Quem procura intervenções baseadas na Internet para a depressão no Brasil?

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Palavras-chave:

Depressão, Intervenções on-line, Características de participantes, Recrutamento

Resumo

Alguns tratamentos para a depressão baseados na Internet se mostraram efetivos e apresentaram vantagens em relação a tratamentos presenciais (potencialmente menos caros, com horários mais flexíveis e com disponibilidade em áreas remotas). Este artigo descreve as características de indivíduos que procuraram ajuda de uma intervenção autoguiada on-line e explora hipóteses sobre preditores de adesão ao programa. Baseado em uma amostra de 282 indivíduos que preencheram questionários de triagem, verificou-se que os participantes eram majoritariamente mulheres, tinham em média 34,36 anos, foram recrutados em sua maioria pelo Facebook, apresentaram diagnóstico psiquiátrico prévio feito por algum profissional de saúde mental, apresentaram percepção de autoeficácia moderada e sintomas depressivos moderadamente severos. Os respondentes que relataram condições comórbidas apresentaram mais chances de avançar para as entrevistas diagnósticas, e estar ou não em tratamento não influenciou a chegada às entrevistas. Estas descrições podem auxiliar na identificação de estratégias para se atingir mais indivíduos e para otimizar o desenho das intervenções on-line para brasileiros que as buscam.

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Referências

Alaoui, S. E., Ljótsson, B., Hedman, E., Kaldo, V., Andersson, E., Rück, C., ... Lindefors, N. (2015). Predictors of symptomatic change and adherence in internet-based cognitive behaviour therapy for social anxiety disorder in routine psychiatric care. Plos One, 10(4), e0124258. https://doi.org/10.1371/journal.pone.0124258

Albert, P. R. (2015). Why is depression more prevalent in women? Journal of Psychiatric Neuroscience, 40(4), 219-25. https://doi.org/10.1503/jpn.150205

Andersson, G. (2015). The internet and CBT: a clinical guide (1st ed). Boca Raton: Taylor & Francis Group.

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Washington: American Psychiatric Publishing Incorporated.

Bedendo, A., Andrade, A. L. M., & Noto, A. R. (2018). Intervenções via Internet para redução do consumo de álcool entre universitários: uma revisão sistemática. Revista Panamericana de Salud Pública, 42, e54. https://doi.org/10.26633/ RPSP.2018

Bedendo, A., Ferri, C. P., Souza, A. A. L., Andrade, A. L. M., & Noto, A. R. (2019). Pragmatic randomized controlled trial of a web-based intervention for alcohol use among Brazilian college students: motivation as a moderating effect. Drug and Alcohol Dependency, 1(199), 92-100. https://doi.org/10.1016/j.drugalcdep.2019.02.021

Beevers, C. G., Pearson, R., Hoffman, J. S., Foulser, A. A., Shumake, J., & Meyer, B. (2017). Effectiveness of an internet intervention (Deprexis) for depression in a United States adult sample: a parallel-group pragmatic randomized controlled trial. Journal of Consulting and Clinical Psychology, 85(4), 367-380. https://doi.org/10.1037/ccp0000171

Beiwinkel, T., Eibing, T., Tell, N. T., Siegmund-Schultze, E., & Rössler, W. (2017). Effectiveness of a web-based intervention in reducing depression and sickness absence: randomized controlled trial. Journal of Medical Internet Research, 19(6), e213. https://doi.org/10.2196/jmir.6546

Berger, T., Hammerli, K., Gubser, N., Andersson, G., & Caspar, F. (2011). Internet-based treatment of depression: a randomized controlled trial comparing guided with unguided self-help. Cognitive Behavioural Therapy, 40(4), 251-266

. Bücker, L., Bierbrodt, J., Hand, I., Wittekind, C., & Moritz, S. (2018). Effects of a depression-focused internet intervention in slot machine gamblers: a randomized controlled trial. Plos One, 13(6), e0198859. https://doi.org/10.1371/journal. pone.0198859

Cappa, F., Laut, J., Porfiri, M., & Giustiniano, L. (2018). Bring them aboard: rewarding participation in technology-mediated citizen science projects. Computers in Human Behavior, 89, 246-257. https://doi.org/10.1016/j.chb.2018.08.017

Carrard, I., Fernandez-Aranda, F., Lam, T., Nevonen, L., Liwowsky, I., Volkart, A. C., … Norring, C. (2010). Evaluation of a guided internet self-treatment programme for bulimia nervosa in several European countries. European Eating Disorders Review, 19(2), 138-149. https://doi.org/10.1002/erv.1043

Conselho Federal de Psicologia. (2018). Resolução nº 11, de 11 de maio de 2018. Regulamenta a prestação de serviços psicológicos realizados por meios de tecnologias da informação e da comunicação e revoga a Resolução CFP nº 11/2012. Brasília: Autor. Recuperado de https://site.cfp.org.br/wp-content/uploads/2018/05/RESOLU%C3% 87%C3%83ON%C2%BA-11-DE-11-DE-MAIO-DE-2018.pdf

Daray, F. M., Olivera Fedi, R. H., & Rodante, D. E. (2018). Development of CALMA: A mobile APP for the prevention of suicide in adolescents and youth. Vertex, 29(137), 55-64.

Ebert, D. D., van Daele, T., Nordgreen, T., Karekla, M., Compare, A., Zarbo, C., ... Taylor, J. (2018). Internet- and mobilebased psychological interventions: applications, efficacy, and potential for improving mental health – a report of the EFPA E-Health Taskforce. European Psychologist, 23(2), 167-187. https://doi.org/10.1027/1016-9040/a000318

Espinoza, H. D., Carrasco, Á., Moessner, M., Cáceres, C., Gloger, S., Rojas, G., ... Krause, M. (2016). Acceptability study of “Ascenso”: an online program for monitoring and supporting patients with depression in Chile. Telemedicine and e-Health, 22(7), 577-83. https://doi.org/10.1089/tmj.2015.0124

Flores, L. A. P., Cárdenas, G. L., Durán, X. B., & Rosa, A. G. (2014). Psicoterapia vía internet: aplicación de un programa de intervención cognitivo-conductual para pacientes con depresión. Psicología Iberoamericana 22(1), 7-15. Recuperado el https://www.redalyc.org/articulo.oa?id=133944229002

Fraguas, R., Jr., Gonsalves, H. S., Delucia, M., Iosifescu, D., Schwartz, F., Rossimenezes, P., … Arrudamartins, M. (2006). The detection of depression in medical setting: a study with PRIME-MD. Journal of Affective Disorders, 91(1), 11-17. https://doi.org/10.1016/j.jad.2005.12.003

Fuhr, K., Schröder, J., Berger, T., Moritz, S., Meyer, B., Lutz, W., … Klein, J. P. (2018). The association between adherence and outcome in an Internet intervention for depression. Journal of Affective Disorders, 229, 443-449. https://doi. org/10.1016/j.jad.2017.12.028

Gomide, H. P., Bernardino, H. S., Richter, K., Martins, L. F., & Ronzani, T. M. (2016). Development of an open-source webbased intervention for Brazilian smokers: viva sem tabaco. BMC Medical Informatics and Decision Making, 16(103), 2-8. https://doi.org/10.1186/s12911-016-0339-7

Hayes, A., & Strunk, D. (2012). Research-Supported Psychological Treatments for Depression. Atlanta: Society for Clinical Psychology. Retrieved from https://div12.org/psychological-treatments/

Hidi, S. (2015). Revisiting the role of rewards in motivation and learning: implications of neuroscientific research. Educational Psychology Review, 28(1), 61-93. https://doi.org/10.1007/s10648-015-9307-5

Instituto Brasileiro de Geografia e Estatística. (2019). Síntese de indicadores sociais: uma análise das condições de vida da população brasileira 2019. Rio de Janeiro: Autor. Recuperado de https://biblioteca.ibge.gov.br/index.php/bibliotecacatalogo?view= detalhes&id=2101678

Jiménez-Molina, A., Franco, P., Martínez, V., Martínez, P., Rojas, G., & Araya, R. (2019). Internet-based interventions for the prevention and treatment of mental disorders in Latin America: a scoping review. Frontiers in Psychiatry, 10(664), 1-17. https://doi.org/10.3389/fpsyt.2019.00664

Johansson, R., Sjöberg, E., Sjögren, M., Johnsson, E., Carlbring, P., Andersson, T., … Andersson, G. (2012). Tailored vs. standardized internet-based cognitive behavior therapy for depression and comorbid symptoms: a randomized controlled trial. Plos One, 7(5), e36905. https://doi.org/ 10.1371/journal.pone.0036905

Kazdin, A. E. (2017). Addressing the treatment gap: a key challenge for extending evidence-based psychosocial interventions. Behaviour Research and Therapy, 88, 7-18. https://doi.org/10.1016/j.brat.2016.06.004

Kenter, R. M. F., Cuijpers, P., Beekman, A., & van Straten, A. (2016). Effectiveness of a web-based guided self-help intervention for outpatients with a depressive disorder: short-term results from a randomized controlled trial. Journal Medical Internet Research, 18(3), e80. https://doi.org/10.2196/jmir.4861

Klein, J. P., Berger, T., Schröder, J., Späth, C., Meyer, B., Caspar, F., … Hohagen, F. (2016). Effects of a psychological internet intervention in the treatment of mild to moderate depressive symptoms: results of the EVIDENT study, a randomized controlled trial. Psychotherapy and Psychosomatics, 85(4), 218-228. https://doi.org/10.1159/000445355

Kuehner, C. (2017). Why is depression more common among women than among men? The Lancet Psychiatry, 4(2), 146-158. https://doi.org/10.1016/S2215-0366(16)30263-2

Lima-Osório, F., Vilela-Mendes, A., Crippa, J. A., & Loureiro, S. R. (2009). Study of the discriminative validity of the PHQ-9 and PHQ-2 in a sample of Brazilian women in the context of primary health care. Perspectives in Psychiatric Care, 45(3), 216-27.

Lopes, R. T., Gonçalves, M. M., Sinai, D., & Machado, P. P. P. (2015). Predictors of dropout in a controlled clinical trial of psychotherapy for moderate depression. International Journal of Clinical and Health Psychology, 15(1), 76-80. https:// doi.org/10.1016/j.ijchp.2014.11.001

Lopes, R. T., Meyer, B., Berger, T., & Svacina, M. A. (2020). Effectiveness of an internet-based self-guided program to treat depression in a sample of Brazilian users: a study protocol. Brazilian Journal of Psychiatry, 42(3), 322-328. https:// doi.org/10.1590/1516-4446-2019-0582

Lorant, V., Deliège, D., Eaton, W., Robert, A., Philippot, P., & Ansseau, M. (2003). Socioeconomic inequalities in depression: a meta-analysis. American Journal of Epidemiology, 157(2), 98-112. https://doi.org/10.1093/aje/kwf182

Martínez, P., Rojas, G., Martínez, V., Lara, M. A., & Pérez, J. C. (2018). Internet-based interventions for the prevention and treatment of depression in people living in developing countries: a systematic review. Journal of Affective Disorders, 234, 193-200. https://doi.org/10.1016/j.jad.2018.02.079

Meyer, B., Berger, T., Caspar, F., Beevers, C. G., Andersson, G., & Weiss, M. (2009). Effectiveness of a novel integrative online treatment for depression (Deprexis): randomized controlled trial. Journal of Medical Internet Research, 11(2), e15.

Meyer, B., Bierbrodt, J., Schröder, J., Berger, T., Beevers, C. G., Weiss, M., … Klein, J. P. (2015). Effects of an Internet intervention (Deprexis) on severe depression symptoms: randomized controlled trial. Internet Intervention, 2(1), 48-59. https://doi.org/10.1016/j.invent.2014.12.003

Mira, A., Farfallini, L., Baños, R., Bretón-López, J., & Botella, C. (2016). Sonreír es divertido: una intervención online para la prevención y el tratamiento de los trastornos emocionales. Psicodebate, 16(2), 7, 51-72. http://dx.doi.org/10.18682/ pd.v16i2.597

Morilha, A., Karagulian, S., Lotufo, P. A., Santos, I. S., Benseñor, I. M., & Goulart, A. C. (2015). Abuso de álcool após síndrome coronariana aguda: avaliação prospectiva no estudo ERICO. Arquivos Brasileiros de Cardiologia, 104(6), 457-67. 13WHO SEEKS E-HEALTH IN BRAZIL? Estud. psicol. I Campinas I 38 I e190166 2021

Moritz, S., Schröder, J., Meyer, B., & Hauschildt, M. (2013). The more it is needed, the less it is wanted: attitudes toward faceto-face intervention among depressed patients undergoing online treatment. Depression and Anxiety, 30(2),157-67.

Probst, T., Berger, T., Meyer, B., Späth, C., Schröder, J., Hohagen, F., … Klein, J. P. (2019). Social phobia moderates the outcome in the EVIDENT study: a randomized controlled trial on an Internet-based psychological intervention for mild to moderate depressive symptoms. Journal of Consulting and Clinical Psychology, 88(1), 82-89. https://doi. org/10.1037/ccp0000441

Reinwand, D. A., Schulz, D. N., Crutzen, R., Kremers, S. P., & Vries, H. (2015). Who follows ehealth interventions as recommended? A study of participants’ personal characteristics from the experimental arm of a randomized controlled trial. Journal of Medical Internet Research, 17(5), e115. https://doi.org/10.2196/jmir.3932

Salamanca-Salabria, A., Richards, D., Timulak, L., Connell, S., Mojica-Perilla, M., Parra-Villa, Y., & Castro-Camacho, L. A. (2020). Culturally adapted cognitive behavioral internet-delivered intervention for depressive symptoms: randomized controlled trial. JMIR Mental Health, 7(1), e13392. https://doi.org/10.2196/13392

Santos, I. S., Tavares, B. F., Munhoz, T. N., Almeida, L. S. P., Silva, N. T. B., Tams, B. D., ... Matijasevich, A. (2013). Sensibilidade e especificidade do Patient Health Questionnaire-9 (PHQ-9) entre adultos da população geral. Cadernos de Saúde Pública, 29(8), 1533-1543. https://doi.org/10.1590/0102-311X00144612

Sbicigo, J. B., Teixeira, M. A. P., Dias, A. C. G., & Dell’Aglio, D. D. (2012). Propriedades Psicométricas da Escala de Autoeficácia Geral Percebida (EAGP). Psico, 43(2). Recuperado de https://revistaseletronicas.pucrs.br/ojs/index.php/ revistapsico/article/view/ 11691

Schnyder, N., Panczak, R., Groth, N., & Schultze-Lutter, F. (2017). Association between mental health-related stigma and active help-seeking: systematic review and meta-analysis. British Journal of Psychiatry, 210(4), 261-268. https://doi. org/10.1192/bjp.bp.116.189464

Schwarzer, R., & Born, A. (1997). Optimistic self-beliefs: assessment of general perceived self-efficacy in thirteen cultures. World Psychology, 3(1), 177-190.

Schwarzer, R., & Jerusalem, M. (1995). Generalized Self-Efficacy Scale. In J. Weinman, S. Wright, & M. Johnston (Orgs.), Measures in health psychology: a user’s portfolio (pp.35-37). Windsor: NFER.

So, R., Furukawa, T. A., Matsushita, S., Baba, T., Matsuzaki, T., Furuno, S., … Higuchi, S. (2020). Unguided chatbotdelivered cognitive behavioural intervention for problem gamblers through messaging app: a randomised controlled trial. Journal of Gambling Studies, 36(4), 1391-1404. https://doi.org/10.1007/s10899-020-09935

Späth, C., Hapke, U., Maske, U., Schröder, J., Moritz, S., Berger, T., … Klein, J. P. (2017). Characteristics of participants in a randomized trial of an Internet intervention for depression (EVIDENT) in comparison to a national sample (DEGS1). Internet Interventions, 9, 46-50. https://doi.org/10.1016/j.invent.2017.05.003

Spitzer, R. L., Kroenke, K., & Williams, J. B. (1999). Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Jama, 282(18), 1737–1744. https://doi.org/10.1001/jama.282.18.1737

Twomey, C., O’Reilly, G., & Meyer, B. (2017). Effectiveness of an individually-tailored computerised CBT programme (Deprexis) for depression: a meta-analysis. Psychiatry Research, 256, 371-377. https://doi.org/10.1016/j.psychres.2017.06.081

Twomey, C., O’Reilly, G., Bültmann, O., & Meyer, B. (2020). Effectiveness of a tailored, integrative Internet intervention (deprexis) for depression: updated meta-analysis. Plos One, 15(1), e0228100. https://doi.org/10.1371/journal. pone.0228100

Valencia, C. G., & Vargas-Nieto, J. (2015). ¿Es efectiva la terapia administrada vía internet para la depresión? Una revisión sistemática. Enfoques, 2(1), 83-116. https://doi.org/10.24267/23898798.211

Webb, C. A., Rosso, I. M., & Rauch, S. L. (2017). Internet-Based cognitive-behavioral therapy for depression: current progress and future directions. Harvard Review of Psychiatry, 25(3), 114-122. https://doi.org/10.1097/HRP.0000000000000139

Zwerenz, R., Becker, J., Knickenberg, R. J., Siepmann, M., Hagen, K., & Beutel, M. E. (2017). Online self-help as an add-on to inpatient psychotherapy: efficacy of a new blended treatment approach. Psychotherapy and Psychosomatics, 86(6), 341-50. https://doi.org/10.1159/000481177

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Publicado

2023-01-25

Como Citar

LOPES, R. T., SVACINA, M. A. ., GÓMEZ-PENEDO, J. M., ROUSSOS, A., MEYER, B., & BERGER, T. (2023). Quem procura intervenções baseadas na Internet para a depressão no Brasil? . Estudos De Psicologia, 38. Recuperado de https://periodicos.puc-campinas.edu.br/estpsi/article/view/7279

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SEÇÃO TEMÁTICA: TEMAS E AVANÇOS TECNOLÓGICOS EM CIBERPSICOLOGIA