患者和治疗师对抑郁症综合在线CBT的看法
Fiona Fox1,2, Nicola Wiles3, David Kessler3
1NIHR ARC West, Bristol, UK.
概括
在线认知行为疗法 (CBT) 通过将治疗师的支持与数字资源相结合来改善抑郁症的管理. 这种方法提高了患者的参与度和进度跟踪,尽管明确的目标设定对于成功至关重要.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 心理治疗研究 心理治疗研究
背景情况:
- 认知行为疗法 (CBT) 对抑郁症有效,但在英国面临着访问限制.
- 在线CBT平台,如INTERACT,旨在扩大对这一至关重要的心理健康治疗的获取.
- 互联网平台将打字即时通讯疗法与在线资源相结合,以支持患者的参与.
研究的目的:
- 评估INTERACT平台的综合方法,为患有抑郁症的初级保健患者提供高强度的CBT.
- 通过INTERACT平台探索通过类型CBT的患者和治疗师的经验.
主要方法:
- 在INTERACT试验中,使用专题分析进行了一项嵌套的定性研究.
- 与参与试验的20名患者,9名治疗师和3名治疗师监督员进行了采访.
主要成果:
- 治疗师支持和在线资源的结合促进了抑郁症的管理,其中包括对家庭作业的成绩单审查和进度跟踪.
- 打字的沟通允许反思和集中讨论,尽管它可能会限制会议的范围,而不是与面对面的治疗.
- 一些患者发现类型CBT要求很高,并与这种模式作斗争,影响目标设定期望.
结论:
- 建立明确的患者和治疗师目标和期望对于类型CBT成功至关重要.
- 患者对打字的舒适性和使用在线资源的动机是治疗完成的关键因素.
- 告知患者类型认知治疗的好处和挑战,有助于对这种新的治疗方法做出明智的选择.
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