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对于社会焦虑障碍的远程认知行为疗法:一个元分析
Halaina R Winter1, Alice R Norton2, Jade L Burley1
1Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia.
Journal of anxiety disorders
|October 27, 2023
概括
远程认知行为疗法 (CBT) 有效治疗社会焦虑障碍 (SAD),显示出大效果. 不同的远程CBT方法,包括基于互联网和应用程序的远程CBT方法非常有效,与面对面治疗相当.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 数字健康数字健康
- 基于证据的医学基于证据的医学.
背景情况:
- 社会焦虑障碍 (SAD) 对传统的面对面治疗构成重大障碍.
- 远程认知行为疗法 (CBT) 提供了一个潜在的解决方案,以改善治疗的可访问性.
- 分析是一种强大的方法,用于合成治疗疗效的证据.
研究的目的:
- 通过元分析来评估各种远程CBT方法治疗SAD的疗效.
- 为了比较不同远程CBT模式的有效性.
- 评估远程CBT与对照组和面对面CBT的比较有效性.
主要方法:
- 系统的电子数据库搜索以确定相关研究.
- 包括31项研究,共有2905名参与者.
- 汇集集团内部和集团间的分析,使用Hedges' g用于效应大小.
主要成果:
- 远程CBT在治疗后和随访时都显示了很大的群体内效果大小.
- 通过互联网和应用程序提供的CBT显示出大效果大小,而通过书籍治疗提供的CBT显示出中等效果大小.
- 远程CBT比被动和非CBT遥控器更有效,与面对面的CBT相比或略高.
结论:
- 远程CBT是一种高度有效的治疗社会焦虑障碍.
- 各种远程CBT传递方法是有效的,支持它们在临床实践中的使用.
- 这些发现支持传播SAD治疗的远程和分阶段护理模型.
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