治疗师指导的互联网交付的接受增强的皮肤挑选障碍行为疗法:一个随机对照试验
Mia Asplund1, Fabian Lenhard1, Christian Rück1
1Karolinska Institutet.
Behavior therapy
|January 15, 2025
概括
通过互联网提供的接受增强行为疗法 (iBT) 有效治疗皮肤挑选障碍 (SPD). 与等待名单对照相比,这种由治疗师指导的在线治疗显著减少了症状,并增加了缓解率.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 行为科学 行为科学
背景情况:
- 皮肤摘取障碍 (SPD) 很普遍,但由于地理,经济和治疗师可用性的障碍,治疗机会有限.
- 通过互联网提供的疗法为SPD患者克服这些访问限制提供了潜在的解决方案.
研究的目的:
- 评估治疗师指导的在互联网上提供的接受增强行为疗法 (iBT) 治疗皮肤摘取障碍 (SPD) 的有效性.
- 为了比较iBT与等待列表控制条件在减少SPD症状方面的有效性.
主要方法:
- 一项随机对照试验,将10周的治疗师指导的IBT (n=35) 与等待列表对照组 (n=35) 的比较.
- 主要结局指标是修订后的皮肤选择量表 (SPS-R).
- 混合模型回归分析被用来评估治疗后和6个月后的治疗效果.
主要成果:
- 与对照组相比,iBT组在治疗后的SPD症状显著改善 (两组之间的差异为-5.1分,p < .001).
- 观察到一个很大的效果大小 (d=1.3). 在治疗后,43%的iBT参与者是响应者,31%的患者处于缓解状态.
- 在6个月的随访中,改善状况保持不变,尽管症状水平从治疗后增加.
结论:
- 由治疗师指导的互联网接受增强行为疗法 (iBT) 是治疗皮肤挑选障碍 (SPD) 的有效治疗方法,无论是在治疗后还是随访时.
- iBT有可能显著提高SPD基于证据的治疗方法的可用性和可访问性.
- 报告显示,参与者的满意度,可信度和工作联盟都很高,支持这种干预的可行性.
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