在线认知行为疗法用于日常护理中的产前和产后焦虑和抑郁症
Alison Mahoney1, Christine T Shiner2, Ashlee B Grierson3
1Clinical Research Unit for Anxiety and Depression, St Vincent's Hospital, 390 Victoria Street, Darlinghurst, Sydney, New South Wales 2010, Australia; School of Psychiatry, University of New South Wales, Sydney, New South Wales 2052, Australia.
Journal of affective disorders
|June 9, 2023
概括
在线认知行为疗法 (iCBT) 在澳大利亚妇女中显著改善了围产期焦虑和抑郁症状. 这些发现支持将ICBT纳入常规围产期医疗保健.
科学领域:
- 围产期心理健康问题
- 数字心理健康干预数字心理健康干预
- 认知行为疗法是认知行为疗法.
背景情况:
- 围产期抑郁和焦虑会对母亲和孩子产生负面影响.
- 在线认知行为疗法 (iCBT) 提供可扩展的心理干预.
- 在常规产周护理中iCBT的有效性需要进一步研究.
研究的目的:
- 研究澳大利亚妇女对围产期抑郁症和焦虑症iCBT计划的吸收和治疗结果.
- 在真实世界的社区环境中评估iCBT的有效性.
主要方法:
- 1502名妇女 (529名孕妇,973名产后妇女) 开始了ICBT.
- 症状严重程度 (焦虑,抑郁) 和心理困扰在治疗前和后被测量.
- 分析了计划完成率和影响完成的因素.
主要成果:
- 完成率为35.0% (怀孕) 和41.6% (产后).
- 较低的基线抑郁症严重程度预测了更高的计划完成率.
- 两项计划都显示了焦虑 (gs=0.63-0.71),抑郁 (gs=0.58-0.64) 和痛苦 (gs=0.52-0.60) 的中等效果大小减少.
结论:
- 通过iCBT,对围产期焦虑和抑郁症的症状显著改善.
- 这些发现支持iCBT在围产期人群中的实用性.
- 建议将ICBT整合到常规围产期医疗保健中.
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