通过互联网视频会议传递的儿科强迫症认知行为疗法:一个人工的传感器辅助可行性方法
Carolin S Klein1,2, Annika K Alt1,2, Anja Pascher1,2
1Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital of Psychiatry and Psychotherapy, Osianderstr. 14-16, 72076, Tübingen, Germany.
Child and adolescent psychiatry and mental health
|December 5, 2024
概括
在线视频会议治疗 (vCBT) 是对儿科强迫症 (OCD) 的可行且有效的治疗方法. 这种方法显著减少了强迫症症状,并改善了年轻患者的家庭生活.
科学领域:
- 儿童和青少年精神病学
- 心理健康技术 心理健康技术
- 行为治疗是一种行为疗法.
背景情况:
- 强迫症 (OCD) 影响全球1-4%的儿童和青少年.
- 许多年轻人无法获得一线认知行为疗法 (CBT).
- 视频会议CBT (vCBT) 在家庭环境中提供可访问的治疗.
研究的目的:
- 评估对儿科强迫症进行修订的vCBT手册的可行性.
- 在vCBT期间评估症状变化.
- 检查vCBT对家庭生活和社会功能的影响.
主要方法:
- 20名强迫症患者 (12-18岁) 每周接受14次vCBT治疗.
- 一个多式传感器系统监测了生理和行为反应.
- 评估了可行性,接受性和实施性;使用t.试验评估了临床措施.
主要成果:
- 患者和家长发现vCBT是可行的,易于理解的.
- 治疗师证实在所有模块中都遵守了手册.
- 观察到明显的强迫症症状减少 (p<.001,d=1.87),CY-BOCS得分下降了50%以上.
- 参与障碍较低,报告家庭生活改善.
结论:
- 基于手册的vCBT,由传感器系统支持,是儿童强迫症的成功心理治疗方法.
- 需要在更大的随机对照试验中进行进一步的调查.
- vCBT显示了在儿科精神卫生保健中更广泛实施的潜力.
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