背景:COVID-19大流行在很大程度上影响了人们的心理健康和心理健康。具体来说,患有精神健康障碍的人似乎更容易受到作为主要压力因素的封锁措施的损害。医学康复治疗可以帮助人们应对这些压力源。互联网和数字应用程序提供了一个平台,为定期治疗做出贡献,并对此主题进行研究。
目的:利用基于互联网的评估,这项研究调查了来自普通人群的个体和来自医学的患者,心身康复诊所.抑郁的程度,焦虑,孤独,和COVID-19大流行期间的感知压力,常见的与COVID-19相关的担忧,并比较了使用数字应用程序的意图。此外,我们调查了在患者康复住院之前和期间是否参与互联网提供的数字培训,以及数字化培训的实用性,与康复后心理健康的改善有关。
方法:大规模,在线,横断面研究是在2020年5月至2021年4月从德国普通人群(N=1812)中抽取的研究样本中进行的.Further,在2020年7月至2021年4月的2个测量时间点-康复前(N=1719)和康复后(n=738)的心身康复患者中,利用互联网进行了一项纵向研究.使用经过验证的问卷和经过调整的项目来评估心理健康和与COVID-19相关的担忧。对数字化培训进行了评估。倾向得分匹配,协方差的多变量分析,探索性因素分析,并进行了层次回归分析。
结果:心身康复诊所的患者报告抑郁症症状增加,焦虑,孤独,与普通人群相比,压力(F4,2028=183.74,P<.001,η2p=0.27)。患者在与医疗保健专业人员的沟通中感知到更高的满意度(F1,837=31.67,P<.001,η2p=0.04),财务担忧较低(F1837=38.96,P<.001,η2p=0.04),但与普通人群相比,与家庭相关的担忧更高(F1,837=5.34,P=.02,η2p=0.01)。抑郁症的症状,焦虑,孤独,感觉到的压力在康复后较低(F1,712=23.21,P<.001,η2p=0.04)。心身患者报告使用常见应用程序和数字培训的意愿高于一般人群(F3,2021=51.41,P<.001,η2p=0.07)。关于康复住院之前和期间提供的数字培训,数字化训练对康复目标的感知有用性与抑郁症状的减少相关(β=-.14,P<.001),焦虑(β=-.12,P<.001),孤独感(β=-.18,P<.001),和应激后康复(β=-.19,P<.001)。参与数字团体治疗抑郁症与抑郁(F1,725=4.82,P=.03,η2p=0.01)和焦虑(F1,725=6.22,P=.01,η2p=0.01)的总体变化有关。康复后。
结论:这项研究验证了与普通人群相比,心身康复患者的心理健康约束增加以及康复治疗的效果。数字康复组件是有前途的工具,可以为患者的康复治疗做好准备,在康复治疗期间可以很好地与面对面治疗相结合,可以支持善后。
背景:ClinicalTrials.govNCT04453475;https://clinicaltrials.gov/ct2/show/NCT04453475andClinicalTrials.govNCT03855735;https://clinicaltrials.gov
BACKGROUND: The COVID-19 pandemic has largely affected people\'s mental health and psychological well-being. Specifically, individuals with a pre-existing mental health disorder seem more impaired by lockdown measures posing as major stress factors. Medical rehabilitation treatment can help people cope with these stressors. The internet and digital apps provide a platform to contribute to regular treatment and to conduct research on this topic.
OBJECTIVE: Making use of internet-based assessments, this study investigated individuals from the general population and patients from medical, psychosomatic rehabilitation clinics. Levels of depression, anxiety, loneliness, and perceived stress during the COVID-19 pandemic, common COVID-19-related worries, and the intention to use digital apps were compared. Furthermore, we investigated whether participating in internet-delivered digital trainings prior to and during patients\' rehabilitation stay, as well as the perceived usefulness of digital trainings, were associated with improved mental health after rehabilitation.
METHODS: A large-scale, online, cross-sectional study was conducted among a study sample taken from the general population (N=1812) in Germany from May 2020 to April 2021. Further, a longitudinal study was conducted making use of the internet among a second study sample of psychosomatic rehabilitation patients at two measurement time points-before (N=1719) and after (n=738) rehabilitation-between July 2020 and April 2021. Validated questionnaires and adapted items were used to assess mental health and COVID-19-related worries. Digital trainings were evaluated. Propensity score matching, multivariate analyses of covariance, an exploratory factor analysis, and hierarchical regression analyses were performed.
RESULTS: Patients from the psychosomatic rehabilitation clinics reported increased symptoms with regard to depression, anxiety, loneliness, and stress (F4,2028=183.74, P<.001, η2p=0.27) compared to the general population. Patients perceived greater satisfaction in communication with health care professionals (F1,837=31.67, P<.001, η2p=0.04), had lower financial worries (F1,837=38.96, P<.001, η2p=0.04), but had higher household-related worries (F1,837=5.34, P=.02, η2p=0.01) compared to the general population. Symptoms of depression, anxiety, loneliness, and perceived stress were lower postrehabilitation (F1,712=23.21, P<.001, η2p=0.04) than prior to rehabilitation. Psychosomatic patients reported a higher intention to use common apps and digital trainings (F3,2021=51.41, P<.001, η2p=0.07) than the general population. With regard to digital trainings offered prior to and during the rehabilitation stay, the perceived usefulness of digital trainings on rehabilitation goals was associated with decreased symptoms of depression (β=-.14, P<.001), anxiety (β=-.12, P<.001), loneliness (β=-.18, P<.001), and stress postrehabilitation (β=-.19, P<.001). Participation in digital group therapy for depression was associated with an overall change in depression (F1,725=4.82, P=.03, η2p=0.01) and anxiety (F1,725=6.22, P=.01, η2p=0.01) from pre- to postrehabilitation.
CONCLUSIONS: This study validated the increased mental health constraints of psychosomatic rehabilitation patients in comparison to the general population and the effects of rehabilitation treatment. Digital rehabilitation components are promising tools that could prepare patients for their rehabilitation stay, could integrate well with face-to-face therapy during rehabilitation treatment, and could support aftercare.
BACKGROUND: ClinicalTrials.gov NCT04453475; https://clinicaltrials.gov/ct2/show/NCT04453475 and ClinicalTrials.gov NCT03855735; https://clinicaltrials.gov/ct2/show/NCT03855735.