将分步护理方法纳入基于互联网的认知行为治疗抑郁症:随机对照试验
Jasleen Kaur Jagayat1, Anchan Kumar2, Yijia Shao2,3
1Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.
JMIR mental health
|January 4, 2024
概括
基于互联网的认知行为疗法 (i-CBT) 有效地减少了抑郁症症状. 使用i-CBT的阶段性护理模式有助于患者完成更多的治疗疗程,改善抑郁症的坚持和结果.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 精神病学是一个精神病学.
背景情况:
- 抑郁症是全球导致残疾的首要原因,但只有不到三分之一的患者获得足够的护理.
- 基于互联网的认知行为疗法 (i-CBT) 为抑郁症提供了有效的治疗方法.
- 阶段性护理模式将低强度干预与基于患者需求的适应性护理相结合,提高了可扩展性和有效性.
研究的目的:
- 为了研究一种基于互联网的认知行为疗法 (i-CBT) 治疗抑郁症的逐步护理模型的疗效.
- 评估自我报告的抑郁症状的变化,使用阶段性护理方法.
主要方法:
- 一个单盲,随机对照试验分配了56名参与者,只接受i-CBT或i-CBT与逐步护理.
- 两组人都通过在线心理治疗工具接受了为期13周的i-CBT计划.
- 阶段性护理组根据问卷分数和答案接受了额外的干预 (短信,电话,视频通话).
主要成果:
- 根据PHQ-9和QIDS的测量,i-CBT计划显著降低了抑郁症状.
- 只有i-CBT和分阶段护理组之间没有发现症状减轻的显著差异.
- 阶段性护理组的参与者平均完成了更多的疗程,而i-CBT组的早期终止者则平均完成了更多的疗程.
结论:
- 与i-CBT集成的阶段性护理方法是抑郁症的有效治疗策略.
- 阶段性护理模式可以提高i-CBT计划中的患者参与率和治疗完成率.
- 这个模型提供了一种可扩展和有效的方法来提供抑郁症治疗.
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