一个自我引导的互联网交付认知行为教育计划的有效性和可接受性,用于强迫症症状与国际招聘
Bethany M Wootton1,2, Sarah McDonald1, Maral Melkonian1
1Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Ultimo, NSW, Australia.
Cognitive behaviour therapy
|November 9, 2023
概括
自主引导的互联网认知行为疗法 (ICBT) 显示出对强迫症 (OCD) 的有效性. 这种可访问的治疗方法提供了中等到大效果,改善了那些避免传统治疗的人的结果.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 数字健康数字健康
背景情况:
- 认知行为疗法 (CBT) 对强迫症 (OCD) 有效.
- 进入障碍,包括耻辱,限制了治疗的吸收.
- 自导互联网交付CBT (ICBT) 通过删除治疗师联系提供了一个潜在的解决方案.
研究的目的:
- 在一个大型国际样本中评估强迫症自我引导ICBT对强迫症的疗效.
- 为了确定ICBT在减少强迫症症状方面的有效性.
- 评估使用自导ICBT的参与者的临床改善和缓解率.
主要方法:
- 进行了一项包括216名强迫症患者参与者的研究.
- 参与者参与了一项自我指导的ICBT计划.
- 使用耶鲁-布朗强迫症度量 (YBOCS) 测量症状的严重程度,在治疗前,治疗后和3个月的随访期间.
主要成果:
- 对于YBOCS,从治疗前到治疗后的中等群体内效应大小 (g=0.63).
- 对于YBOCS,从治疗前到3个月的随访期间,具有很大的群体内效应大小 (g=0.98).
- 在25-33%的参与者中观察到临床显著改善;缓解率为11% (治疗后) 和17% (3个月后续).
结论:
- 自主引导的ICBT证明了其作为强迫症治疗的有效性.
- 这种方法适合那些更喜欢或需要在没有治疗师直接互动的情况下接受治疗的人.
- 这些发现支持ICBT作为一种可行的选择来管理强迫症症状,产生显著的改善.
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