一般焦虑症的简短远程认知行为疗法:一个开放的试验
Vesna Trenoska Basile1, Toby Newton-John1, Sarah McDonald1
1Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Sydney, New South Wales, Australia.
The British journal of clinical psychology
|November 20, 2024
概括
简短的视频会议认知行为疗法 (VCBT) 对泛性焦虑障碍 (GAD) 有效. 这种远程传递的治疗显示出显著的症状减少和高的患者满意度,使其成为GAD管理的可行选择.
科学领域:
- 心理健康 心理健康
- 精神病学是一个精神病学.
- 数字治疗学数字治疗学
背景情况:
- 一般性焦虑障碍 (GAD) 带来了巨大的负担,由于成本限制了治疗的机会.
- 基于证据的GAD治疗方法的吸收率很低,需要具有成本效益的解决方案.
- 简短的干预措施在增加GAD治疗可用性方面显示出希望.
研究的目的:
- 为了评估一个简短的,五次会议视频会议交付认知行为疗法 (VCBT) 干预对GAD的初步疗效.
- 评估诊断为GAD的个人远程传递简短VCBT的可接受性.
主要方法:
- 采用了一个开放的试验设计,其中36名参与者被诊断患有GAD.
- 参与者接受了一个简短的,五个会议的基于互联网的VCBT干预,远程交付.
- 使用一般化焦虑障碍问卷-7项 (GAD-7) 测量治疗前和后的有效性,并对患者进行3个月的随访.
主要成果:
- 在GAD-7 (d=1.13) 上观察到治疗前后显著的大效应.
- 在3个月的随访期 (d=1.58) 中,治疗对GAD症状的影响进一步增加.
- 干预措施的接受度很高,有92%的参与者表示满意.
结论:
- 简短的,远程传递的VCBT在管理GAD症状方面表现出初步的有效性.
- 这些发现支持GAD可访问的数字心理健康干预措施的可行性.
- 远程传递的简短CBT是GAD治疗的一个有希望的方法.
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