在治疗师监督下治疗抑郁症的智能手机应用带领认知行为疗法的可行性,可接受性和初步有效性:公开试验
Sabine Wilhelm1, Emily E Bernstein1, Kate H Bentley1
1Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
JMIR mental health
|April 9, 2024
概括
这项研究发现,Mindset for Depression应用程序与简短的电话治疗相结合,有效地减少了抑郁症症状. 这种数字认知行为疗法 (CBT) 方法是主要抑郁障碍的可行和可接受的治疗选择.
科学领域:
- 数字心理健康干预数字心理健康干预
- 临床心理学 临床心理学
- 远程医疗远程医疗
背景情况:
- 重度抑郁症 (MDD) 是全球导致残疾的主要原因,影响了五分之一的成年人.
- 由于地理和提供者短缺,治疗的机会受到限制.
- 数字工具提供了一个潜在的解决方案来弥合治疗差距.
研究的目的:
- 评估抑郁症心态的可行性,可接受性和初步临床有效性.
- 抑郁症的心态是一个为期8周的基于智能手机的认知行为疗法 (CBT) 计划.
- 该计划的支持是与执照治疗师进行简短的远程治疗课程.
主要方法:
- 一个为期8周的单臂开放试验,涉及28名参与者.
- 参与者使用了Mindset for Depression应用程序,并参加了短暂的 (16-25分钟) 视频会议访问.
- 所有手术的远程管理,包括临床医生评级的汉密尔顿抑郁评级表 (HDRS) 在基线,中点和治疗后.
主要成果:
- 低消耗率 (7%) 和高的治疗可信度,预期和满意度.
- 参与者与应用程序互动并练习CBT技能,每周平均50-60分钟.
- 抑郁症严重程度显著降低 (HDRS得分从中度降低到轻度,P<.001),功能障碍和生活质量有所改善,在3个月的随访中维持.
结论:
- 抑郁症的心态是对MDD的可行和可接受的治疗方法.
- 这种智能手机主导的CBT干预显示出作为一种有效,可扩展和具有成本效益的选择的承诺.
- 未来的研究应该涉及随机对照试验和现实世界的临床环境.
关键词:
这是CBT CBT.可以接受的可接受性.应用程序 应用程序 应用程序申请申请表 申请表 申请表应用程序 应用程序 应用程序应用程序 应用程序 应用程序认知行为疗法是一种认知行为疗法.认知行为疗法是一种认知行为疗法.抑郁 抑郁症 抑郁症 抑郁症 抑郁症抑郁症是一种严重的抑郁.抑郁症 抑郁症是一种抑郁症.数字健康数字健康的可行性和可行性.移动健康 移动健康 移动健康 移动健康精神的精神的精神的精神的精神.移动应用程序 移动应用程序移动健康的移动健康开放的审判审判是公开的.开放试验是公开的试验.这是一个精神病医院.精神病学是一种精神病学.心理教育是一种精神教育.心理治疗是一种心理治疗.满意度 满足感 满足感一个单臂的单臂.智能手机的智能手机智能手机的智能手机.可用性可用性可用性用户体验用户体验
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