基于互联网的,治疗师指导的认知行为疗法干预对患有身体形障碍的青少年和年轻成年人的有效性:随机对照试验
Michaela Schmidt1, Katrin Schoenenberg2, Julia E Engelkamp3
1Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Osnabrück University, Osnabrück, Germany.
BMC psychiatry
|April 14, 2025
概括
基于互联网的认知行为疗法 (CBT) 有效地治疗青少年的身体形障碍 (BDD). 与支持性在线治疗相比,这种由治疗师指导的在线CBT显示了BDD症状的显著改善.
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:
- 身体形障碍 (BDD) 是青少年中普遍存在但未得到充分研究和治疗的疾病.
- 对于青少年BDD存在有限的干预研究,需要新的治疗选择.
- 这项研究解决了对青少年BDD的有效,可访问的治疗方法的需求.
研究的目的:
- 评估基于互联网的,治疗师指导的认知行为疗法 (iCBT) 对患有BDD的青少年和年轻成年人的疗效.
- 将ICBT与支持性在线治疗对照组进行比较.
- 评估结果,包括BDD症状严重程度,缓解率和生活质量.
主要方法:
- 一个单盲,随机对照试验,涉及来自德语国家45名青少年 (15-21岁).
- 参与者被分配到12次ICBT或12周的支持性在线治疗.
- 主要结局:专家评价BDD症状严重程度的变化 (BDD-YBOCS);次要结局包括缓解率,BDD认知,生活质量和抑郁症状.
主要成果:
- 在减少BDD症状严重程度 (p=.002) 方面,iCBT的疗效明显大于支持性在线治疗,效果大.
- 在iCBT的大多数次要结果中观察到显著的改善,包括缓解和响应率,在4周的随访中保持了收益.
- 与对照组相比,iCBT参与者实现了更高的缓解率 (61.5%) 和响应率 (66.7%),缓解率差异显著.
结论:
- 基于互联网的CBT是青少年身体形障碍的有效治疗方法,与主动对照相比.
- 这项研究为患有BDD的青少年提供了急需的,可访问的治疗选择.
- 这些发现有助于在青少年群体中对BDD进行有限的干预研究.
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