摘要
目的:检验网络自助干预程序的使用价值,了解创伤症状水平、社会认可度、创伤暴露态度与程序使用的关系,为未来的网络干预研究提供参考。方法:通过网络广告征集428名创伤经历者,其中103人成为被试,随机分入干预组和等待组,进行1个月的网络自助干预。等待组在后测之后进行延迟自助干预。对两组被试在干预前的流失率、使用干预程序的程度(访问天数、访问网页数)和后续流失率进行考察。用创伤后压力诊断量表(PDS)、创伤暴露问卷(DTQ)和社会认可问卷(SAQ)进行测量。结果:干预开始前,被试流失率为40.8%。与使用网站的被试相比,干预前流失的被试在DTQ的谈论冲动维度上得分更高[(2.1±1.2)vs.(1.5±1.0),P<0.05],并且女性所占比例更高(86%vs.69%,P=0.050)。在61名使用网站的被试中,访问网站的人数第1周为61名(100%),第2周为19名(31%),之后人数较平稳;在1个月内,51名(84%)被试访问网站的天数为≤5天,4名(7%)被试访问天数>10天(最大值为12天);在网页总数为118的网站上,被试访问的网页数平均值为(81.3±77.1),其中18名(30%)被试(重复)访问超过100个网页(最大值为295)。回归分析显示,被试访问网站的天数与SAQ的家庭不认可维度得分正相关(β=0.31,P<0.05);访问网页数与SAQ的一般不认可维度得分正相关(β=0.31,P<0.05)。结论:创伤经历者的谈论冲动可能是其选择网络自助干预的一个因素;在开始使用干预程序后,使用者可能在少数几次登录中重复阅读部分或全部内容,从家庭中、社会上感受到的不认可态度可能是其坚持使用干预程序的一个促进因素。
Objective： To examine the user dropouts at different stages of an internet-based intervention program application for traumatized persons and to investigate the influence of posttraumatic symptoms severity,perceived social acknowledgement and trauma disclosure attitudes on the usage of the program. Methods： A total of 428 traumatized persons were recruited via internet advertisements from 22 cities and provinces.Among them 103 gave consent to participation and were randomized into the treatment and waiting list groups.After completing pre-treatment test,the treatment group used the intervention program for one month.The waiting list group received one-month delayed treatment after they filled out post-waiting test.To examine the usage of the program,two new groups were used in data analyses,consisting of participants using or not using the intervention website.Participants＇ adherence to the program was examined with pre-treatment dropout,visiting days and pages visited at the website,and follow-up dropout.Measures used included the Posttraumatic Diagnostic Scale （PDS）,Disclosure of Trauma Questionnaire （DTQ）,and Social Acknowledgement Questionnaire （SAQ）. Results： Among 103 participants,61 （59.2%） used the website and 42 （40.8%） dropped out before the treatment.Compared to using the website group,the participants who dropped out before intervention scored higher on the DTQ ＂urge to talk＂[（2.1±1.2） vs.（1.5±1.0）,P〈0.05] and consisted of more females （86% vs.69%,P=0.050）.The number of users visiting the website decreased sharply from 61（10%） in the first week to 19 （31%） in the second week.During one-month treatment period,51 （84%） users visited the website for five days or less,and four （7%） users visited it more than 10 days with a maximum of 12;the mean of pages visited number was （81.3±77.1）,and 18 （30%） users visited （repeatedly） more than 100 pages,with a maximum of 295,at the website which contains 118 pages.Linear regression analyses showed that the users＇ visiting days at the website were positively correlated with the SAQ family disapproval scores （β=0.31,P〈0.05）,and the number of pages visited was positively correlated with the SAQ general disapproval scores （β=0.31,P〈0.05）. Conclusion： It suggests that individuals＇ urge to talk may influence their adoption of internet-based self-help interventions after trauma.Users might repeatedly read some contents of the self-help intervention programs.Perceived disapproval from family and social network may have influence on traumatized persons＇ adherence to the programs.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2013年第8期583-590,共8页
Chinese Mental Health Journal
基金
中瑞政府框架科技合作计划项目(IZLCZ3 123910)
关键词
网络干预程序
流失
创伤
社会认可度
创伤暴露
internet-based intervention （IBI）
dropouts
traumatized
social acknowledgement
trauma disclosure
