基于视频会议与基于消息的心理治疗对抑郁症有效性的随机试验
Patricia A Areán1, Michael D Pullmann1, Isabell R Griffith Fillipo1
1Department of Psychiatry and Behavioral Medicine, University of Washington, Seattle (Areán, Pullmann, Griffith Fillipo, Mosser, Chen); Talkspace, New York City (Wu, Hull); Department of Biostatistics, School of Public Health, University of Washington, Seattle (Heagerty).
Psychiatric services (Washington, D.C.)
|July 19, 2024
概括
基于信息的心理治疗 (MBP) 与抑郁症的视频会议心理治疗 (VCP) 提供了可比的临床结果. 患有抑郁症的成年人更多地参与了MBP,显示了它.
科学领域:
- 数字心理健康数字心理健康
- 心理治疗的研究研究.
- 临床试验的设计.
背景情况:
- 远程精神病学越来越多地用于心理健康治疗.
- 不同数字模式的比较有效性需要进一步研究.
研究的目的:
- 在患有抑郁症的成年人中,将基于信息的心理治疗 (MBP) 与基于视频会议的心理治疗 (VCP) 的参与,临床结果和不良事件进行比较.
主要方法:
- 一个连续的多重分配随机试验与215名患有抑郁症的成年人进行.
- 参与者最初被分配到异步MBP或每周VCP.
- 随后的治疗分配是基于对初始治疗的反应,使用纵向混合效应模型.
主要成果:
- 与VCP组 (4.9周) 相比,MBP组的参与者与治疗师接触的时间显著增加了几周 (7.8周).
- 在6周或12周的MBP和VCP之间,没有发现抑郁,焦虑,残疾或总体改善等级的显著差异.
- 在这两种治疗方式中都没有报告任何不良事件.
结论:
- 基于信息的心理治疗 (MBP) 是视频会议心理治疗 (VCP) 的可行的替代方案,用于治疗患有抑郁症的成年人.
- MBP可能会提高患者参与数字心理健康干预的参与度.
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