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在线CBT与儿童强迫症障碍的标准CBT对比
Bernhard Weidle1,2, Lucía Babiano-Espinosa3, Norbert Skokauskas3,4
1Regional Centre for Child and Youth Mental Health and Child Welfare, Department of Mental Health, Norwegian University of Science and Technology, Klostergata 46, Trondheim, 7030, Norway. b-weidle@online.no.
Child psychiatry and human development
|August 16, 2024
概括
在线认知行为疗法 (CBT) 是对儿科强迫症 (OCD) 的可行和可接受的治疗方法. 与传统的面对面CBT相比,这种方法显示出更高的反应和缓解率.
科学领域:
- 儿童和青少年精神病学
- 心理健康技术 心理健康技术
- 行为治疗是一种行为疗法.
背景情况:
- 儿科强迫症 (OCD) 影响1-3%的儿童,造成显著的损害.
- 认知行为疗法 (CBT) 是主要的治疗方法,但面对面的交付有可访问性问题.
- 使用视频会议的在线CBT (在线-CBT) 提供了一种改善访问的潜在解决方案.
研究的目的:
- 为了比较在线CBT的可接受性,可行性和有效性与儿童强迫症的传统面对面CBT.
- 评估是否可以通过在线CBT建立基于暴露的治疗的治疗关系.
主要方法:
- 一项试点研究分析了29名接受在线CBT的儿童的结果.
- 结果与来自北欧长期强迫症治疗研究 (NordLOTS) 的269名接受面对面CBT的儿童进行了比较.
- 可接受性以参与者/家长的满意度来衡量;可行性以学率来衡量.
主要成果:
- 在线CBT显示了非常高的接受度 (满意度得分~30/32).
- 可行性与NordLOTS相似,学率与NordLOTS相似 (10.3%对比9.7%).
- 在线CBT组的响应率显着更高 (90%与60%相比;p=.002),并趋向于更高的缓解率 (81%与53%).
结论:
- 在线CBT是对儿科强迫症的可接受和可行的治疗方法.
- 在线CBT似乎在减少症状方面至少和标准CBT一样有效.
- 对于暴露治疗至关重要的治疗关系可以通过在线CBT形成.
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