利用應用程序輔助項目治療產婦心理健康問題：針對幼兒母親的“建立情緒覺察與心理健康”（BEAM）項目的隨機對照試驗

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

——《諮詢與臨床心理學雜誌》第94卷，第4期，2026年4月——

<Journal of Consulting and Clinical Psychology> Volume 94, Issue 4, April 2026

【摘要】目的：生命最初三年內接觸到母親的精神疾病，往往與兒童的不良發展結局相關。許多母親面臨心理健康問題，但鮮有人能獲得循證治療。移動醫療（mHealth）療法在治療情緒障礙和焦慮障礙方面前景廣闊，但此類療法通常很少涵蓋育兒策略。本研究旨在評估“建立情緒意識與心理健康”（BEAM）項目的療效；該項目是一項為期10周、基於應用程序（App）並由治療師指導的方案，旨在同時滿足母親的心理健康需求和育兒需求。方法：本研究開展了一項雙組別、III期隨機對照試驗，旨在將BEAM干預方案與“無限制的常規服務”（即對照組）進行療效比較。參與者在資格篩查、隨機分組前以及干預結束後立即完成了自我報告式測量問卷。樣本共包含140位母親，其子女年齡在18至36個月之間；這些母親自我報告顯示存在中度至重度的抑鬱和/或焦慮症狀。結果：兩組參與者的抑鬱症狀隨時間推移均呈現顯著減輕，且兩組之間無顯著差異。然而，在減輕焦慮症狀方面，BEAM方案的表現優於“無限制的常規服務”對照組。在篩查時表現出較高水平焦慮和抑鬱症狀的參與者中，被分配至BEAM組的參與者在焦慮、憤怒情緒以及功能失調的親子互動方面表現出更顯著的改善，且其“嚴厲教養”綜合評分也顯著低於接受“無限制的常規服務”的對照組。結論：BEAM是一項具有高度可擴展性的干預方案，有望迅速觸達那些急需心理健康和育兒支持、但目前服務資源匱乏的群體。下一步工作將包括優化用戶界面，並探索如何在現有的衛生及社會服務體系內推廣該項目的應用與實施，從而實現家庭健康與福祉的長期改善。

【關鍵詞】育兒；母親；移動醫療（mHealth）；干預；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

論文原文：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  

（翻譯兼責任編輯：MARY）

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