一个基于互联网的跨诊断程序的有效性,用于情绪障碍的青少年:一个随机对照试验
Victoria Espinosa1, Rosa M Valiente1, Julia García-Escalera1
1Facultad de Psicología, Universidad Nacional de Educación a Distancia (UNED), 28040, Madrid, Spain.
Behaviour research and therapy
|May 14, 2024
概括
在线学习管理你的情绪 (AMtE) 计划有效地治疗青少年的焦虑和抑郁症,与已建立的青少年情绪障碍跨诊断治疗统一协议 (UP-A) 的结果相匹配. 这种通过互联网提供的自我管理的认知行为疗法显示出显著的症状减少.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 青少年精神病学 青少年精神病学
背景情况:
- 青少年情绪障碍的跨诊断治疗统一协议 (UP-A) 是一种被公认的情绪障碍认知行为疗法 (CBT).
- 通过互联网提供的干预措施为青少年提供了可访问的治疗选择.
研究的目的:
- 评估学习如何管理你的情绪 (AMtE) 计划的有效性,这是基于UP-A的互联网交付CBT干预措施.
- 在青少年中,通过视频通话比较自我管理的AMtE程序与临床医生通过视频通话交付的UP-A的有效性.
主要方法:
- 一项随机对照试验,涉及58名被诊断患有焦虑和/或抑郁症的西班牙青少年 (12-18岁).
- 参与者通过视频通话被分配到AMtE计划或UP-A.
- 关于焦虑,抑郁,影响,焦虑敏感性和情绪回避的数据是在治疗前,治疗后和3个月的随访期间收集的.
主要成果:
- 无论是AMtE还是UP-A,都显著减少了自我报告的焦虑和抑郁症症状.
- 临床医生评估的焦虑和抑郁症严重程度也在两组中显著减少.
- 跨诊断结果变量,包括情绪回避和焦虑敏感性,在两个干预措施中都显著改善.
结论:
- 该AMtE计划是一个经验支持的,有效的跨诊断在线CBT治疗青少年焦虑和抑郁障碍.
- 在线自给药AMtE计划的疗效与临床医生提供的UP-A疗效相当,这表明其潜在的实用性.
- 在这两种干预方式之间没有发现任何显著差异,这突显了可访问的,自导的数字心理健康工具的价值.
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