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互联网提供治疗师辅助的认知行为治疗博障碍:一个随机对照试验
Mikael Mide1,2, Jessica Mattiasson2, David Norlin2
1Department of Addiction Medicine, Institute of Neuroscience and Physiology, Section of Psychiatry and Neurochemistry, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Frontiers in psychiatry
|December 26, 2023
概括
通过互联网提供的认知行为疗法 (CBT) 和动机增强干预措施有效地减少了博障碍症状. 早期的变化表明,低强度治疗有可能达到更多需要帮助的人.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 行为科学 行为科学
- 数字健康干预措施 数字健康干预措施
背景情况:
- 认知行为疗法 (CBT) 是博障碍 (GD) 的领先治疗方法,但可访问性仍然是一个障碍,只有21%的人寻求护理.
- 通过互联网提供的干预措施提供了一个潜在的解决方案,以增加有问题的博行为的人的治疗范围.
研究的目的:
- 评估互联网提供的CBT与治疗师指导的有效性,与主动对照相比 (通过采访提供互联网的动机增强).
- 评估对博症状和二次结果的影响,包括支出,博时间,抑郁,焦虑,认知扭曲和生活质量.
主要方法:
- 一个单盲随机受控试验,涉及71名被诊断患有GD的寻求治疗的个人.
- 参与者被分配到为期8周的互联网交付的CBT与电话支持或互联网交付的动机增强与基于电话的动机采访 (IMI).
- 结果在基线,每两周一次,治疗后和6个月的随访时间被测量.
主要成果:
- 从基线到治疗后,CBT和IMI组都显示出博症状的显著减少以及二次结果的改善.
- 在治疗后或6个月后随访时,两组治疗群体之间没有发现显著差异.
- 探索性分析表明,博症状的最大减少发生在初始评估和基线之间,在积极治疗之前.
结论:
- 通过互联网提供的CBT和IMI在减少博症状方面是有效的,这表明低强度干预措施可能在正式治疗开始之前开始改变.
- 这些发现支持这些数字干预措施的潜在成本效益和可扩展性,以达到更广泛的人群的博障碍.
- 需要进一步的研究来优化这些可访问的博障碍治疗方法.
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