随机临床试验对比异步移动应用程序和指导简要认知行为疗法对医学生管理焦虑的影响
Andrian Fajar Kusumadewi1, Carla Raymondalexas Marchira1, Doni Widyandana2
1Department of Psychiatry, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/Dr Sardjito General Hospital, Indonesia.
Trends in psychiatry and psychotherapy
|November 17, 2023
概括
数字认知教育GAMA-AIMS显著减少了医学生的焦虑,比指导治疗更有效. 这种异步数字工具为学生心理健康挑战提供了一个有希望的,可访问的解决方案.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 医学教育 医学教育
背景情况:
- 医学学生面临高度的焦虑,因为要求时间表和耻辱,加剧了COVID-19大流行.
- 寻求帮助往往是不鼓励的,需要可访问和独立的心理健康解决方案.
- 异步数字认知教育GAMA-AIMS (DCE GAMA-AIMS) 提供了一种新的,治疗师独立的方法.
研究的目的:
- 为了比较DCE GAMA-AIMS与指导简短的认知行为疗法 (指导bCBT) 在减轻焦虑方面的疗效.
- 评估DCE GAMA-AIMS对医学学生群体焦虑评分的影响.
主要方法:
- 一个非盲目的随机对照试验 (RCT) 涉及66名医学学生.
- 参与者被分为两组:干预 (DCE GAMA-AIMS) 和控制 (指导bCBT).
- 使用独立的t测试和ANOVA分析数据,以比较焦虑得分的降低.
主要成果:
- 从第2周到第8周,DCE GAMA-AIMS显著降低了焦虑评分.
- 与对照组相比,干预组在第一周到第二周的焦虑减轻速度更快,更显著.
- 干预组 (1.32) 与对照组 (0.79) 在8周内观察到更大的效果大小.
结论:
- 不同步的DCE GAMA-AIMS和引导的BCBT都有效地降低了医学学生的焦虑分数 (TMAS).
- DCE GAMA-AIMS显示出更大的效果大小,表明在减轻焦虑方面具有更高的有效性.
- 异步数字干预为管理学生焦虑提供了可行和有效的工具.
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