Trends in psychiatry and psychotherapy · 2026
Brief remote psychological treatments for healthcare workers with emotional distress during the SARS-CoV-2 pandemic: a randomized controlled trial.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Salum Giovanni Abrahão, Costa Marianna de Abreu, Spanemberg Lucas, Simioni André Rafael, Gosmann Natan Pereira, de Souza Lívia Hartmann, Cuijpers Pim, Pine Daniel Samuel, Brunoni André Russowsky, Kristensen Christian Haag, Fleck Marcelo Pio de Almeida, Manfro Gisele Gus, Dreher Carolina Blaya
Аннотация
INTRODUCTION: The SARS-CoV-2 pandemic has catalyzed a widespread mental health crisis, impacting millions of people. This study aimed to compare three brief remote psychological treatments for healthcare workers with emotional distress during the SARS-CoV-2 pandemic.
METHODS: Nationwide three-arm randomized clinical trial in Brazil. We included healthcare professionals with high levels of anxiety, depression, or irritability, as defined by Patient-Reported Outcomes Measurement Information System (PROMIS). Participants were randomized to single-session psychoeducation group plus weekly pre-recorded videos for four weeks (SSI-ET), brief cognitive behavioral telepsychotherapy group (B-CBT, four sessions), or brief interpersonal telepsychotherapy (B-IPT, four sessions). The primary outcome was the proportion of participants with a 50% reduction in T-scores in PROMIS scales at one-month.
RESULTS: Of the 3328 volunteers assessed for eligibility, 999 participants were enrolled, from May 19th 2020 to December 31st 2021, and allocated to SSI-ET (n=342), B-CBT (n=323), or B-IPT (n=334). All groups showed significant symptom reductions in the one-month assessment that were maintained over the three and six-month follow-ups (Cohen's d range=0.94-1.36), with no significant difference between groups. The proportion of responders were 46.5%, 43.7%, and 44.6% for SSI-ET, B-CBT, and B-IPT, respectively.
CONCLUSION: Our results do not indicate that therapeutic interventions with higher number of sessions and with more specialized therapeutic components offer advantages in alleviating emotional distress, particularly among healthcare workers facing epidemic emergencies. These results have critical implications for planning interventions for crisis responses, especially in settings with limited resources.
METHODS: Nationwide three-arm randomized clinical trial in Brazil. We included healthcare professionals with high levels of anxiety, depression, or irritability, as defined by Patient-Reported Outcomes Measurement Information System (PROMIS). Participants were randomized to single-session psychoeducation group plus weekly pre-recorded videos for four weeks (SSI-ET), brief cognitive behavioral telepsychotherapy group (B-CBT, four sessions), or brief interpersonal telepsychotherapy (B-IPT, four sessions). The primary outcome was the proportion of participants with a 50% reduction in T-scores in PROMIS scales at one-month.
RESULTS: Of the 3328 volunteers assessed for eligibility, 999 participants were enrolled, from May 19th 2020 to December 31st 2021, and allocated to SSI-ET (n=342), B-CBT (n=323), or B-IPT (n=334). All groups showed significant symptom reductions in the one-month assessment that were maintained over the three and six-month follow-ups (Cohen's d range=0.94-1.36), with no significant difference between groups. The proportion of responders were 46.5%, 43.7%, and 44.6% for SSI-ET, B-CBT, and B-IPT, respectively.
CONCLUSION: Our results do not indicate that therapeutic interventions with higher number of sessions and with more specialized therapeutic components offer advantages in alleviating emotional distress, particularly among healthcare workers facing epidemic emergencies. These results have critical implications for planning interventions for crisis responses, especially in settings with limited resources.