对创伤后应激障碍,抑郁症和焦虑症的基于证据的远程医疗干预:系统性审查和元分析
Marija S Kelber1, Derek J Smolenski1, Courtney Boyd1
1Psychological Health Center of Excellence, Defense Health Agency, Falls Church, VA, USA.
Journal of telemedicine and telecare
|January 23, 2024
概括
远程医疗干预的效果与对PTSD的面对面护理相当,但对抑郁症可能效果较差. 需要进一步的研究来证实远程医疗对焦虑和抑郁症治疗的有效性.
科学领域:
- 心理健康 心理健康
- 远程医疗远程医疗
- 精神病学是一个精神病学.
背景情况:
- 对PTSD,抑郁和焦虑的行为健康治疗非常重要.
- 越来越多地使用这些干预措施的远程医疗服务.
- 对这些疾病的远程医疗疗效果的证据需要进行系统的评估.
研究的目的:
- 系统地审查远程医疗对行为健康治疗的有效性.
- 为了比较远程医疗模式与通常的亲自分娩和治疗.
- 评估远程医疗对创伤后应激障碍 (PTSD),抑郁症和焦虑症的有效性.
主要方法:
- 搜索了PubMed,PsycInfo和Embase的随机对照试验 (RCT) 到2022年4月.
- 包括以英语出版的RCT,使用远程医疗为成年人群的基于证据的心理治疗.
- 专注于涉及PTSD,抑郁障碍或焦虑障碍的研究.
主要成果:
- 远程医疗 (视频电话会议) 显示了与在人身交付PTSD (中等质量的证据) 类似的疗效.
- 面对面的交付优于视频电话会议对抑郁症 (低质量的证据).
- 通过电话进行的远程医疗比通常治疗抑郁症 (非常低质量的证据) 更有效,并且显示了对焦虑和等待名单 (非常低质量的证据) 的有效性.
结论:
- 对于行为健康干预措施的远程医疗疗效果因诊断和方式而异.
- 证据表明,PTSD的疗效相似,但通过视频电话会议对抑郁症的潜在限制.
- 建议进行更多的研究,以确定远程医疗对抑郁症和焦虑症治疗的有效性.
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