基于移动应用程序的干预对患有焦虑症的年轻成年人的有效性:一项随机临床试验
Jennifer N Bress1, Avital Falk1, Maddy M Schier1
1Department of Psychiatry, Weill Cornell Medicine, New York, New York.
JAMA network open
|August 20, 2024
概括
一个移动认知行为疗法 (CBT) 应用程序有效地减少了年轻成年人的焦虑症状. 不同的激励条件并没有显著改变治疗结果,这表明应用程序.
科学领域:
- 数字心理健康数字心理健康
- 临床心理学 临床心理学
- 移动卫生干预措施 移动卫生干预
背景情况:
- 焦虑症在年轻人中很常见,并且未得到充分治疗.
- 数字干预显示出希望,但面临的挑战是参与和有限的治疗组件.
研究的目的:
- 评估一种名为Maya的移动认知行为疗法 (CBT) 干预措施的有效性和参与度.
- 为了比较三个不同的激励条件对减轻焦虑症状的影响.
主要方法:
- 一项随机临床试验,涉及患有焦虑障碍的年轻成年人 (18-25岁).
- 参与者参与了为期6周的自我指导的移动CBT计划,提供了各种基于短信的激励措施.
- 使用汉密尔顿焦虑评分表 (HAM-A) 和二次措施来测量焦虑症状.
主要成果:
- 焦虑症状从基线显著减少到治疗后,并在所有激励组的随访中保持不变.
- 在收益框架,损失框架或获得社会支持的激励条件之间没有观察到焦虑减轻的显著差异.
- 无论激励条件如何,高的会话完成率和可接受的应用程序质量评级都表明了高用户参与度.
结论:
- 一个全面的移动CBT应用程序与嵌入式参与功能是有效的减少年轻人的焦虑.
- 虽然激励措施没有对结果产生差异性影响,但数字干预的有效性支持其更广泛传播的潜力.
- 数字心理健康工具为增加获得基于证据的焦虑治疗提供了一个有希望的途径.
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