基于智能手机的认知行为疗法的可信度和预期在患有身体形障碍的成年人中
Emily E Bernstein1,2, Hilary Weingarden1,2, Jennifer L Greenberg1,2
1Massachusetts General Hospital.
Journal of obsessive-compulsive and related disorders
|February 5, 2024
概括
对于身体形障碍 (CBT-BDD) 的数字认知行为疗法显示出与面对面治疗相似的可信度,但预期寿命较低. 提高预期是数字CBT-BDD采用的关键.
科学领域:
- 精神病学是一个精神病学.
- 数字健康数字健康
- 心理健康干预 心理健康干预
背景情况:
- 对于身体形障碍 (CBT-BDD) 的认知行为疗法是黄金标准,但未得到充分利用.
- 基于智能手机的干预提供了可扩展的获得基于证据的心理健康治疗的机会.
- 了解患者对数字CBT-BDD的看法对于其成功实施至关重要.
研究的目的:
- 为了比较基于应用程序的CBT-BDD与传统的个人CBT-BDD的患者信誉和预期等级.
- 调查患者人口统计,临床因素和对数字CBT-BDD的看法之间的关联.
- 检查数字CBT-BDD中的可信度,预期和学率之间的关系.
主要方法:
- 基于辅导应用程序的CBT-BDD试验 (N=75) 与之前的人身CBT-BDD试验 (N=55) 相比较.
- 可信度和预期使用已建立的措施进行评估.
- 回归分析探讨了认知,临床因素,人口统计和退学之间的关系.
主要成果:
- 在数字和实体CBT-BDD之间,可信度评级没有显著差异 (p=.24).
- 与数字组相比,面对面治疗组的改善预期明显高 (p=.005).
- 在数字试验中,更好的BDD洞察力和以前的非CBTBDD治疗预测了更高的预期寿命;可信度与较低的学相关.
结论:
- 数字CBT-BDD被认为与人体CBT-BDD一样可信,但患者预期更低.
- 建议采取提高预期的策略,以改善对数字CBT-BDD的参与.
- 针对性干预可能对洞察力较差或没有先前BDD治疗的个体特别有益.
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