对滥用酒精的互联网治疗:当患者选择他们更喜欢治疗师或自我引导治疗时,参与度,满意度和结果
Ram P Sapkota1, Tristen Lozinski1, Andrew Wilhems1
1Online Therapy Unit, Department of Psychology, University of Regina, 3737 Wascana Parkway, Regina, SK, S4S 0A2, Canada.
Addiction science & clinical practice
|April 20, 2024
概括
通过互联网提供的认知行为疗法 (ICBT) 有效地减少了滥用酒精,无论治疗师或自我指导. 这两种方法都显示出饮酒和心理健康结果的显著改善,有效性没有偏好差异.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 滥用酒精是一种普遍存在的问题,对社会造成重大伤害.
- 通过互联网提供的认知行为疗法 (ICBT) 是对滥用酒精的经过验证的干预措施.
- 关于患者偏好治疗师指导与自我指导的ICBT如何影响治疗结果的研究有限.
研究的目的:
- 调查患者对治疗师指导或自我指导ICBT的偏好是否会影响饮酒结果.
- 根据治疗偏好,检查ICBT参与度和满意度的差异.
- 评估ICBT对滥用酒精和并发性精神健康状况的影响.
主要方法:
- 一个偏好试验,涉及74名患有危险或有害饮酒模式的患者.
- 患者可以在治疗师引导或自我引导的ICBT之间进行选择.
- 饮酒结果 (时间线追溯,大量饮酒日) 和参与度/满意度在治疗后和3个月后期进行了测量.
主要成果:
- 大多数患者 (81.1%) 喜欢由治疗师指导的ICBT,经常报告更高的基线精神病理.
- 无论是治疗师指导的ICBT还是自我指导的ICBT都显示了群体内饮酒 (TLFB,HDD) 的显著减少以及心理健康的改善.
- 治疗结果或满意度在治疗师引导和自我引导组之间没有显著差异.
结论:
- 对滥用酒精的ICBT是有效的,不管是治疗师还是自我指导.
- 患者的偏好似乎没有影响ICBT对滥用酒精的疗效.
- 在减少酒精消费和相关的心理健康挑战方面,ICBT表现出广泛的有效性.
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