对患有恐慌症患者的在线自助计划的评估:随机对照试验
Christopher Lalk1, Teresa Väth1, Sofie Hanraths1
1Clinical Psychology and Psychotherapy of Adulthood, Institute of Psychology, University Osnabrück, Osnabrück, Germany.
Journal of medical Internet research
|April 2, 2025
概括
这种在线认知行为疗法 (iCBT) 计划有效地减少了恐慌症和 agoraphobia 症状. 虽然健康状况没有改善,但干预措施也降低了参与者的焦虑和抑郁.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 恐慌症和 agoraphobia 是使人虚弱的焦虑障碍影响福祉.
- 基于互联网的认知行为疗法 (iCBT) 提供了一个可扩展的治疗选择.
- iCBT有可能克服传统心理健康治疗的障碍.
研究的目的:
- 评估一种新的在线自助干预措施对恐慌症的有效性,包括或不包括 agorahobia.
- 主要假设侧重于改善恐慌, agoraphobia 症状和整体幸福感.
- 二次假设旨在评估日常功能,心理健康素养,工作能力和医疗保健利用率的改善.
主要方法:
- 一项随机对照试验,涉及156名德语成年人 (18-65岁) 被诊断患有恐慌障碍,或没有 agorahobia.
- 干预组 (n=82) 接受了为期12周的在线课程,包括精神教育,认知重组,暴露和正念.
- 对照组 (n=72) 接受了通常的护理,可以选择在研究后访问该计划. 通过恐慌和恐惧场景尺度 (PAS) 和WHO-5幸福指数测量的主要结果.
主要成果:
- 参与者平均完成了12个模块中的7.3个 (60.8%);32.1%完成了整个课程.
- 干预组显示PAS得分显著降低 (P=.03) 效果大小小小至中等 (d=-0.37).
- 在焦虑症 (P<.001,d=-0.60) 和抑郁症 (P<.001,d=-0.41) 中注意到显著改善,但在WHO-5福利或次要结局方面没有.
结论:
- 在线干预有效地减少了恐慌障碍和 agoraphobia 的核心症状,以及焦虑和抑郁.
- 没有观察到对幸福或次要结果的显著影响,可能受到疾病负担和COVID-19大流行的影响.
- 建议进行进一步的研究和干预调整,以提高福利和其他次要措施的结果.
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