在互联网支持的认知行为疗法期间,抑郁症状,焦虑症状和功能障碍的发展轨迹
Megan Skelton1, Ana Catarino2, Stephanie Brown2
1Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK; National Institute for Health and Care Research (NIHR) Maudsley Biomedical Research Centre, South London and Maudsley NHS Foundation Trust, London, UK.
Behaviour research and therapy
|August 27, 2023
概括
在线治疗中的患者症状轨迹显示出明显的改善模式. 工作和缺乏强迫症障碍预测了抑郁和焦虑的更好结果.
科学领域:
- 心理学 心理学 心理学
- 数字健康数字健康
- 心理治疗研究 心理治疗研究
背景情况:
- 了解患者的症状轨迹对于优化心理治疗至关重要.
- 之前的研究还没有在互联网上提供一对一治疗或功能障碍方面广泛探索这些轨迹.
- 通过在线聊天平台提供的认知行为疗法 (CBT) 对抑郁和焦虑越来越普遍.
研究的目的:
- 在互联网上提供的CBT中调查不同患者的症状和功能障碍轨迹.
- 为了确定与不同轨迹类相关的基线变量.
- 为了比较整个抑郁症,焦虑症和功能障碍结果的轨迹模式.
主要方法:
- 增长混合模型被用于确定52,029名患者的抑郁症 (PHQ-9),焦虑症 (GAD-7) 和功能障碍 (WSAS) 的轨迹类.
- 多项式回归分析检查了基线特征和轨迹类成员之间的关联.
- 对于每个结果选择了一个四类模型,在症状和损伤措施中显示出类似的模式.
主要成果:
- 从中等到严重的症状/损伤出现了三个主要轨迹:没有变化,逐渐改善和快速改善.
- 第四个类的轻度基线分数显示微小的改善.
- 工作和没有强迫症障碍与改善的轨迹有关. 年龄较大,没有残疾,并较低的并发症预测了更快的改善.
结论:
- 在互联网交付的CBT中存在明显的症状和功能障碍轨迹,反映了面对面治疗的发现.
- 患者的特征会影响不同的改善轨迹的可能性.
- 这些发现支持个性化治疗方法,为治疗适合性和延续决策提供了信息.
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