跨诊断性认知行为治疗对自信的有效性:一个随机对照试验
Tobias Hagberg1, Patrik Manhem1, Martin Oscarsson1
1Department of Psychology, Stockholm University, Sweden.
Internet interventions
|June 5, 2023
概括
这项研究表明,基于互联网的认知行为疗法 (CBT) 干预有效地增加了自信行为和改善了幸福感. 治疗减少了社会焦虑,随着时间的推移,抑郁症,表明自信作为一个可行的治疗目标.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 行为治疗是一种行为疗法.
背景情况:
- 断言力训练是认知行为疗法 (CBT) 的关键组成部分,用于治疗社会焦虑和辩证行为疗法.
- 断言的构造在最近的临床研究中得到了有限的关注.
- 基于互联网的干预措施为心理健康治疗提供了可扩展的解决方案.
研究的目的:
- 为了研究一项为期八周的跨诊断性,基于互联网的CBT干预措施的有效性,该干预措施旨在增强自信行为.
- 为了比较治疗师指导的自我帮助,无指导的自我帮助和等候名单控制条件.
- 评估治疗后的结果和一年后的随访.
主要方法:
- 随机将210名参与者分为治疗师指导的,未指导的和等候名单对照组.
- 使用线性混合模型分析初级 (自信) 和二级 (焦虑,抑郁,幸福感) 结果.
- 在测试后和一年后的随访中评估可靠的临床变化.
主要成果:
- 两组基于互联网的CBT组在适应性断言力方面都表现出明显的改善,与等候名单对照组相比 (ES = 0.951.73).
- 参与者体验到社会焦虑的减少 (ES = 0.670.93) 和福祉的改善 (ES = 0.701.05).
- 在治疗后一年观察到对抑郁症的中等效果;没有发现对泛性焦虑的影响.
结论:
- 通过基于互联网的CBT进行自信培训,可以有效地增加自信行为并减少心理症状.
- 这项干预显示出作为改善心理健康和日常功能的一种跨诊断方法的潜力.
- 无论是以治疗师为指导的自助形式还是未经指导的自助形式,都产生了相似的积极结果.
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