基于互联网的认知行为疗法对在机构长期护理机构中老年人抑郁症的有效性:实用随机对照试验
Fanqian Kong1, Libo Yu2, Yanbin Hou3
1Ningbo Medical Center Lihuili Hospital, Ningbo, China.
Journal of medical Internet research
|March 1, 2024
概括
基于互联网的认知行为疗法 (ICBT) 有效地减少了中国长期护理 (LTC) 居民患有下值抑郁症 (sD) 的抑郁症状. 这种疗法是改善LTC环境中的心理健康的可行选择.
科学领域:
- 老年精神病学是一门精神病学专业.
- 数字心理健康数字心理健康
- 行为疗法是一种行为疗法.
背景情况:
- 在中国,居住在长期护理 (LTC) 机构的老年人中,低于值的抑郁症 (sD) 是常见的.
- 在这些环境中,获得传统心理治疗的机会是有限的.
- 基于互联网的认知行为疗法 (ICBT) 是一个潜在的解决方案,但对其在这个特定人群中的有效性的研究很少.
研究的目的:
- 评估ICBT在中国LTC居民中治疗性病的有效性和可接受性.
- 为了比较ICBT与基于群体的认知行为疗法 (CBT) 的疗效.
主要方法:
- 一个务实的随机对照试验,涉及18个LTC机构的354名参与者.
- 参与者被分配到ICBT,基于小组的CBT或等候名单,并在12个月后进行后续检查.
- 主要结局:抑郁症状 (CES-D);次要结局:PHQ-9,GAD-7,GDS得分.
主要成果:
- ICBT显著改善了抑郁症状,在12个月的随访中持续了效应.
- 与等待名单相比,ICBT在CES-D,PHQ-9,GDS和GAD-7分数中显示出显著的降低.
- 在干预后和随访时,ICBT在PHQ-9和GAD-7分数方面表现出比基于小组的CBT更高的疗效.
结论:
- ICBT是一种有效和可接受的干预措施,用于减少中国LTC居民患有sD的抑郁症状.
- 这些发现支持ICBT在LTC环境中的sD管理中的实用性.
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