确定数字治疗工具对抑郁症和焦虑症的有效性:回顾性,双队列,现实世界的分析
Yifat Fundoiano-Hershcovitz1, Inbar Breuer Asher1, Marilyn D Ritholz2
1Dario Health, Caesarea, Israel.
Journal of medical Internet research
|September 22, 2023
概括
数字认知行为疗法有效地减少了抑郁和焦虑症状. 辅导课程有助于抑郁症,而呼吸练习有助于焦虑,突出了个性化的数字心理健康方法.
科学领域:
- 数字治疗学数字治疗学
- 心理健康干预措施 心理健康干预
- 认知行为治疗 (CBT)
背景情况:
- 抑郁和焦虑导致全球严重的残疾.
- 数字治疗解决方案在治疗这些疾病方面表现有前途.
- 了解数字参与与临床结果的联系是有限的.
研究的目的:
- 调查特定的数字参与工具如何影响心理健康.
- 为了确定辅导课程和呼吸练习是否可以减少抑郁和焦虑.
主要方法:
- 在移动平台上对两个用户队列 (抑郁症n=519,焦虑症n=474) 的回顾性分析.
- 在16周内跟踪抑郁症 (PHQ-9) 和焦虑症 (GAD-7) 症状.
- 使用混合效应模型和简单的斜率分析来评估数字工具调节器.
主要成果:
- 在1-6周内观察到抑郁和焦虑症状的显著减少,持续到16周.
- 教练互动显著缓和抑郁症症状的减少 (P=.02).
- 呼吸练习显著缓和焦虑症状的减少 (P=.04).
结论:
- 数字CBT干预导致抑郁和焦虑的持续改善.
- 辅导课程与减少抑郁症有关,而呼吸练习与减少焦虑有关.
- 个性化方法对于有效的数字心理健康干预至关重要.
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