Effectiveness of a Web-based Intervention for Depressive Symptoms Management
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective: The purpose of this study was to evaluate the effectiveness of a web-based intervention program for depressive symptoms management among Korean adults. Methods: After the first author developed a user-centered design website intended to manage the depressive symptoms of the general public, two hundred and seventy two participants were screened and randomly assigned into experimental and control groups. These subjects underwent a 12-week nonequivalent pretest and post-test evaluation program to determine changes in their depression scores, which were measured using the Korean Depression Scale. Subjects’ unique IP addresses were used for monitoring their access periods on the website. Results: There were no significant differences in the baseline and outcome characteristics of both experimental and control groups. Moreover, findings revealed that the total depression score of the experimental group (who accessed the developed web-site three times a week with at least an hour per session) showed to have decreased immensely with a mean of 5.57. On the contrary, only a 0.09 point difference resulted between the pre and post tests of the control group (who accessed other depression management websites generally available). Conclusions: Web-based interventions could be an effective and inexpensive means of managing depressive symptoms of Koreans. Findings from this effectiveness study of an internet-based program could also be used by a variety of audiences including government agencies, educators, and health care professionals concerned with mental health promotion and prevention.
Abstract
Objective: The purpose of this study was to evaluate the effectiveness of a web-based intervention program for depressive symptoms management among Korean adults. Methods: After the first author developed a user-centered design website intended to manage the depressive symptoms of the general public, two hundred and seventy two participants were screened and randomly assigned into experimental and control groups. These subjects underwent a 12-week nonequivalent pretest and post-test evaluation program to determine changes in their depression scores, which were measured using the Korean Depression Scale. Subjects’ unique IP addresses were used for monitoring their access periods on the website. Results: There were no significant differences in the baseline and outcome characteristics of both experimental and control groups. Moreover, findings revealed that the total depression score of the experimental group (who accessed the developed web-site three times a week with at least an hour per session) showed to have decreased immensely with a mean of 5.57. On the contrary, only a 0.09 point difference resulted between the pre and post tests of the control group (who accessed other depression management websites generally available). Conclusions: Web-based interventions could be an effective and inexpensive means of managing depressive symptoms of Koreans. Findings from this effectiveness study of an internet-based program could also be used by a variety of audiences including government agencies, educators, and health care professionals concerned with mental health promotion and prevention.
참고문헌 (17)
- Kim HS, "Prevalence of Depression Using Zung’s Self Rating Depression Scale in Chungju‐city", Poster session presented at annual meeting of primary prevention (2002)
- Ham BJ, "An Investigation of the Perceived Stigma of Depression Patient", J. Kor. Soc. for Dep. and Bip. Disorder, 2, pp.237~244 (2004)
- Anderson L, "Self‐help books for depression: how can practitioners and patients make the right choice?", Br J Gen Pract, 55, pp.387~392 (2005)
- Bae JY, "Effectiveness of Cognitive Bibliotherapy in Depressed Adults", J. Kor. Acad. Psych. Ment. Health Nurs, 13, pp.34~42 (2004)
- Spek V, "Internet‐based cognitive behavior therapy for mood and anxiety disorders: a meta‐analysis", Psychol Med, 37 (2007)
- Christensen H, "Web‐based cognitive behavior therapy: analysis of site usage and changes in depression and anxiety scores", J Med Internet Res, 4, pp.e3~ (2002)
- Christensen H, "Delivering interventions for depression by using the internet: randomised controlled trial", BMJ, 328, pp.265~ (2004)
- Clarke G, "Overcoming depression on the Internet (ODIN): a randomized controlled trial of an Internet depression skills intervention program", J Med Internet Res, 4, pp.e14~ (2002)
- Proudfoot J, "Computerized, interactive, multimedia cognitive‐behavioral program for anxiety and depression in general practice", Psychol Med, 33, pp.217~227 (2003)
- Englesmann F, "Culture and depression. In Culture and Psychopathology" (1982), University Park Press
- Marsella AJ, "Cross‐cultural studies of depressive disorders: An overview. In: Culture and Depression: Studies in Anthropology and Crosscultural Psychiatry of Affective Disorder" (1985), University of California Press
- Weissman MM, "Cross‐national epidemiology of major depression and bipolar disorder", The Journal of the American Medical Association, 276, pp.293~299 (1995)
- Bae JY, "A Study on the Development of the Korean Depression Scale", J. Kor. Acad. Psych. Ment Health Nurs, 12, pp.433~443 (2003)
- Van Straten A, "Effectiveness of a Web‐Based Self‐Help Intervention for Symptoms of Depression, Anxiety, and Stress: Randomized Controlled Trial", J Med Internet Res, 10, pp.e7~ (2008)
- Park M, "Development of interactive multimedia learning in aging education", J Kor Soc Med Informatics, 13, pp.221~226 (2007)
- "Korea National Statistical Office" (2000)[URL]
- Jacobs MK, "A comparison of computerbased versus traditional individual psychotherapy", Prof Psychol Res Pr, 32, pp.92~96 (2001)