基于互联网的以反为重点的认知行为疗法和基于正念的干预与指导支持在降低抑郁和焦虑风险的有效性:一个随机对照试验
Winnie W S Mak1, Alan C Y Tong1, Amanda C M Fu1
1Department of Psychology, The Chinese University of Hong Kong, Shatin, Hong Kong.
Applied psychology. Health and well-being
|December 11, 2023
概括
对于反和担忧的互联网干预,在降低抑郁和焦虑风险方面显示出类似的结果. 虽然以反为重点的CBT有短期的益处,但没有任何干预措施比基本的精神教育优越.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 心理健康干预 心理健康干预
背景情况:
- 沉思和担心是导致抑郁和焦虑的重要危险因素.
- 基于互联网的干预提供了一个可扩展的方法来针对这些处于风险的个人.
研究的目的:
- 为了比较基于互联网的以反为中心的认知行为疗法 (RFCBT) 和基于正念的干预 (MBI) 与精神教育控制 (EDU) 的疗效.
- 评估这些干预措施对反,担忧和抑郁和焦虑症状的影响.
主要方法:
- 一个三臂随机对照试验,涉及256名患有抑郁和焦虑风险的个体.
- 干预包括RFCBT,MBI和EDU,干预后6周,3个月和9个月进行评估.
主要成果:
- 这三种情况都显示了抑郁和焦虑的风险因素和症状的可比降低.
- 3个月后,RFCBT显示反动物的显著减少,但MBI没有显示长期影响.
- 没有积极的干预 (RFCBT或MBI) 证明优于EDU对照组.
结论:
- 基于互联网的干预措施,包括RFCBT和MBI,对于预防有风险的个体的抑郁和焦虑,可能并不优于基本的精神教育.
- 高 attrition率需要谨慎解释发现,并强调需要改进的坚持策略.
- 未来的研究应该调查安慰剂效应,并优化干预的坚持.
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