在长期的身体健康状况下管理抑郁和焦虑的认知行为治疗计划:混合方法对COMPASS计划的现实世界评估
Natasha Seaton1, Rona Moss-Morris1, Katrin Hulme1
1Institute of Psychology, Psychiatry and Neuroscience, King's College London, UK.
BJPsych open
|August 11, 2023
概括
数字认知行为疗法COMPASS有效地减少长期身体健康状况的患者的抑郁和焦虑. 患者的经验表明,该计划具有吸引力,并整合了心理和身体健康支持.
科学领域:
- 精神病学是一个精神病学.
- 数字健康数字健康
- 慢性疾病管理 慢性疾病管理
背景情况:
- 心理健康并发症经常与长期的身体健康状况同时发生.
- 解决这些并发症对于整体的患者护理至关重要.
研究的目的:
- 评估数字认知行为疗法 (cCBT) 程序 COMPASS 在患有长期疾病的患者焦虑和抑郁症的有效性.
- 探索患者在 COMPASS 计划中的体验.
主要方法:
- 采用了混合方法,非随机设计.
- 定量分析包括76名患者的配对t测试和科恩d在前后自我报告数据上的数据.
- 定性分析涉及21次半结构面试的诱导性主题分析.
主要成果:
- 抑郁症,焦虑和心理困扰的显著减少.
- 在功能障碍方面发现了显著的改善.
- 在临床上显著的基线症状患者中,效应大小显著更大,这突出了对那些最需要治疗的人的治疗疗效.
结论:
- 在英国国家卫生服务 (NHS) 设置中,COMPASS计划证明了其有效性和可接受性.
- 根据长期条件定制内容,提供治疗师支持,并确保清晰的交付是成功实施的关键.
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