中国心理卫生杂志2013，Vol.27Issue(8)：583-590,8.DOI:10.3969/j.issn.1000-6729.2013.08.006
创伤经历者的网络自助干预程序的试用研究
An internet-based self-help intervention program application for traumatized persons
摘要
Abstract
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 pretreatment 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.关键词
网络干预程序/流失/创伤/社会认可度/创伤暴露Key words
internet-based intervention (IBI) / dropouts/ traumatized/ social acknowledgement/ trauma disclosure分类
社会科学引用本文复制引用
王志云,王建平,MAERCKER Andreas..创伤经历者的网络自助干预程序的试用研究[J].中国心理卫生杂志,2013,27(8):583-590,8.基金项目
中瑞政府框架科技合作计划项目(IZLCZ3 123910) （IZLCZ3 123910）
