一种针对肺纤维化焦虑的数字疗法:一个分散的随机对照试验
Joshua J Solomon1, Robert W Hallowell2, Cecilia Ganslandt3
1Center for Interstitial Lung Disease, National Jewish Health, Denver, Colorado, USA.
概括
与常规护理相比,数字认知行为疗法 (Almee) 显著降低了肺纤维化患者的焦虑. 这一发现为管理与这种肺部疾病相关的心理痛苦提供了一个有希望的新方法.
科学领域:
- 肺部医学 肺部医学
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 肺纤维化是一种严重的间歇性肺病,经常伴随着严重的焦虑.
- 管理肺纤维化患者的心理负担是一个至关重要的未满足的需求.
研究的目的:
- 评估Almee的抗焦虑疗效,这是一个数字认知行为疗法 (CBT).
- 为了比较Almee与肺纤维化和焦虑症患者的常规治疗 (TAU) 的有效性.
主要方法:
- 一个随机的,受控的,开放的临床试验 (COMPANION) 涉及108名确诊肺纤维化和GAD-7分数≥5.5的患者.
- 参与者被分配1:1接受Almee或TAU9周.
- 测量的主要结果是从基线到第9周的全局焦虑障碍7项 (GAD-7) 评分的变化.
主要成果:
- 阿尔米组在GAD-7分数中平均改善了1.8分,而对照组的GAD-7分数恶化了0.9分.
- 两组之间在GAD-7分数变化中观察到2.7分的统计学显著差异 (p=0.0006).
- 参与者可以很好地容忍Almee治疗.
结论:
- 阿尔米在肺纤维化患者的焦虑症状中显示出临床意义上的改善.
- 像Almee这样的数字CBT为解决肺纤维化的心理影响提供了有希望的个性化干预.
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