在初级保健中治疗抑郁症的治疗师提供的互联网心理治疗:一项随机对照试验
David Kessler1, Glyn Lewis, Surinder Kaur
1Academic Unit of Primary Health Care, NIHR National School for Primary Care Research, Department of Community Based Medicine, University of Bristol, Bristol, UK. david.kessler@bristol.ac.uk
Lancet (London, England)
|August 25, 2009
概括
在线认知行为疗法 (CBT) 由治疗师实时提供,有效治疗抑郁症. 这种可访问的治疗方法在八个月内显示了持续的益处,改善了患者的康复率.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 临床心理学 临床心理学
背景情况:
- 认知行为疗法 (CBT) 对抑郁症有效,但面临着可访问性挑战.
- 计算机化CBT计划旨在改善获取,但它们对个人需求的响应性尚不清楚.
- 这项研究解决了对抑郁症的可访问,治疗师支持的在线干预措施的需求.
研究的目的:
- 调查治疗师提供的实时在线CBT对患有抑郁症的初级保健患者的有效性.
- 评估在线CBT干预措施的可访问性和个体响应性.
主要方法:
- 一个多中心,随机对照试验,涉及297名被诊断患有抑郁症的人 (贝克抑郁症库存得分≥14).
- 参与者在等候名单上接受了在线CBT加常规护理或单独的常规护理.
- 采用了盲点分配和治疗意图分析,恢复被定义为BDI得分<10在4个月.
主要成果:
- 在4个月后,接受在线CBT的38%的患者从抑郁症中恢复过来,而对照组的患者只有24% (OR2.39,p=0.011).
- 在线CBT组的8个月康复率为42%,对照组为26% (OR2.07,p=0.023).
- 在8个月的研究期间,在线CBT的好处一直保持在8个月的研究期间.
结论:
- 在治疗师指导下,实时在线CBT是初级保健中抑郁症的有效治疗方法.
- 这种输送方法显著改善了患者的治疗结果,并随着时间的推移保持了效益.
- 在线CBT有可能扩大获得基于证据的心理健康干预的机会.
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