基于证据的治疗师支持的医疗多病症患者的数字心理健康干预:回顾性队列治疗意图研究
Benjamin W Nelson1, Nicholas C Peiper, Kirstin Aschbacher
1From the Meru Health Inc. (Nelson, Peiper, Aschbacher, Forman-Hoffman), San Mateo, California; Department of Psychology and Neuroscience (Nelson), University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; Department of Epidemiology and Population Health (Peiper), University of Louisville, Louisville, Kentucky; and Department of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences (Aschbacher), University of California San Francisco, San Francisco, California.
Psychosomatic medicine
|May 8, 2024
概括
数字心理健康 (DMH) 干预措施有效地减少了多病症 (MMB) 患者的抑郁和焦虑症状. 虽然MMB与更高的症状严重程度有关,但治疗结果仍然是积极的,这表明DMH是这些复杂患者的可行选择.
科学领域:
- 数字心理健康数字心理健康
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 多种疾病 (MMB),多种健康状况的存在,是全球日益关注的问题.
- MMB与增加的心理痛苦和治疗抵抗性有关.
- 对于MMB患者的数字心理健康 (DMH) 干预措施的有效性仍未得到充分探索.
研究的目的:
- 为了研究智能手机提供的DMH干预措施的有效性,为患者增加内部化症状和MMB.
- 检查在DMH治疗背景下,病情数量与心理健康结果之间的关联.
主要方法:
- 追溯性队列治疗意图研究,涉及2819名患者.
- 使用了通过智能手机提供的治疗师支持的DMH干预.
- 分析了医疗多病症 (MMB) 和心理健康结果之间的关联.
主要成果:
- 较高的MMB与更大的精神健康症状严重程度相关.
- 在治疗期间,MMB并没有对抑郁症状轨迹产生负面影响.
- 与没有疾病的患者相比,患有一种疾病的患者的焦虑症状下降速度更快.
- MMB与退学时间无关,但与更高的退学率和更少的有益治疗结果有关,这可能是由于最初的症状严重程度.
结论:
- 梅鲁健康计划表明,不论是MMB,抑郁和焦虑症状的显著,大效果大小减少.
- 未来的DMH干预应考虑针对MMB患者的量身定制策略,包括降低障碍和延长治疗时间.
- 优化MMB患者的治疗剂量至关重要,以实现症状降低到临床值以下.
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