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在基于互联网的抑郁症干预中与人接触:随机试验的预先注册复制和元分析
Tobias Krieger1, Oliver Thomas Bur1, Lenny Weber2
1Institute of Psychology, University of Bern, Switzerland.
Internet interventions
|June 5, 2023
概括
在基于互联网的抑郁症干预 (IBIs) 之前和期间的接触显著改善了治疗结果和治疗坚持. 提供预干预联系和计划内指导是最大限度地提高数字心理健康解决方案有效性的关键.
科学领域:
- 临床心理学 临床心理学
- 数字健康数字健康
- 精神病学是一个精神病学.
背景情况:
- 基于互联网的干预措施 (IBIs) 在治疗抑郁症方面是有效的.
- 人与人接触显著影响IBI的坚持和结果.
- 之前的研究强调了干预期间的指导,但IBI之前的接触也可能至关重要.
研究的目的:
- 调查基于互联网的抑郁症干预 (IBIs) 接触程度对治疗结果的影响.
- 分析IBIs前和期间接触对成年人高度抑郁症状的坚持和症状减轻的影响.
主要方法:
- 进行了56项符合条件的试验 (13,335名患者) 的预先注册的元分析.
- 包括比较IBI治疗抑郁症与通常治疗 (TAU) 或等待列表 (WL) 控制条件的试验.
- 根据接触对IBI进行分类:没有,干预前,干预期间或干预前和干预期间.
主要成果:
- 接触的程度强有力的预测治疗结果和坚持.
- IBI的有效性随着接触程度的提高而增加.
- 具有干预前接触和计划中的指导 (SMD = 0.573) 的IBI显著优于没有接触的IBI (SMD = 0.224).
结论:
- 在基于互联网的干预之前和期间的接触显著提高了抑郁症治疗效果.
- 结合预干预接触与计划内指导,在改善坚持和治疗结果方面发挥着关键作用.
- 这些发现强调了将人与人接触策略纳入数字心理健康服务的重要性.
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