寻求在互联网上提供治疗的原因 对于患有强迫症障碍的人来说
Maral Melkonian1, Sarah McDonald1, Eyal Karin2
1Discipline of Clinical Psychology, Graduate School of Health, University of Technology, Sydney, New South Wales, Australia.
The British journal of clinical psychology
|December 11, 2024
概括
许多患有强迫症 (OCD) 的患者寻求通过互联网提供的认知行为疗法 (ICBT),原因是缺乏亲自护理或过去不有用的治疗方法. 这凸显了对可访问的远程强迫症治疗的需求.
科学领域:
- 精神病学是一个精神病学.
- 心理健康 心理健康
- 数字健康数字健康
背景情况:
- 患有强迫症 (OCD) 的患者在获得基于证据的治疗方面遇到重大障碍.
- 对强迫症的最佳实践认知行为疗法 (CBT) 在社区环境中未得到充分利用.
- 通过互联网提供的CBT (ICBT) 提供了一个有前途的途径,以改善获得护理的机会.
研究的目的:
- 为了调查完成ICBT强迫症治疗的个体的治疗史.
- 确定为什么个人选择远程ICBT而不是传统的强迫症个人治疗的主要原因.
- 根据人口和临床因素,探索这些原因的潜在差异.
主要方法:
- 一项研究包括166名参与者,他们完成了强迫症的ICBT.
- 收集的数据包括参与者的先前治疗经验和选择ICBT的原因.
- 分析检查了治疗史,咨询模式和远程治疗的动机.
主要成果:
- 近75%的参与者已经咨询了医疗专业人员的强迫症,主要是全科医生和心理学家.
- 虽然支持性咨询和药物治疗是常见的,但只有12.5%的人接受了最佳实践CBT.
- 选择ICBT的主要原因包括缺乏面对面治疗的机会 (25.9%) 和对以前的面对面治疗不满 (24.1%).
- 寻求ICBT的原因因地理位置,强迫症严重程度和并发性抑郁症而异.
结论:
- 社区中基于证据的强迫症治疗的不足使用是显而易见的.
- 像ICBT这样的远程治疗选择对于提高获得有效的强迫症治疗的机会至关重要.
- 进一步开发和传播基于远程证据的强迫症治疗方法是有必要的.
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