基于互联网的认知行为疗法的有效性与虚拟现实暴露疗法治疗社会焦虑障碍:香港的一项随机对照试验
Jia-Yan Pan1, Graham R Thew2, David M Clark2
1Department of Social Work, Hong Kong Baptist University, Hong Kong, China.
Journal of affective disorders
|April 24, 2025
概括
基于互联网的认知行为疗法 (iCBT) 与虚拟现实暴露疗法 (VRET) 有效地治疗香港成年人的社会焦虑障碍 (SAD). 网页和应用程序格式都显示了持续的改进,提供了可访问的心理健康解决方案.
科学领域:
- 心理健康 心理健康
- 精神病学是一个精神病学.
- 数字治疗学数字治疗学
背景情况:
- 社会焦虑障碍 (SAD) 是普遍存在的,但在全球范围内治疗不足.
- 基于互联网的认知行为疗法 (iCBT) 和虚拟现实暴露疗法 (VRET) 是对SAD的既定治疗方法.
- 对ICBT和VRET的整合,特别是在中国社区,仍未得到充分探索.
研究的目的:
- 为了评估14周综合ICBT和VRET计划"在社交活动中缓解焦虑在线" (Ease Online) 的有效性,针对香港患有SAD的成年人.
- 为了比较基于Web和基于应用程序的iCBT与VRET交付格式的有效性.
- 评估治疗收益的长期维持情况.
主要方法:
- 一项随机对照试验,涉及329名被诊断患有SAD的香港华裔成年人.
- 参与者被分配到基于网络的iCBT与VRET,基于应用程序的iCBT与VRET,或等候名单控制 (WLC).
- 社会恐惧症库存 (SPIN) 是主要的结果指标,在基线,治疗后和3个月和6个月的随访期间进行评估. 用线性回归和混合效应模型进行分析.
主要成果:
- 与WLC组相比,iCBT和VRET组在初级和二级结局上均显示出明显更大的改善.
- 在基于网络和基于应用程序的iCBT与VRET格式之间,治疗效果是可比的.
- 可靠的改善率为34% (web) 和40% (app) 与11% (WLC) 相比,缓解率为15% (web) 和23% (app) 与3% (WLC).
- 观察到的改善在3个月和6个月的随访中持续存在.
结论:
- 结合VRET的基于网络和基于应用程序的iCBT是香港中国成年人社会焦虑障碍的有效治疗方法.
- "Ease Online"计划为该群体中患有SAD的人提供了可行的和有效的数字治疗选择.
- 这些发现支持SAD综合数字心理健康干预措施的可扩展性和可访问性.
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