基于智能手机的认知行为疗法和针对耳的定制声疗法:随机对照试验
Khodayar Goshtasbi1, Karen Tawk1, Pooya Khosravi1,2
1Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, CA, USA.
The Annals of otology, rhinology, and laryngology
|November 7, 2024
概括
一个智能手机应用程序结合了认知行为疗法 (CBT) 和声音疗法,显著减少了耳症状. 与对照组相比,使用该应用程序的患者在焦虑,睡眠质量和整体情绪方面显著改善.
科学领域:
- 数字健康数字健康
- 行为医学是一种行为医学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 耳是一个普遍的疾病,显著影响生活质量.
- 现有的耳治疗方法的有效性和可获得性各不相同.
- 基于智能手机的干预提供了一个可扩展的方法来管理慢性疾病.
研究的目的:
- 评估一个移动应用程序的有效性,提供耳特定的认知行为疗法 (CBT) 和个性化的声音疗法.
- 评估数字干预对耳严重程度,焦虑,抑郁,压力和睡眠质量的影响.
主要方法:
- 一项前性随机对照试验与92名耳患者进行.
- 干预组通过智能手机应用程序每天接受声疗法和每周交互式CBT模块.
- 对照组被列入等待名单. 结果措施在8周后使用验证的问卷 (TFI,GAD-7,PHQ-9,PSS,PSQI) 进行评估.
主要成果:
- 治疗组在耳功能指数 (TFI) 评分 (16.7对1.9,P<.001) 中显示出统计学上显著的改善.
- 在治疗组中,抑郁症 (PHQ-9: 1.9 vs -0.7,P = .002),焦虑 (GAD-7: 1.1 vs -0.9,P = .009) 和睡眠质量 (PSQI: 2.5 vs -1.1,P < .001) 显著降低.
- 38.3%的治疗参与者实现了TFI改善≥20,在中度至重度抑郁,焦虑和睡眠困难方面有显著改善.
结论:
- 智能手机应用程序集成CBT和定制声疗法是有效的耳管理.
- 数字干预成功地减少了耳症状的严重程度,并改善了相关的心理和睡眠障碍.
- 这种新的方法为患有耳的人提供了一个有希望的,可访问的治疗选择.
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