预测对基于智能手机的认知行为治疗对身体形障碍的反应
Jennifer L Greenberg1, Hilary Weingarden1, Susanne S Hoeppner1
1Massachusetts General Hospital and Harvard Medical School, 185 Cambridge Street, Boston, MA, USA.
Journal of affective disorders
|March 23, 2024
概括
针对身体形障碍 (BDD) 的智能手机CBT显示出有希望的结果,特别是对于边缘化群体. 立即获取和强烈的治疗信念提高了结果,这表明BDD治疗的个性化护理模式.
科学领域:
- 精神病学是一个精神病学.
- 数字健康数字健康
- 行为科学 行为科学
背景情况:
- 身体形障碍 (BDD) 是一种严重的慢性精神健康状况.
- 基于智能手机的认知行为疗法 (CBT) 为BDD治疗障碍提供了一个可扩展的解决方案,例如成本和耻辱感.
- 了解影响智能手机CBT对BDD有效性的因素对于优化其使用至关重要.
研究的目的:
- 分析来自BDD智能手机CBT随机试验的二次数据.
- 为了确定使用12周教练指导的BDD应用程序的个体治疗成功的预测因素.
- 探索与改善BDD症状严重程度,反应和缓解相关的人口和心理因素.
主要方法:
- 一个随机的,等候名单受控试验的二次数据分析,涉及80名BDD参与者.
- 参与者接受了为期12周的,由教练指导的智能手机CBT应用程序,无论是立即还是等候名单期间后.
- 结果包括BDD严重程度 (BDD-YBOCS) 随着时间的推移,治疗反应和缓解率.
主要成果:
- 与延迟访问相比,即时应用程序访问预测了更好的症状改善.
- 积极的结果与特定的性别认同和性少数群体地位有关.
- 较高的基线治疗可信度和较低的初始BDD严重程度预测了更大的治疗反应和缓解.
结论:
- 智能手机CBT可能为历史上被边缘化的人群提供特别的好处.
- 加速治疗准入和增强患者信心的策略很重要.
- 开发分层护理模型可以优化BDD的数字心理健康干预措施的分配和有效性.
相关概念视频
01:26Modeling in Therapy
72
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
72
01:24Rational Emotive Behavior Therapy
50
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
50
01:25Cognitive Therapy
152
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
152
01:22Behavior Therapy
48
Behavior therapy incorporates diverse techniques rooted in classical conditioning principles to address maladaptive behaviors and anxiety disorders. These methods aim to reduce avoidance behaviors, foster adaptive coping mechanisms, and alter associations between stimuli and responses, making them effective in a wide range of therapeutic contexts.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
48