背景:冲浪和远足疗法已被证明是对患有重度抑郁症(MDD)的服务人员的辅助干预措施。这项研究探讨了干预结果中的性别差异,针对MDD服务成员的冲浪和远足治疗的随机对照试验(N=96;男性,n=46;妇女,n=50)。
方法:临床医师管理和自我报告措施(抑郁症,焦虑,积极的影响,负面影响,弹性,和疼痛)在预编程时完成,postprogram,和3个月的随访;简短的措施(抑郁/焦虑和积极的影响)在每次会议之前和之后完成。
结果:多水平建模结果表明,焦虑从计划前到计划后都有所降低,并且性别显着不同(B=-2.26,p=0.029),女性报告减少幅度更大。从计划前到计划后的其余结果显示了显着改善,性别没有差异(ps=0.218-0.733)。随访结果无性别差异(ps=0.119-0.780)。然而,在会话中,女性在抑郁/焦虑方面有较大改善(B=-0.93,p=0.005)和积极影响(B=3.73,p=0.001).与男性相比,徒步旅行治疗中的女性在会话中的积极影响得分变化更大(p=0.016)。
结论:总体而言,结果表明,男女都受益于辅助冲浪和远足疗法,但是女性在长期焦虑和直接心理方面表现出更好的反应。
BACKGROUND: Surf and hike therapies have demonstrated effectiveness as adjunct interventions for service members with major depressive disorder (MDD). This study explores gender differences in intervention outcomes following a pragmatic, randomized controlled trial of Surf and Hike Therapy for service members with MDD (N = 96; men, n = 46; women, n = 50).
METHODS: Clinician-administered and self-report measures (depression, anxiety, positive affect, negative affect, resilience, and pain) were completed at preprogram, postprogram, and 3-month follow-up; brief measures (depression/anxiety and positive affect) were completed before and after each session.
RESULTS: Multilevel modeling results showed that anxiety decreased from pre- to postprogram and significantly differed by gender (B = -2.26, p = 0.029), with women reporting greater reductions. The remaining outcomes from pre- to postprogram demonstrated significant improvements that did not differ by gender (ps = 0.218-0.733). There were no gender differences through follow-up (ps = 0.119-0.780). However, within sessions, women reported greater improvements in depression/anxiety (B = -0.93, p = 0.005) and positive affect (B = 3.73, p = 0.001). The change in positive affect scores within sessions was greater for women in Hike Therapy compared to men (p = 0.016).
CONCLUSIONS: Overall, results demonstrate that both genders benefit from adjunctive Surf and Hike Therapies, but women exhibit a better response in terms of longer-term anxiety and immediate psychological outcomes.