基于互联网的酒精使用障碍认知行为疗法:对证据和未来潜在潜力的系统审查
Fernanda Gushken1, Gabriel P A Costa2, Anderson de Paula Souza3
1Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Journal of substance use and addiction treatment
|January 27, 2025
概括
基于互联网的认知行为疗法 (iCBT) 显示出作为酒精使用障碍 (AUD) 治疗的有效补充剂的承诺,提供更好的访问. 需要进一步的研究来标准化方法,并确保不同人群的公平获取.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 精神病学和行为科学
- 公共卫生 公共卫生
背景情况:
- 认知行为疗法 (CBT) 对于酒精使用障碍 (AUD) 有效,但由于劳动力短缺,获取能力有限.
- 基于互联网的认知行为疗法 (iCBT) 利用技术提供CBT原则,提供灵活的交付模式 (自我引导,治疗师引导,混合).
研究的目的:
- 系统地审查目前关于iCBT治疗AUD有效性的证据.
- 确定AUD现有的iCBT研究中的差距和局限性.
主要方法:
- 在2023年8月,在主要数据库 (PubMed,Embase,Cochrane,Web of Science,Scopus) 进行了全面的系统文献搜索.
- 从最初的497项已识别的研究中,包括了5项高质量的研究.
主要成果:
- 与AUD的通常治疗相比,iCBT证明了非劣到优异的戒断结果.
- 大多数研究表明,ICBT是对AUD的可行和可访问的辅助治疗.
- 限制包括结果指标的变化,招聘挑战,以及忽视诸如健康公平和保险覆盖等因素.
结论:
- iCBT为AUD提供了一种可行的辅助治疗,提高了可访问性.
- 进一步的研究应该集中在更大的试验中,使用标准化的控制和结果测量.
- 未来的研究必须优先考虑多元化的参与者招募和文化适应的多语言iCBT材料,以解决健康差异.
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