在COVID-19大流行期间,针对儿科强迫症的强化认知行为疗法远程医疗:与人身治疗的匹配样本进行比较
Martin E Franklin1,2, Jeffrey M Engelmann1, Nyssa Z Bulkes3,1
1Rogers Behavioral Health, Oconomowoc, Wisconsin.
JAACAP open
|November 18, 2024
概括
对于儿科强迫症 (OCD) 的远程医疗认知行为疗法 (CBT) 与面对面治疗一样有效. 这种方法扩大了年轻人获得关键心理健康服务的机会.
科学领域:
- 精神病学是一个精神病学.
- 儿童和青少年心理健康
- 数字健康数字健康
背景情况:
- 儿科强迫症 (OCD) 严重影响年轻人的幸福感.
- 获得有效的治疗方法,如认知行为疗法 (CBT),可能受到各种障碍的限制.
- 远程医疗 (TH) 提供了一种潜在的解决方案,以改善获得心理健康服务的机会.
研究的目的:
- 通过远程医疗 (TH) 与面对面 (IP) 进行的儿科强迫症多式疗法 (包括CBT) 的疗效进行比较.
- 评估通过TH和IP模式治疗的青少年强迫症症状和生活质量的变化.
主要方法:
- 这是一项自然主义的,非盲目的,非随机的研究,涉及1286名年轻人 (7-17岁).
- 参与者在部分住院或密集门诊计划中接受了TH或IP治疗.
- 强迫症症状 (儿童耶鲁-布朗强迫症自述量表) 和生活质量在治疗前和治疗后进行了测量.
主要成果:
- 远程医疗患者在离院时的强迫症症状得分在统计上更高,但在临床上没有显著意义,与面对面的患者相比.
- 在远程医疗和面对面的组之间没有观察到生活质量得分的显著差异.
- 多模式治疗模式在两种输送方法中都表现出强大的有效性.
结论:
- 通过远程医疗提供的认知行为疗法是儿童强迫症的可行和有效治疗方法,与人身护理相当.
- 远程医疗显著扩大了儿童强迫症的基于证据的治疗方法的范围.
- 需要进一步努力,以解决限制家庭获得CBT的系统性障碍.
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