基于网络,人引导或计算机引导的跨诊断性认知行为疗法在大学生焦虑和抑郁症:随机对照试验
Jurrijn Koelen1, Anke Klein1, Nine Wolters1
1Department of Developmental Psychology, University of Amsterdam, Amsterdam, Netherlands.
JMIR mental health
|June 19, 2024
概括
基于互联网的认知行为干预 (iCBTs) 对抑郁和焦虑是有效的. 这项研究发现,人引导和计算机引导的ICBT对学生的照顾比通常的照顾略有好处,而引导方法之间没有显著差异.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 临床心理学 临床心理学
背景情况:
- 基于互联网的认知行为干预 (iCBTs) 是对抑郁和焦虑的已知治疗方法.
- 在大型教育环境中,将人类指导添加到iCBT的有效性和可行性仍在调查中.
研究的目的:
- 为了比较人类引导的ICBT,计算机引导的ICBT和大学生照顾的效果.
- 为了确定人类引导的ICBT是否优于计算机引导的ICBT来治疗抑郁和焦虑.
主要方法:
- 801名患有高度抑郁或焦虑的大学生被随机分配到人引导的ICBT,计算机引导的ICBT或CAU.
- 主要结局包括使用线性混合模型分析的抑郁症 (PHQ) 和焦虑 (GAD-7) 评分.
- 二次结果评估了物质使用情况,在6个月和12个月后进行了随访.
主要成果:
- 两种iCBT变体在6个月内对抑郁症和焦虑症的CAU显示出边际优势.
- 所有组随着时间的推移都显著改善;在人引导和计算机引导的ICBT之间没有发现显著差异.
- 人类指导的ICBT表现出比计算机指导的ICBT更高的坚持.
结论:
- 跨诊断性iCBT是大学生实用和有效的心理健康治疗方法.
- 在这种情况下,人类指导并不能明显地优于技术指导.
- 未来的研究应该探索iCBT中人类支持的实施规模和成本效益.
更多相关视频
08:42Design and Implementation of an fMRI Study Examining Thought Suppression in Young Women with, and At-risk, for Depression
Published on: May 19, 2015
10.5K
08:25Polar Histogram Visualization of Acute Stress Disorder Scale Scores for Comprehensive Clinical Assessment
Published on: December 6, 2024
343
相关概念视频
01:25Cognitive Therapy
151
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
151
01:22Behavior Therapy
46
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.
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
Exposure therapy is a cornerstone of behavioral treatment for anxiety disorders. It involves systematic exposure to feared stimuli, either in real...
46
01:24Rational Emotive Behavior Therapy
48
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
48