增加基于互联网的认知行为治疗抑郁症的可访问性:一个单盲随机对照试验的缩短版本与全文版本
Magnus Karlsson-Good1, Viktor Kaldo2,3, Linnea Lundberg4
1Department of Psychiatry, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Internet interventions
|October 16, 2023
概括
针对抑郁症的基于互联网的认知行为疗法 (iCBT) 的缩写版本与全文版本一样有效. 较短的ICBT文本可能会增加对抑郁症治疗的可访问性.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 精神病学是一个精神病学.
背景情况:
- 基于互联网的认知行为疗法 (iCBT) 已因其在治疗抑郁症方面的有效性而得到认可.
- 在iCBT中,文本长度对治疗结果的影响仍未得到充分研究.
研究的目的:
- 评估缩写的iCBT版本是否在减少抑郁症状方面与全文版本相比不逊色.
- 评估二次结果的非劣势性,并通过阅读速度和ADHD症状来探索适度.
主要方法:
- 一个单盲随机对照试验 (N=267) 与全文 (大约. 6万个单词) 和缩短 (大约. 30,000字,有音频选项) iCBT用于抑郁症.
- 对抑郁症,焦虑症和生活质量预先定义的边际 (ES=0.4) 进行了非劣势评估.
- 适度分析包括阅读速度和ADHD症状.
主要成果:
- 压缩的iCBT对于治疗后的抑郁症,焦虑症和生活质量,与全文版本相比,不逊色.
- 在一年后的随访中,抑郁症状的非劣质性是不确定的.
- 对于阅读速度或ADHD症状,没有发现显著的适度效应.
结论:
- 一个缩短的iCBT版本显示了与抑郁症治疗的全文版本相似的有效性.
- 减少iCBT中的文本长度可以提高可访问性.
- 由于中断率不平等,初步发现需要复制.
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