在互联网上提供指导和未指导的社会焦虑障碍精神动力疗法:随机对照试验
Jakob Mechler1, Karin Lindqvist2, Kristoffer Magnusson3
1Department of Psychology, Stockholm University, Stockholm, Sweden. jakob.mechler@psychology.su.se.
Npj mental health research
|May 10, 2024
概括
通过互联网提供的精神动力疗法 (IPDT) 有效治疗社会焦虑障碍 (SAD). 有指导的IPDT显示出比无指导治疗更大的症状改善,为患有SAD的成年人提供了可访问的治疗替代方案.
科学领域:
- 精神病学是一种精神病学.
- 临床心理学 临床心理学
- 数字健康数字健康
背景情况:
- 社交焦虑障碍 (SAD) 是一种普遍和损害性疾病.
- 现有的SAD治疗方法在所有患者的可访问性和有效性方面都有局限性.
- 需要为SAD提供可访问和有效的替代治疗方法.
研究的目的:
- 评估因特网提供的心理动态治疗 (IPDT) 对患有SAD的成年人的疗效.
- 将IPDT与治疗师指导与无指导的IPDT进行比较.
- 将两种IPDT条件与等候名单对照组进行比较.
主要方法:
- 一项随机临床试验与被诊断患有SAD的成年人进行.
- 参与者被分配到指导IPDT,非指导IPDT或等候名单控制中.
- 该IPDT干预包括8个每周的自助模块,这些模块基于在线交付的以影响为中心的动态治疗.
- 每周使用利博维茨社会焦虑量表自我报告 (LSAS-SR) 测量症状严重程度.
主要成果:
- 在减少SAD症状方面,指导和非指导IPDT都优于等候名单对照.
- 与未指导的IPDT治疗后相比,指导IPDT显示了显著更大的效果大小.
- 在所有次要结果上,指导IPDT也表现出优于等待列表的优势,而非指导IPDT改善了抑郁和普遍焦虑症状.
结论:
- 通过互联网提供的精神动力疗法 (IPDT) 是治疗社会焦虑障碍的一种有前途的疗法.
- 指导式IPDT似乎比无指导式IPDT提供了更大的好处,特别是在后处理阶段.
- 这些发现扩大了对患有SAD的成年人有效治疗选择的可用性.
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