Effects of a cognitive behavioral self-help program on depressed mood for people with acquired chronic physical impairments: A pilot randomized controlled trial

PATIENT EDUCATION AND COUNSELING

卷:85

Article

Garnefski, Nadia¹  Kraaij, Vivian²  Schroevers, Maya³ 

[1] Leiden Univ, Dept Clin Hlth & Neuropsychol, NL-2300 RB Leiden, Netherlands

[2] Leiden Univ, Med Ctr, Dept Med Psychol, NL-2300 RB Leiden, Netherlands

[3] Univ Groningen, Dept Hlth Sci, Univ Med Ctr Groningen, Groningen, Netherlands

关键词: Depression;    Physical impairments;    Physical disabilities;    Psychological intervention;    Self-help program;   

DOI  :  10.1016/j.pec.2010.10.006

来源: Elsevier

【 摘 要 】

Objective: Aim was to examine whether a new cognitive-behavioral self-help intervention program was effective in improving depressed mood in people with acquired chronic physical impairments. Methods: Participants were 32 persons with acquired chronic physical impairments and depressive symptoms, who were randomly allocated to the Cognitive-Behavioral Self-help program (CBS) or the Waiting List Control group (WLC). Depression scores were assessed at three measurement moments: at pretest, immediately after completion of the intervention (posttest), and again two months later (follow-up). To evaluate changes in depression scores, Repeated Measures ANCOVA's were performed. Results: It was shown that respondents who followed the CBS significantly improved compared to the WLC after completion of the program, and that this positive effect remained at 2-months follow-up. Conclusion: A cognitive-behavioral self-help intervention can be an effective tool to reduce depressive symptoms in people with physical impairments. Practice implications: A self-help program may prove to be more cost-effective for individuals and for the health care system as a whole. In addition, because a self-help intervention program can be delivered through mail or internet, a high number of people could be reached while overcoming geographical and social barriers to treatment. (C) 2010 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free