不同的路径:在基于互联网的痴迷强迫症认知行为干预中,模拟不良影响,态度,感知依从性和治疗效果之间的关系
Anna Baumeister1, Lea Schuurmans1, Josephine Schultz1
1University Medical Center Hamburg-Eppendorf, Department of Psychiatry and Psychotherapy, Hamburg, Germany.
Behaviour research and therapy
|December 22, 2024
概括
患者的态度和不良影响对强迫症 (OCD) 基于互联网的干预措施 (IBI) 的坚持产生负面影响. 然而,在本研究中,坚持感知与治疗结果没有相关性.
科学领域:
- 精神病学是一个精神病学.
- 数字健康数字健康
- 行为科学 行为科学
背景情况:
- 基于互联网的干预措施 (IBI) 对精神疾病显示出有效性,但机制和影响因素仍未得到充分探索.
- 低坚持是IBI的一个重大挑战,其与治疗改善的关系尚不清楚.
- 患者的态度,信念和不良影响是被忽视的因素,可能会影响IBI的有效性.
研究的目的:
- 研究强迫症障碍 (OCD) 的IBI中不良影响,态度,感知依从性和治疗效果之间的关系.
主要方法:
- 从151名患有强迫症症状的个人接受IBI的数据的二次分析.
- 对IBI的态度进行了干预前评估;干预后评估的坚持感知和不良影响.
- 用于检查关系的路径分析,在两个时间点测量强迫症症状严重程度.
主要成果:
- 对IBI和不良影响的态度与坚持感知有负面关联.
- 坚持感知与治疗效果没有显著关联 (强迫症症状严重程度的变化).
- 客观和主观的遵守措施没有显示任何相关性.
结论:
- 假设模型没有得到支持,表明因素的复杂相互作用.
- 管理用户对IBI和潜在不良影响的期望可能会提高遵守率.
- 需要进一步的研究来澄清粘附感知在强迫症IBI治疗结果中的作用.
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