基于互联网的认知行为治疗干预1型糖尿病和抑郁症状的青少年:试点和可行性研究
Puja Singh1, Juan Mejia Otero2, Carol Howe3
1Division of Pediatric Endocrinology, Department of Pediatrics, UT Southwestern Medical Center, Dallas, TX, USA.
mHealth
|February 7, 2024
概括
基于互联网的认知行为疗法 (CBT) 对患有1型糖尿病 (T1D) 和抑郁症的青少年有希望. CATCH-IT计划可以为这个弱势群体提供一个可行的,低资源的干预措施.
科学领域:
- 青少年健康 青少年健康
- 心理健康干预措施 心理健康干预
- 内分泌学 在内分泌学.
背景情况:
- 与同龄人相比,患有1型糖尿病 (T1D) 的青少年中抑郁症更为普遍.
- 需要有效的,可访问的干预措施来解决这一群体的抑郁症状.
研究的目的:
- 评估基于互联网的能力成年过渡与认知人文和人际交往教学 (CATCH-IT) 计划的有效性.
- 评估CATCH-IT对T1D青少年抑郁症状和血糖控制的影响.
主要方法:
- 患有T1D和轻度/中度抑郁症状的青少年 (13-17岁) 获得6个月的CATCH-IT模块.
- 配对的t测试分析了抑郁症尺度 (PHQ-A,CES-D),糖尿病困扰 (PAID-T) 和HbA1c的变化.
- 收集了有关用户体验和改进建议的定性反.
主要成果:
- 在完成模块的7名参与者中,在PHQ-A,CES-D和HbA1c中观察到改善的趋势.
- 参与者提供了有价值的定性反,建议包括糖尿病特定内容.
结论:
- 基于互联网的干预措施,如CATCH-IT可以成为T1D青少年抑郁症的可行一线治疗方法.
- 为T1D量身定制的修改后的CATCH-IT程序可以提高其在这个高风险群体中的有效性.
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