在日常临床实践中,社交焦虑障碍的互联网认知疗法的突然收益
See Heng Yim1, David M Clark2, Paul M Salkovskis1,3,4
1Oxford Institute of Clinical Psychology Training, University of Oxford, Warneford Hospital, OX3 7JX Oxford, UK.
Internet interventions
|January 7, 2025
概括
在接受互联网交付的社会焦虑认知治疗的患者中,39%的患者出现了突然的收益,治疗中的症状大大改善. 这些收益与更好的治疗结果和症状减少有关.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 数字健康数字健康
背景情况:
- 突如其来的效益,定义为治疗期间间明显的症状改善,在临床试验中得到了记录.
- 它们在通过互联网进行的心理干预的常规临床实践中的发生情况仍未得到充分研究.
研究的目的:
- 在英国NHS服务中调查治疗师指导的互联网交付的社会焦虑障碍 (iCT-SAD) 认知疗法的突然增长.
- 为了确定突然的收益是否与改善的治疗结果相关,并分析这些收益的过程变量变化.
主要方法:
- 在接受iCT-SAD治疗的146名患者中,使用利博维茨社会焦虑量表分析了突然增强的情况.
- 线性混合效应模型评估了突然增长对临床结果和心理过程变量的影响.
主要成果:
- 在参与者中观察到39%的突然增益发生率.
- 经历突然增长的个体在治疗结束时和三个月后随访时,社会焦虑症状的减少显著增加.
- 在突然的增长之前,消极的社会认知减少了,而同时发生了自我关注的注意力变化.
结论:
- 在常规ICT-SAD中,大约有五分之二的患者经历了突然的增长.
- 经历突然的增长与治疗后优异的临床结果有关.
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