通过互联网治疗完美主义:一项随机对照试验,将认知行为疗法与统一协议进行比较
Alexander Rozental1,2,3, Roz Shafran4, Fred Johansson5
1Department of Psychology, Uppsala University, Uppsala, Sweden.
Cognitive behaviour therapy
|March 14, 2024
概括
针对完美主义的认知行为疗法,在线提供,显示了显著的改善. 基于互联网的完美主义认知行为疗法 (iCBT-P) 和基于互联网的统一协议 (iUP) 在减少完美主义和相关症状方面同样有效.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 数字健康数字健康
背景情况:
- 完美主义,以偶然的自我价值和硬的标准为特征,可以导致严重的痛苦.
- 对于完美主义的认知行为疗法 (CBT-P) 是有效的,包括通过互联网提供的格式 (iCBT-P).
- 有限的研究存在,比较iCBT-P与活性对照条件.
研究的目的:
- 为了比较基于互联网的完美主义认知行为疗法 (iCBT-P) 与基于互联网的统一协议 (iUP) 的疗效.
- 评估完美主义和二次精神症状的治疗结果.
- 为了评估长期治疗效果和参与者的坚持.
主要方法:
- 138名完美主义参与者被随机分配到iCBT-P或iUP.
- 这两个为期八周的互联网交付干预都在需求时提供了治疗师指导.
- 使用临床完美主义问卷和治疗后和6-12个月后续的二次措施来衡量结果.
主要成果:
- 无论是iCBT-P还是iUP,都显示出对完美主义的大量集团内部影响,在随访时持续存在.
- 对于完美主义或次要结果 (抑郁症,焦虑,生活质量,自我同情,拖延,压力) 没有发现显著的群体间差异.
- 两种治疗都被评为可信,相关,高质量,受访者认可.
结论:
- 通过互联网提供完美主义和iUP的CBT在治疗完美主义和相关问题方面表现出相似的有效性.
- 结果表明潜在的跨诊断益处,质疑需要高度特定的治疗差异化.
- 需要进一步的研究,但目前的结果支持可访问的,基于互联网的心理健康干预措施的有效性.
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