2026年6月1日
A Delphi Study to Identify Effective Self-Help and Kindness Strategies for Subthreshold Depression
Psychiatry International
- Nanako Hanai ,
- Satsuki Fujieda ,
- Yuki Hongo ,
- Kenichi Asano
- 巻
- 7
- 号
- 3
- 開始ページ
- 118
- 終了ページ
- 118
- 記述言語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.3390/psychiatryint7030118
- 出版者・発行元
- MDPI AG
Subthreshold depression (SD) is a significant risk factor for major depressive disorder. However, individuals with SD often do not seek professional help. This study aimed to identify a consensus-based list of self-help and "acts of kindness" (AK) strategies that are both helpful and feasible for individuals with SD while clarifying the perception gaps between clinical experts and individuals with lived experience. A three-round e-Delphi process was conducted with 51 clinical psychologists and 191 individuals with SD. The participants evaluated 187 initial strategies for helpfulness and feasibility using a 5-point Likert scale. After three rounds, five self-help strategies (e.g., "getting fresh air") and one AK strategy reached a consensus for helpfulness. Conversely, 10 self-help and 11 AK strategies were endorsed for feasibility. A significant perception gap was identified: experts reported higher helpfulness than the SD panel, whereas the SD panel rated the feasibility of AK strategies significantly higher than the experts. These findings highlight a discrepancy between professional expectations and lived experience, suggesting that AK may serve as accessible, low-threshold options for mood improvement in clinical settings.
- ID情報
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- DOI : 10.3390/psychiatryint7030118
- eISSN : 2673-5318