利用应用程序辅助项目治疗产妇心理健康问题
利用应用程序辅助项目治疗产妇心理健康问题：针对幼儿母亲的“建立情绪觉察与心理健康”（BEAM）项目的随机对照试验
Treating maternal mental health problems with an app-based program: A randomized control trial of the Building Emotional Awareness and Mental Health (BEAM) program, for mothers of young children
——《咨询与临床心理学杂志》第94卷，第4期，2026年4月——
【摘要】目的：生命最初三年内接触到母亲的精神疾病，往往与儿童的不良发展结局相关。许多母亲面临心理健康问题，但鲜有人能获得循证治疗。移动医疗（mHealth）疗法在治疗情绪障碍和焦虑障碍方面前景广阔，但此类疗法通常很少涵盖育儿策略。本研究旨在评估“建立情绪意识与心理健康”（BEAM）项目的疗效；该项目是一项为期10周、基于应用程序（App）并由治疗师指导的方案，旨在同时满足母亲的心理健康需求和育儿需求。方法：本研究开展了一项双组别、III期随机对照试验，旨在将BEAM干预方案与“无限制的常规服务”（即对照组）进行疗效比较。参与者在资格筛查、随机分组前以及干预结束后立即完成了自我报告式测量问卷。样本共包含140位母亲，其子女年龄在18至36个月之间；这些母亲自我报告显示存在中度至重度的抑郁和/或焦虑症状。结果：两组参与者的抑郁症状随时间推移均呈现显著减轻，且两组之间无显著差异。然而，在减轻焦虑症状方面，BEAM方案的表现优于“无限制的常规服务”对照组。在筛查时表现出较高水平焦虑和抑郁症状的参与者中，被分配至BEAM组的参与者在焦虑、愤怒情绪以及功能失调的亲子互动方面表现出更显著的改善，且其“严厉教养”综合评分也显著低于接受“无限制的常规服务”的对照组。结论：BEAM是一项具有高度可扩展性的干预方案，有望迅速触达那些急需心理健康和育儿支持、但目前服务资源匮乏的群体。下一步工作将包括优化用户界面，并探索如何在现有的卫生及社会服务体系内推广该项目的应用与实施，从而实现家庭健康与福祉的长期改善。
【关键词】育儿；母亲；移动医疗（mHealth）；干预；心理健康
[Abstract] Objectives: Exposure to maternal mental illness in the first 3 years of life is associated with poor child outcomes. Many mothers experience mental health problems and few have access to evidence-based treatments. Mobile health treatments show promise for mood and anxiety disorders but rarely include parenting strategies. This study evaluated the efficacy of Building Emotional Awareness and Mental Health (BEAM), a 10-week app-based therapist-guided program, which responds to maternal mental health and parenting needs. Method: A two-arm, Phase III randomized controlled trial was conducted to evaluate the BEAM intervention compared to unrestricted services-as-usual. Participants completed self-report measures at eligibility, prior to randomization, and immediately following the intervention. The sample included 140 mothers with children aged 18–36 months, who self-reported moderate-to-severe symptoms of depression and/or anxiety. Results: Participants in both groups experienced significant decreases in depression over time with no significant difference between groups. However, BEAM outperformed the unrestricted services-as-usual condition in reducing anxiety symptoms. Among participants with higher levels of anxiety and depression symptoms at screening, those assigned to BEAM experienced greater reductions in anxiety, anger, and dysfunctional parenting interactions as well as lower harsh parenting composite scores compared to unrestricted services-as-usual. Conclusion: BEAM is a highly scalable intervention that has the potential to rapidly reach underserved groups in need of mental health and parenting support. Next steps include improving the user interface and exploring engagement and implementation of the program within existing health and social service systems for long-term improvements in family health and well-being.
[Key words] parenting; mothers; mHealth; intervention; mental health
论文原文：Roos, Leslie E.; Mackinnon, Anna L.; Xie, E. Bailin; et al. (2026). Treating maternal mental health problems with an app-based program: A randomized control trial of the Building Emotional Awareness and Mental Health (BEAM) program, for mothers of young children. Journal of Consulting and Clinical Psychology, Volume 94, Issue 4, Pages 228-244. April 2026.
https://doi.org/10.1037/ccp0001000
（翻译兼责任编辑：MARY）
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