te entiendo\", for reducing depressive symptomatology in postpartum women.
UNASSIGNED: Sixty-five postpartum women with minor or major depression were randomly assigned to either intervention or waitlist. Primary outcomes centered on study feasibility, intervention feasibility, and acceptability. Semi-structured interviews with a sub-sample enriched the understanding of participants\' experiences. Secondary outcomes included mental health variables assessed at baseline, post-intervention, and 1-month follow-up.
UNASSIGNED: Chilean women displayed great interest in the intervention. 44.8 % of participants completed the intervention. Participants reported high satisfaction and engagement levels, with interviewees highlighting the value of the intervention\'s content, exercises, and therapist\'s feedback. However, preliminary efficacy analysis didn\'t reveal a significant interaction between group and time for outcome measures.
UNASSIGNED: This research represents a pioneering effort in Chile to evaluate an internet-based intervention for postpartum depression symptoms. The demonstrated feasibility and acceptability highlight the potential of integrating technology-driven approaches into mental health interventions. However, the intervention did not demonstrate superiority, as both groups exhibited similar positive progress in several outcomes. Therefore, the following research phase should involve a larger and more diverse sample to assess the intervention\'s effectiveness, identify influencing factors, and determine the individuals who benefit the most.