通过互联网提供认知行为疗法的可接受性,用于患有强迫症症状的成年人:元分析
Shifra Waks1, Karen Moses2, Bethany M Wootton1
1Discipline of Clinical Psychology, Graduate School of Health, University of Technology, Sydney, New South Wales, Australia.
The British journal of clinical psychology
|March 15, 2024
概括
通过互联网提供的认知行为疗法 (ICBT) 对强迫症 (OCD) 有效. 大多数患者对ICBT感到满意,尽管临床医生指导的治疗比自我指导的选择更容易接受.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 数字健康干预措施 数字健康干预措施
- 行为科学 行为科学
背景情况:
- 强迫症 (OCD) 是一种慢性精神疾病.
- 通过互联网提供的认知行为疗法 (ICBT) 是强迫症的有效治疗方法.
- 对强迫症治疗ICBT的可接受性需要进一步调查.
研究的目的:
- 通过元分析来检查ICBT在强迫症症状的成年人中是否可接受.
- 评估患者的满意度和愿意建议ICBT治疗强迫症.
- 探索影响强迫症治疗中ICBT可接受性的因素.
主要方法:
- 一项对17项涉及1661名有强迫症症状的参与者研究的元分析.
- 纳入标准侧重于接受强迫症ICBT的成年人.
- 使用随机效应模型进行数据合成,以汇集估计.
主要成果:
- 治疗开始的弃率为16.3%,治疗完成的弃率为27.6%,治疗后问卷的弃率为27.0%.
- 客户满意度调查问卷的得分从22.4到26.5.5不等.
- 总体而言,81.6%的参与者感到满意,84.7%的人会推ICBT. 临床指导的ICBT显示了比自我指导的ICBT更高的可接受性 (初步发现).
结论:
- 对于成年人患有强迫症症状而言,ICBT是一种可接受的治疗方法.
- 观察到高患者满意度和推ICBT的意愿.
- 这些发现对ICBT用于强迫症治疗的更广泛传播有影响.
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