在成年人中实施因特网提供的认知行为疗法治疗抑郁和焦虑:系统性审查
Daniel Duffy1, Derek Richards1, Garrett Hisler1
1Amwell Science, Amwell, Boston, MA, United States.
Journal of medical Internet research
|January 28, 2025
概括
本综述综合了关于实施抑郁和焦虑的互联网认知行为疗法 (iCBT) 的研究结果. 关键因素包括治疗师/患者的态度,指导与非指导的iCBT,以及工作场所的整合,突出了需要更多的实施研究.
科学领域:
- 心理健康研究 心理健康研究
- 数字治疗学数字治疗学
- 临床心理学 临床心理学
背景情况:
- 针对成年人抑郁和焦虑的互联网认知行为疗法 (iCBT) 的实施研究结果稀缺且碎片化.
- 识别基于证据的因素对于成功的现实世界iCBT采用至关重要.
研究的目的:
- 从研究文章中系统地审查影响iCBT实施的方面.
- 评估与iCBT服务运营管理相关的因素.
主要方法:
- 进行了融合混合方法系统审查.
- 在多个数据库 (PsycINFO,MEDLINE,Embase等) 进行了搜索. 对于关于iCBT实施的同行评审文章.
- 分析了40种不同的文章类型,使用描述性-解释性方法.
主要成果:
- 治疗师/患者的态度,指导性iCBT的优越性,以及对面对面治疗的非劣势性是关键.
- 工作场所的实施包括服务管理,员工激励,支持提供和选.
- 背景因素包括立法,劳动力可用性和成本.
结论:
- 在临床实践中实施ICBT需要考虑几个因素.
- 由于所包含的研究的异质性,研究结果应谨慎解释.
- 需要更多的研究,专门评估iCBT实施情况.
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