对于患有抑郁症和焦虑症的成年人来说,通过互联网提供的以化为重点的CBT干预:随机对照试验
Bogdan Tudor Tulbure1, Diana Paula Dudău2, Ștefan Marian1
1West University of Timișoara.
Behavior therapy
|June 20, 2025
概括
治疗师支持的基于互联网的认知行为疗法有效地减少了成年人反复的负面思维 (RNT),焦虑和抑郁. 对于RNT,焦虑和反的这些积极结果在6个月的随访中得到维持.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 行为科学 行为科学
- 数字健康数字健康
背景情况:
- 重复的负面思维 (RNT),包括担忧和反省,是一种涉及抑郁和焦虑的跨诊断机制.
- 针对RNT可能会提供一种统一的方法来改善对这些常见心理健康状况的干预措施.
研究的目的:
- 评估治疗师支持的基于互联网的RNT向性认知行为疗法 (i-RF-CBT) 在减少RNT,焦虑和抑郁方面的有效性.
- 评估针对高RNT和焦虑和/或抑郁障碍的成年人RNT的跨诊断益处.
主要方法:
- 一个单盲,双臂并行组优势随机对照试验 (RCT) 涉及118名RNT升高的成年人,并诊断出焦虑和/或抑郁障碍.
- 参与者被随机分配到i-RF-CBT或等候名单对照组 (延迟治疗7周).
- 主要结局包括在7周内坚持性思维,焦虑和抑郁症的变化,次要结局在6个月的随访中进行评估.
主要成果:
- 与等待名单对照组相比,i-RF-CBT组在7周后表现出坚持性思维,沉思,担忧,焦虑 (GAD7) 和抑郁 (PHQ9) 的显著减少.
- 对RNT,焦虑,焦虑和抑郁的效应大小从中度 (d=0.38) 到大 (d=0.62) 之间.
- 在6个月后的后续评估中,这些改善得到维持.
结论:
- 治疗师支持的基于互联网的RNT准CBT是减少RNT,焦虑和抑郁症的有效干预措施,这些条件的成年人.
- 这些发现提供了原则证明,准RNT产生了跨诊断的好处,支持其在治疗伴随性焦虑和抑郁障碍方面的作用.
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