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在线认知治疗对成年人强迫症痴迷的有效性和媒介:随机对照试验
Klara Olofsdotter Lauri1, Kristina Aspvall2, Nathalie Lybert1
1Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Behaviour research and therapy
|February 24, 2025
概括
通过互联网提供的认知疗法 (I-CT) 在禁忌痴迷的个体中显著降低了强迫症 (OCD) 症状严重程度. 这种新的治疗方法为那些对传统的基于暴露的疗法没有反应的人提供了一个有希望的替代方案.
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:
- 强迫症 (OCD) 中的禁忌痴迷涉及侵略性,性或宗教主题,并且通常抵抗标准暴露疗法.
- 通过互联网提供的干预措施为强迫症症状提供了可访问的治疗选择.
研究的目的:
- 为了评估与一般心理支持相比,针对禁忌痴迷的互联网交付认知治疗 (I-CT) 的有效性.
- 确定负面评价的减少是否调解了I-CT的治疗效果.
主要方法:
- 一项随机对照试验,涉及68名患有强迫症和主要禁忌痴迷的参与者.
- 参与者被分配到为期8周的I-CT或通过互联网提供的一般心理支持.
- 症状严重程度是通过戴着面具的临床医生使用耶鲁-布朗强迫症度量表 (Y-BOCS) 来评估的.
主要成果:
- 两组都显示出明显的强迫症症状减少,但I-CT产生了优异的结果 (d = 0.69).
- I-CT组的响应率和发送率较高,尽管在统计学上并不显著.
- 治疗效果的很大一部分 (55%) 是通过减少负面评价来调解的.
结论:
- 通过互联网提供的认知疗法 (I-CT) 是一种潜在有效的治疗方法,用于禁忌性强迫症患者.
- I-CT为那些不适合或不对基于暴露的治疗做出反应的患者提供了有价值的替代方案.
- 这些发现支持了强迫症的认知模型,强调了负面评估在治疗疗效中的作用.
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