基于互联网与面对面的认知行为疗法治疗社会焦虑障碍:随机对照试验
Hassan Soleimani Rad1, Hanieh Goodarzi2, Leili Bahrami2
1University of Guilan.
Behavior therapy
|April 26, 2024
概括
基于互联网的认知行为疗法有效地治疗了伊朗青少年的社会焦虑障碍. 在线和面对面的治疗都显示出持久的益处,尽管文化因素需要考虑.
科学领域:
- 心理学 心理学 心理学
- 心理健康 心理健康
- 数字健康数字健康
背景情况:
- 在COVID-19大流行期间,面对面的心理健康服务面临着挑战.
- 基于互联网的干预提供了一个潜在的解决方案,以克服治疗障碍.
- 关于这些方法在不同文化背景和发展中国家的社会焦虑障碍治疗效果的研究有限.
研究的目的:
- 调查基于互联网的认知行为疗法 (iCBT) 对伊朗社会焦虑障碍 (SAD) 的有效性和适用性.
- 将ICBT与传统的面对面治疗和等候名单对照组进行比较.
主要方法:
- 采用了一个测试前后测试后续实验设计.
- 来自伊朗洛里斯坦省的54名患有SAD的青少年进行了集群抽样,并随机分配到三个组:面对面,ICBT和等候名单控制.
- 参与者完成了基线,干预后和3个月后续的评估.
主要成果:
- 面对面和ICBT干预措施都显著降低了社交恐惧症,对负面评价的恐惧和社交互动焦虑.
- 两组人都表现出情绪调节的增加和二次结果的显著减少,如身体症状,失眠,社会功能障碍和抑郁症.
- 在3个月的随访期间,治疗效果保持稳定.
结论:
- 基于互联网的认知行为疗法是患有社会焦虑障碍的青少年的有效治疗方法.
- 虽然有效,但在这个人群中与iCBT相关的临床,文化和实施挑战需要仔细考虑.
- 这些发现支持使用ICBT作为传统治疗的可行替代方案或补充,特别是在资源有限的环境中.
相关概念视频
01:22Behavior Therapy
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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.
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