基于互联网的干预与虚拟现实中的自我应用暴露疗法的有效性,用于患有恐慌症的人:随机对照试验的研究方案
Josephine Schultz1, Anna Baumeister2, Stella Schmotz2
1Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany. j.schultz@uke.de.
Trials
|August 12, 2023
概括
这项研究调查了Invirto,这是一款用于治疗恐慌症的智能手机应用程序,包括虚拟现实暴露疗法. 预计结果将显示Invirto是有效和被接受的,改善了获得基于证据的护理的机会.
科学领域:
- 精神病学是一个精神病学.
- 数字健康数字健康
- 心理治疗研究 心理治疗研究
背景情况:
- 许多患有恐慌症的人面临治疗障碍,限制他们获得基于证据的护理.
- 基于互联网的心理治疗,特别是指导形式,在弥合这一差距方面显示出希望.
- 数字疗法需要进一步发展,以提高可访问性,成本效益,并与暴露疗法等个人最佳实践保持一致.
研究的目的:
- 为了调查智能手机应用程序"Invirto - 治疗焦虑症"的有效性,安全性和接受性,用于恐慌症.
- 为了比较Invirto干预与常规护理 (CAU) 控制组.
- 评估Invirto对焦虑症状和相关结果的影响,其中包括用于暴露治疗的虚拟现实 (VR).
主要方法:
- 一项随机对照试验,涉及128名参与者,临床诊断为恐慌症 (症状≥1年).
- 两个条件:Invirto干预组和通常照顾 (CAU) 控制组.
- 在基线 (t0),3个月 (t1) 和6个月 (t2) 的评估,使用在线调查来测量焦虑,抑郁,满意度和心理灵活性.
主要成果:
- 主要结局是焦虑症状的变化 (贝克的焦虑清单) 从t0到t1.
- 二次结果包括恐慌症状的变化,抑郁症状,治疗满意度,心理灵活性和VR暴露期间的解离.
- 假设干预组与CAU组相比,从t0到t1对主要和次要结果都有更大的改善.
结论:
- 这项研究是首次评估基于互联网的恐慌障碍干预措施,其中包括自我进行的VR曝光疗法.
- 预计这些发现将为恐慌障碍的有效数字治疗选择提供宝贵的知识.
- 该研究将讨论经验和临床影响,以及其局限性.
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