一个在线治疗师指导的抑郁和焦虑的超短治疗:一个随机对照试验
Madelyne A Bisby1, Tanya Balakumar1, Amelia J Scott1
1eCentreClinic, School of Psychological Sciences, Faculty of Medicine, Health, and Human Sciences, Macquarie University, Sydney, Australia.
Psychological medicine
|September 1, 2023
概括
与等候名单对照相比,在线超短时间治疗显著减少了抑郁和焦虑症状. 这种新的方法被证明与标准长度治疗无差,提供了可访问的心理健康护理.
科学领域:
- 临床心理学 临床心理学
- 数字治疗学数字治疗学
- 心理健康干预 心理健康干预
背景情况:
- 传统的心理治疗面临时间,成本和可访问性等障碍.
- 超短时间治疗为提供治疗技能提供了一种节省时间的替代方案.
- 一个在线治疗师指导的超短治疗方法被开发用于抑郁和焦虑.
研究的目的:
- 为了比较在线超短治疗与标准长度治疗和等候名单对照的疗效.
- 评估接受不同治疗时间的参与者抑郁和焦虑症状的减少.
主要方法:
- 一项随机对照试验招募了自我报告的抑郁或焦虑的成年人.
- 参与者被随机分配 (1:1:1) 进行超短治疗,标准长度治疗或等候名单控制.
- 主要结局 (抑郁和焦虑症状) 在基线,5周,9周和3个月被评估.
主要成果:
- 与等候名单对照组相比,超短时间治疗组在9周后显著减少了抑郁和焦虑症状.
- 在9周和3个月的随访期内,超短时间的治疗证明了对焦虑的非劣势.
- 在9周的初级时间点观察到抑郁症的非劣势.
结论:
- 在线超短治疗有效减少抑郁和焦虑症状.
- 这种远程交付的干预措施可与较长时间的治疗方法相提并论,并为可访问的精神卫生保健提供了可行的选择.
- 超短的治疗可以克服障碍,对于那些无法或不愿意从事长期心理干预的人来说.
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