对香港患有抑郁症症状的人进行文化适应的基于互联网的引导性认知行为疗法:随机对照试验
1Department of Social Work, Hong Kong Baptist University, Hong Kong, China (Hong Kong).
Journal of medical Internet research
|February 25, 2025
概括
基于互联网的认知行为疗法 (iCBT) 在香港中文有效治疗抑郁症. 文化适应的ICBT程序显示显著的症状减少和高康复率,为传统治疗提供了可行的替代方案.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 精神病学是一个精神病学.
背景情况:
- 许多患有抑郁症的香港居民没有被诊断和治疗.
- 基于互联网的认知行为疗法 (iCBT) 可以改善获得心理健康服务的机会.
- 在中国社区,特别是香港,iCBT的运用不足.
研究的目的:
- 为经历抑郁症状的香港华裔个人开发和评估文化适应的iCBT计划的有效性.
- 调查这个iCBT计划的治疗坚持率.
主要方法:
- 开发了一个为期11周的指导性ICBT计划 (CANDO),通过网络或应用程序提供.
- 一项三臂随机对照试验包括402名轻度至中度抑郁症的参与者.
- 参与者被分配到基于网络的ICBT,基于应用程序的ICBT或等候名单对照组.
主要成果:
- 与对照组相比,基于网络和应用程序的ICBT组显示出抑郁症状的显著改善.
- 对于抑郁症得分的降低,观察到很大的效果大小 (BDI-II和PHQ-9).
- 完成模块的坚持率为57.0%,辅导会的坚持率为56.3%,恢复率约为39-40%.
结论:
- 文化适应的iCBT是一种有效和可行的治疗抑郁症在香港中文.
- iCBT提供了一个可访问的替代人体治疗.
- 建议增加政府对iCBT的支持和资源.
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