基于互联网的认知行为治疗抑郁症的人际关系因素:依恋风格和与程序和治疗师的联盟
Dina Zalaznik1, Elad Zlotnick1, Snir Barzilay1
1Department of Psychology, The Hebrew University of Jerusalem, Jerusalem, Israel.
概括
对抑郁症的文化适应的基于互联网的认知行为疗法 (ICBT) 显著改善了症状. 治疗师和程序联盟都预测了坚持,但只有治疗师联盟预测了症状的改善.
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:
- 基于互联网的认知行为疗法 (ICBT) 为心理健康治疗提供了一种可扩展的方法.
- 数字干预措施的文化适应对于不同人群的有效性至关重要.
- 治疗联盟,包括治疗师和程序组件,可能会影响治疗结果.
研究的目的:
- 评估一种文化适应的希伯来语版本的指导性ICBT治疗抑郁症的疗效.
- 调查治疗联盟 (与治疗师和计划) 在预测抑郁症结果和坚持治疗中的作用.
- 在ICBT治疗抑郁症期间检查焦虑和回避性依恋风格的变化.
主要方法:
- 采用了一个开放试验研究设计.
- 参与者接受了针对抑郁症的引导ICBT的文化适应的希伯来版本.
- 治疗联盟,抑郁症严重程度,失眠和依恋方式被纵向评估.
主要成果:
- 在抑郁症 (科恩d = 1.34) 和失眠 (科恩d = 0.86) 中观察到显著改善.
- 发现了很高的退学率 (49%),联盟预测了坚持和退学.
- 与治疗师的联盟,但不是程序,预测症状改善. 避开的依恋减少,而焦虑的依恋没有.
结论:
- 文化适应的ICBT有效治疗抑郁症,显著减少症状.
- 治疗师和计划联盟对于坚持和学都很重要,而治疗师联盟特别影响症状改善.
- ICBT可以改善避开的依恋风格,即使人际关系不是治疗的主要重点.
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