精神障害の診療室での認知行動療法 (CBT) の対人対面とビデオ会議グループとの比較
Aislinn Sandre1, Vraj Shah2, Anastasiya Slyepchenko3
1Department of Psychology, Western University, London, ON, Canada.
Behavioural and cognitive psychotherapy
|September 3, 2025
まとめ
ビデオ会議による集団認知行動療法 (CBT) は 直接のCBTと同じくらい効果があり,出席率が高く,中退率が低い. この仮想形式は メンタルヘルスケアへの アクセスの有望な代替手段です
科学分野:
- 精神 的 な 健康
- 精神科
- デジタル・ヘルス
背景:
- 鬱病は公衆衛生に 深刻な影響を及ぼしますが 質の高いケアを受けられない人が たくさんいます
- COVID-19 パンデミックは,アクセスの問題を悪化させ,うつ病の症状を増加させ,アクセスの可能な治療方法の必要性を強調しました.
- ビデオ会議は,ケアへの障壁を軽減し,認知行動療法 (CBT) のような証拠に基づいた治療の提供を容易にすることで,潜在的な解決策を提供します.
研究 の 目的:
- ビデオ会議による集団CBTの効果と 直接のCBTの効果を比較する.
- 2つの出産方法の臨床結果,治療出席率,中断率,患者満足度の違いを評価する.
主な方法:
- ランダム化されていない研究で,週14回のグループCBTを受診した成人客を比較した.
- 個人のCBTグループ (n=255) は,パンデミック前,ビデオ会議によるCBTグループ (n=113) は,パンデミック中に実施されました.
- 臨床的アウトカムには,治療前のおよび後のうつ病,不安,ストレス症状,出席率,中退,満足度データが含まれていました.
主要な成果:
- ビデオ会議と対面CBTのグループでは,うつ,不安,およびストレス症状の減少において有意な違いは認められなかった.
- これらの発見は,年齢,性別,併発症,薬物使用を含む様々な患者レベルの要因に強固に留まっていました.
- ビデオカンファレンスによるCBTは 直接のCBTと比較して 出席率が高く,中退率が著しく低かった.
結論:
- ビデオ会議で提供されるグループCBTは 鬱病の個人的治療に 効果的で有望な代替手段です
- この研究は,治療のアクセシビリティと遵守を改善するための仮想ケアの可能性を強調しています.
- 発見は,研究の非ランダム化設計とパンデミックに関連する混乱要因の文脈で考慮されるべきである.
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