基于互联网的认知行为疗法治疗焦虑和抑郁症:常规护理中的结果
Claudia Hurwitz1, Christine T Shiner2, Maria J Sharrock1
1Clinical Research Unit for Anxiety and Depression, St Vincent's Hospital, 390 Victoria Street, Darlinghurst, Sydney, New South Wales 2010, Australia.
Journal of affective disorders
|August 25, 2023
概括
基于互联网的认知行为疗法 (iCBT) 显著减少了澳大利亚成年人的焦虑和抑郁症状. 这项在线计划在常规护理环境中表现出有效性,尽管遵守是温和的.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 心理学 心理学 心理学
背景情况:
- 临床试验表明,基于互联网的认知行为疗法 (iCBT) 对焦虑和抑郁的有效性.
- 在常规临床护理环境中iCBT的有效性仍然不太清楚.
- 这项研究检查了澳大利亚社区在线正念增强CBT计划的利用和结果.
研究的目的:
- 调查在线正念增强CBT程序的利用和治疗结果.
- 评估iCBT在一般社区环境中的有效性.
- 为了评估减少焦虑,抑郁和心理困扰症状.
主要方法:
- 共有2187名成年人参加了为期一年的在线课程研究.
- 参与者在90天内完成了六个连续的课程.
- 焦虑,抑郁和痛苦的症状严重程度被测量为治疗前,治疗中期和治疗后,使用意图治疗的线性混合模型.
主要成果:
- 该计划显示,一般性焦虑 (g=0.80),抑郁 (g=0.74) 和心理困扰 (g=0.97) 中等到大效果大小的减少.
- 从治疗前到治疗后观察到显著的症状严重程度降低.
- 计划的坚持是温和的,大约30%的参与者完成了所有课程.
结论:
- 提高正念的ICBT在日常护理环境中有效治疗焦虑和抑郁症状.
- 该计划在医疗保健从业人员的监督下交付时显示出承诺.
- 需要进一步的研究来解决诸如缺乏对照组和长期跟踪等局限性问题.
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