関連する実験動画
Updated: Apr 25, 2026
06:52
The use of Biofeedback in Clinical Virtual Reality: The INTREPID Project
Published on: November 13, 2009
17.7K
プライマリケアにおける多発性不安障害に対するエビデンスベースの治療の提供:ランダム化制御試験
Peter Roy-Byrne1, Michelle G Craske, Greer Sullivan
1Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine and Harborview Center for Healthcare Improvement for Addictions, Mental Illness, and Medically Vulnerable Populations, Seattle, Washington 98104, USA. roybyrne@u.washington.edu
JAMA
|May 21, 2010
まとめ
調整された不安学習と管理 (CALM) モデルは,通常のケアと比較して,プライマリケアで不安症状と寛解率を大幅に改善しました. この柔軟な治療アプローチは,不安障害のメンタルヘルスの結果を高めます.
科学分野:
- メンタルヘルス研究 メンタルヘルス研究
- プライマリケア介入 プライマリケア介入
- 不安障害の治療法 不安障害の治療法
背景:
- メンタルヘルスの介入を研究から実践に移すことは,医療の質を向上させるために極めて重要です.
- うつ病の治療には進歩があるが,現実の世界での不安障害の研究は限られている.
研究 の 目的:
- プライマリケアにおける一般的な不安障害に対して,柔軟な治療・提供モデルである協調的な不安学習・管理 (CALM) の有効性を評価する.
- 患者のアウトカムを改善するために,CALMモデルと通常のケア (UC) を比較する.
主な方法:
- 17のプライマリケアクリニックで,不安障害の患者1004人を対象としたランダム化制御試験です.
- CALMモデルは,リアルタイムでのアウトカムモニタリングと,ケアマネージャーのためのコンピュータ・アシスタント・サポートで,柔軟な治療オプション (CBT,薬剤,またはその両方) を提供しました.
- 患者は3〜12ヶ月間治療を受け,6,12,18ヶ月でフォローアップ評価を行った.
主要な成果:
- CALMはUCと比較して,6,12,18ヶ月で,全般的な不安症状の改善が著しく示されました.
- 12ヶ月後,CALMはUCよりも高い応答率 (63.7%対44.7%) と寛解率 (51.5%対33.3%) を示しました.
- 応答と寛解のための治療に必要な数は,それぞれ約5.3と5.5でした.
結論:
- CALMモデルは,プライマリケアにおける不安障害の治療において,通常のケアよりも効果的です.
- CALMは,不安やうつ病の症状,機能障害,および18カ月間のケア全体の品質の改善につながります.
関連する概念動画
01:54The Placebo Effect
5.9K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
5.9K
01:18Anxiety: Overview
1.2K
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
1.2K
01:26Anxiolytic Drugs: Overview
1.5K
Anxiolytic drugs are vital in managing anxiety disorders by effectively alleviating symptoms such as excessive fear, tachycardia, and tremors. There are several classes of anxiolytic medications, each with unique mechanisms of action and potential side effects.
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic...
1.5K
01:27Panic Disorder
1.2K
Panic disorder is an anxiety disorder characterized by recurrent and sudden minutes-long episodes of intense fear, known as panic attacks. These attacks may feel like heart attacks and often happen without warning or a specific cause. They can include symptoms such as rapid heart rate, shortness of breath, chest pain, trembling, sweating, dizziness, and a sense of helplessness. During a panic attack, individuals may feel as though they are experiencing a heart attack or are in a...
1.2K
01:24Treatment Strategies for Psychological Disorders
964
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
964
01:22Behavior Therapy
1.1K
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
1.1K