在阿拉伯语国家,基于互联网的认知行为和人际关系治疗抑郁症的有效性:一个随机对照试验
Rayan El-Haj-Mohamad1, Jana Stein1, Nadine Stammel2
1Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany; Center ÜBERLEBEN, Berlin, Germany.
Journal of affective disorders
|September 18, 2024
概括
基于互联网的认知行为治疗 (iCBT) 和人际关系治疗 (iIPT) 有效地减少了阿拉伯语成年人的抑郁,焦虑和体形症状. 这些数字心理健康干预措施显示出改善生活质量和社会支持在服务不足的地区的希望.
科学领域:
- 心理健康研究 心理健康研究
- 数字治疗学数字治疗学
- 跨文化精神病学 跨文化精神病学
背景情况:
- 政治和经济不稳定的地区往往表现出更高的抑郁率.
- 阿拉伯语国家在心理健康专业人员的可用性和护理系统方面面临重大限制.
- 基于互联网的干预提供了一种可扩展的解决方案,可以跨越心理健康护理的地理障碍.
研究的目的:
- 评估基于互联网的认知行为治疗 (iCBT) 对抑郁症的疗效.
- 评估基于互联网的人际关系治疗 (iIPT) 对抑郁症的有效性.
- 为了比较iCBT和iIPT与阿拉伯语人口中等候名单控制.
主要方法:
- 一项随机对照试验涉及743名阿拉伯语成年人被诊断患有抑郁症.
- 参与者被分配到iCBT,iIPT或等候名单对照组.
- 包括抑郁,焦虑和体形症状,社会支持和生活质量在内的结果被测量为治疗前,治疗后和三个月的随访.
主要成果:
- 与等待名单组相比,ICBT和iIPT组都显示出抑郁和焦虑症状的显著减少.
- 接受iIPT的参与者显示,体型症状显著下降.
- 这两种干预措施都改善了生活质量和感知到的社会支持,iCBT和iIPT之间没有显著差异.
结论:
- 这项研究提供了第一个随机对照试验证据,证明了iCBT和iIPT在阿拉伯语国家的有效性.
- 基于互联网的干预措施显示出在该地区特定人群中治疗抑郁症的潜力.
- 基于小部分样本的后续结果表明,对抑郁症状有持续的影响,但需要谨慎解释.
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