引导与自我引导的互联网为诊断焦虑和相关疾病提供认知行为疗法:初步的元分析
Lilyan T Oey1, Sarah McDonald1, Laura McGrath1
1Discipline of Clinical Psychology, Graduate School of Health, University of Technology, Sydney, NSW, Australia.
Cognitive behaviour therapy
|September 1, 2023
概括
在互联网上提供指导和自我指导的认知行为疗法 (ICBT) 对焦虑和相关疾病 (ARDs) 具有相似的疗效. 导向ICBT可能会提供一个轻微的短期优势,结果受到提供的支持水平的影响.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 数字治疗学数字治疗学
- 基于证据的医学基于证据的医学.
背景情况:
- 通过互联网提供的认知行为疗法 (ICBT) 是治疗焦虑和相关疾病 (ARD) 的有效方法.
- 引导和自我引导ICBT之间的直接比较对于优化治疗提供至关重要.
- 了解治疗疗效的调节者对于个性化心理健康护理至关重要.
研究的目的:
- 进行随机对照试验 (RCT) 的元分析综合,比较ARD成年人的引导和自我引导ICBT.
- 为了确定引导和自我引导ICBT之间的整体疗效差异.
- 探索影响治疗结果的潜在调节者.
主要方法:
- 11个RCT的元分析,包括1414名被诊断患有ARD的参与者.
- 计算了治疗后和随访的聚合效应大小.
- 主持人分析了性别,支持类型和指导量等因素.
主要成果:
- 在治疗后发现了有利于引导ICBT的小而显著的效应 (g = 0.16).
- 在随访时,引导和自我引导ICBT之间的差异是无意义的 (g = 0.13).
- 在指导性ICBT中,女性比例较高,指导性ICBT的指导较少,与效果大小较小有关.
结论:
- 导向和自导向ICBT显示了ARDs的可比的长期结果.
- 导向ICBT可能会提供边际的短期好处,特别是在更密集的支持下.
- 基于指导水平和参与者人口统计数据的治疗个性化可以提高ICBT的有效性.
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