在日常护理在线诊所实施修订后的在线查工具,用于治疗焦虑和抑郁症
Kim Mathiasen1,2, Trine Theresa Holmberg Sainte-Marie1,2, Helene Skaarnes1,2
1Research Unit for Digital Psychiatry, Centre for Digital Psychiatry, Mental Health Services of Southern Denmark, Odense, Denmark.
Frontiers in digital health
|July 28, 2023
概括
ItFits工具包改善了在线心理健康查完成率,但没有增加治疗转诊率或有效性. 这项实施重点是优化患者流动和数字精神卫生保健服务的坚持.
科学领域:
- 数字心理健康数字心理健康
- 实施科学 实施科学
- 在线干预在线干预
背景情况:
- 它的ITFits实施工具包有助于指导医疗保健流程优化.
- 互联网精神科,一个在线诊所,利用ItFits工具包来完善查和摄入程序.
- 假设包括治疗推的增加,完成率和有效性.
研究的目的:
- 评估ItFits工具包对在线心理健康诊所患者流动和治疗结果的影响.
- 评估使用ITFits工具包实施的修订后的在线选工具的有效性.
主要方法:
- 使用ItFits工具包,在Internetpsykiatrien开发了一个修订后的在线查工具.
- 在实施前和之后的六个月内,收集了患者流和症状问卷的数据.
- 总共有1,830名自我转诊的患者被纳入分析.
主要成果:
- 显著较少比例的患者在实施后被转诊治疗 (OR 0.67).
- 治疗完成率在实施后显著增加 (OR 1.79).
- 治疗效果保持不变 (B=0.01,p=.996),预约取消情况减少.
结论:
- ItFits工具包有助于提高基于互联网的认知行为疗法 (iCBT) 的治疗完成率.
- 与假设相反,临床效果没有增加,治疗转诊率下降.
- 转诊减少可能源于临床医生对纳入标准的提高认识.
相关概念视频
01:30Generalized Anxiety Disorder
167
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
167
01:28Social Anxiety Disorder
62
Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
62
01:27Diagnostic and Statistical Manual of Mental Disorders (DSM)
95
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
95
01:18Depression: Overview
280
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
280
01:18Anxiety: Overview
304
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
304
01:24Treatment Strategies for Psychological Disorders
173
Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
173