基于互联网的认知行为治疗对严重抑郁症的影响:随机对照试验
Ziyi Lin1,2,3, Lu Cheng4, Xue Han4
1Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Journal of medical Internet research
|September 22, 2023
概括
基于互联网的认知行为疗法 (ICBT) 显著减少了中国患有严重抑郁症 (MDD) 的成年人的抑郁和焦虑症状. 参与者对ICBT计划的接受度和满意度很高.
科学领域:
- 心理健康 心理健康
- 精神病学是一个精神病学.
- 数字治疗学数字治疗学
背景情况:
- 大型抑郁症 (MDD) 在中国普遍存在,对心理健康服务的访问有限,严重的耻辱阻碍了治疗.
- 基于互联网的认知行为疗法 (ICBT) 提供了一个潜在的解决方案,以改善MDD患者的心理健康护理可访问性.
研究的目的:
- 评估ICBT在减少MDD患者抑郁症状方面的疗效.
- 评估ICBT对焦虑,心理困扰,自我效能,耻辱,社会功能和生活质量的影响.
- 探索参与者对ICBT计划的接受度和满意度.
主要方法:
- 随机对照试验将ICBT通过微信小程序与等待列表控制 (WLC) 进行比较.
- 在线自我评估抑郁症状,焦虑,痛苦,自我效能,耻辱感,社会功能和HRQoL在基线和治疗后.
- 坚持率和参与者反衡量了接受度和满意度.
主要成果:
- 与WLC组相比,ICBT组显示出抑郁症状,焦虑和心理困扰的显著减少.
- 在ICBT组中观察到更大的一般自我有效性.
- 在ICBT组中,抑郁症状的应答率和缓解率分别为58%和55%,遵守率为78%,参与者满意度高.
结论:
- ICBT是一种有效的干预措施,可以改善MDD患者的抑郁和焦虑症状.
- 该ICBT计划表现出良好的接受度和满意度,这表明它有可能得到更广泛的实施.
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