计划支持与在互联网上提供的社会焦虑障碍认知行为疗法的需求支持:随机对照试验
Anton Käll1,2, Cecilia Olsson Lynch3, Kajsa Sundling3
1Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Clinical psychology in Europe
|February 15, 2024
概括
在社交焦虑障碍 (SAD) 的互联网认知行为疗法 (ICBT) 中,按需临床医生的支持与预定支持一样有效. 这一发现为心理健康治疗提供了一种具有成本效益的方法.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 通过互联网提供的认知行为疗法 (ICBT) 是对社会焦虑障碍 (SAD) 的可行的治疗方法.
- 临床医生的支持提高了ICBT的有效性,但计划支持可能是昂贵的.
- 按需支持提供了一个潜在的解决方案,可以降低成本,同时保持有效性.
研究的目的:
- 为了比较在SAD的ICBT中按需与预定临床医生支持的有效性.
- 评估数字心理健康干预中不同支持模型的成本效益.
主要方法:
- 进行了一项随机对照试验,99名参与者被诊断患有SAD.
- 参与者在ICBT期间被分配到按需或计划的每周治疗师指导.
- 使用利博维茨社会焦虑量表自我报告 (LSAS-SR) 和二次措施来衡量结果.
主要成果:
- 按需和计划支持组在LSAS-SR得分上均显示出显著的改善.
- 在两个支持组之间没有发现统计学上显著的差异 (d = 0.02).
- 在两组的二次结果指标中都观察到类似的改善.
结论:
- 按需临床医生支持是为SAD提供ICBT的有效和潜在的更具成本效益的模型.
- 需要进一步的研究来探索按需支持模型的长期益处和更广泛的应用.
- 这项研究的发现,虽然来自2009年,但得到了后续研究的支持,强调了按需支持的持续相关性.
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