Psychological Intervention Study And Effect Evaluation Of Men Who Have Sex With Men

Objectives:According to the main influencing factors of depression and anxiety in MSM,the author designed the psychological intervention program of MSM population and evaluated the effectiveness and feasibility of the psychological intervention program.Methods:A controlled trial was conducted to recruit MSM through CBO.They were divided into intervention group and control group.On the basis of routine intervention services(publicity and education,behavior change exchange,condom promotion,STD/AIDS testing,treatment referral),the intervention group conducted 6 psychological interventions(rational emotional behavioral therapy,supportive psychotherapy,meditation relaxation,nostalgic treatment combined with group psychological intervention techniques)at the same time,and the control group only received routine intervention.Before,after and three months after the intervention,the intervention group conducted three questionnaires,while the control group did two questionnaires before and after the intervention.Intervention effects were assessed by statistical methods such as chi-square test,fisher,s exact test,paired-samples t-test and independent-samples t-test.Results:1.Basic information:Questionnaires and interventions before and after intervention were completed in 50 intervention groups and control groups.The equilibrium test showed that there was no significant difference between the intervention group and the control group in terms of general demographic characteristics,self-identification,social support,depression,and anxiety scores(P>0.05).The two groups are comparable.2.Self-identification:After intervention,the self-identification score of the control group(30.56±5.84)was not significantly different from that before the intervention(29.52±5.93)(P>0.05).The self-identification score of the intervention group was 29.422±6.56.Before the intervention(27.78±6.73),there was a significant increase(P<0.05),and the self-identification score(29.84±6.90)after intervention for three months was significantly higher than that before the intervention(P<0.05).3.Social support;After intervention,the total social support score of the control group(30.52±8.00)was lower than the total social support score before intervention(32.48±8.44)(P<0.05).The social support total score of the intervention group was 34.32±6.70.Before intervention(30.52±7.70)There was a significant increase(P<0.05),and the total social support score(34.1 00±6.86)increased significantly after intervention for three months(P<0.05).4.Depression:In terms of the degree of depression,there was no significant change in the SDS score of the control group before the intervention(49.28±10.12)and after the intervention(50.53±10.74)(P>0.05).The intervention group SDS score(44.08±9.30)was significantly lower than before intervention(48.28±8.81)(P<0.05),and the SDS score(43.95±10.36)was significantly decreased after intervention for three months(P<0.05).In terms of depression detection rate,the intervention rate of intervention group was 30.0%(15/50),and the depression rate of control group was 52.0%(26/50).The difference was statistically significant(P<0.05)5.Anxiety:In terms of anxiety level,there was no significant change in the SAS score of the control group before intervention(44.88±10.57)and after intervention(45.63±11.27)(P>0.05).The intervention group SAS score(40.03±9.39)was significantly lower than before intervention(43.15±10.54)(P<0.05).There was no significant change in SAS score(41.40±9.83)after intervention for three months(P>0.05).In terms of anxiety detection rate,there was no significant difference in each index(P>0.05).6.High-risk sexual behavior:After intervention,the frequency of condom use in the intervention group was 100.0%(27/27)in the most recent anal sex behavior,and 77.1%(27/35)in the control group.The difference was statistically significant(P<0.05).The frequency of adherence to condom use was 91.3%(21/23)in the intervention group and the same sex fixed partner in the last month,and the control group was 63.6%(14/22).The difference was not statistically significant(P>0.05).The frequency of commercial sexual behavior in the intervention group was 4.0%(2/50)in the last month,and that in the control group was 16.0%(8/50).The difference was statistically significant(P<0.05).7.Satisfaction evaluation:Members have high evaluation of the satisfaction of intervention personnel,and the satisfaction percentage is over 80%.Members are more satisfied with the evaluation of the psychological intervention activities,and the satisfaction percentage is over 80%.Members are more satisfied with the evaluation of the specific content of the event,and the satisfaction percentage is above 50%.Conclusions:Psychological intervention has a positive impact on enhancing MSM,s self-identification and social support,reducing depression and anxiety,and reducing high-risk sexual behaviors.It continues to be better in terms of self-identity,social support,depression,and whether commercial behavior has occurred in the last month.The members have high evaluation of the leader's performance,the overall content of psychological intervention and the content of specific activities,suggesting that the psychological intervention program has a high degree of acceptance and strong feasibility.The program can be promoted throughout the province by further improving the psychological intervention program.