Web-based stress management interventions are effective for college students, particularly those with interpersonal trauma histories. However, these interventions have not been assessed among those reporting childhood emotional abuse, a group with the most distress. Ecological momentary interventions (EMIs), which use mobile phones to deliver near-real-time psychosocial interventions in daily life, offer the possibility of increasing intervention efficacy. This randomized controlled trial examined the feasibility and efficacy of an EMI for reducing psychological distress among students with and without an emotional abuse history. Undergraduate students (N = 382) were randomly assigned to receive (a) an EMI that taught stress management skills, or (b) an ecological momentary assessment (EMA) with self-monitoring of stressors and mood. Both the EMI and EMA lasted for 14 days. Participants completed outcome measures (e.g., depression, anxiety, stress symptoms) at pretest, posttest, and 3-week follow-up. Overall, the EMI appeared feasible, acceptable, and usable, with 80% to 91% completion rates. Linear mixed models indicated that there were no significant Condition × Time interaction effects in the total sample, with decreases in perceived stress and increases in positive affect over time regardless of condition (EMI vs. EMA). Moderation analyses indicated that the EMI was generally more effective for those with a history of emotional abuse and that the EMA was more effective for those without such a history. Post hoc analyses demonstrated that participants wrote less in the EMI than in a web-based version of the intervention. Future interventions could target at-risk groups based on trauma history or baseline distress. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

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情绪虐待调节大学生生态瞬时压力管理干预的效果。

基于网络的压力管理干预措施对大学生有效，尤其是那些有人际关系创伤史的大学生。然而，这些干预措施尚未在报告童年情感虐待的人群中进行评估，这是一个最痛苦的群体。生态瞬时干预 (EMI) 使用手机在日常生活中提供近实时的社会心理干预，提供了提高干预效果的可能性。这项随机对照试验检查了 EMI 在减少有或没有情绪虐待史的学生的心理困扰方面的可行性和有效性。本科生 (N = 382) 被随机分配接受 (a) 教授压力管理技能的 EMI，或 (b) 具有自我监控压力源和情绪的生态瞬时评估 (EMA)。EMI 和 EMA 都持续了 14 天。参与者在前测、后测和 3 周的随访中完成了结果测量（例如，抑郁、焦虑、压力症状）。总体而言，EMI 似乎可行、可接受且可用，完成率为 80% 至 91%。线性混合模型表明，在总样本中没有显着的条件 × 时间交互效应，无论条件如何（EMI 与 EMA），感知压力都会随着时间的推移而减少，而积极影响会增加。适度分析表明 EMI 通常对有情绪虐待史的人更有效，而 EMA 对于没有这种病史的人更有效。事后分析表明，参与者在 EMI 中的写作比在基于网络的干预版本中少。未来的干预措施可以针对基于创伤史或基线痛苦的高危人群。（PsycINFO 数据库记录 (c) 2019 APA，保留所有权利）。