自主导互联网交付的辩证行为治疗干预对物质使用障碍的可行性,可接受性和潜在有效性:随机对照试验
Alexander R Daros1, Timothy H Guimond2,3, Christina Yager2
1Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.
JMIR mental health
|January 16, 2024
概括
通过互联网提供的辩证行为疗法 (iDBT) 是可行的和可接受的物质使用障碍 (SUDs). 虽然iDBT对主要结果没有立即有效,但在12周后,iDBT显示了物质依赖的显著减少和心理健康的改善.
科学领域:
- 精神病学和行为科学 精神病学和行为科学
- 数字健康干预措施 数字健康干预措施
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 药物使用障碍 (SUD) 经常与情绪失调有关.
- 辩证行为疗法 (DBT) 对SUD有效,但往往无法获得.
- 通过互联网交付的DBT (iDBT) 提供了更广泛的覆盖范围,但在南南部人口中需要严格的评估.
研究的目的:
- 评估SUD成年人的自我引导iDBT干预的可行性,可接受性和潜在有效性.
- 评估参与度指标并比较即时与延迟iDBT访问.
- 检查iDBT对物质依赖,情绪调节和整体心理健康的影响.
主要方法:
- 一个为期12周的单盲随机对照试验,涉及72名患有SUD的成年人.
- 参与者被随机分为立即或延迟 (4周) 访问自导iDBT网站 (Pocket Skills 2.0).
- 结果包括物质依赖,可行性,临床症状和情绪失调,通过自我报告问卷进行评估.
主要成果:
- iDBT被认为是可信和可接受的,最初的采用率很高 (94%).
- 立即获得iDBT的患者在4周后显著减少了抑郁和焦虑,并在12周后显著减少了酒精/物质的使用.
- 通过随访,两组人都在物质依赖,抑郁,焦虑和情绪失调方面表现出显著的改善.
结论:
- 自主引导的IDBT是SUD患者的可行和可接受的干预措施.
- 虽然没有观察到对主要结局的立即疗效,但iDBT在12周内有望减少物质使用并改善心理健康.
- 对SUD治疗中iDBT的参与策略进行进一步的研究是有必要的.
关键词:
酒精使用障碍 饮酒障碍焦虑是一种焦虑.抑郁 抑郁症 抑郁症 抑郁症 是一种辩证行为疗法是一种辩证行为疗法.数字干预的数字干预电子健康 电子健康情绪失调 情绪失调 情绪失调手机电话 手机电话手机电话随机对照试验是随机对照试验.药物使用障碍物使用障碍物.更多相关视频
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