基于互联网的小组中的工作联盟和赋权与个人治疗:二次分析
Laura Duddeck1, Ava Schulz2, Babette Renneberg3
1Department of Psychology and Psychotherapy, Psychologische Hochschule Berlin, Berlin, Germany.
Cognitive behaviour therapy
|June 26, 2025
概括
针对社会焦虑障碍 (SAD) 的在线干预显示出潜力,但其有效性机制尚不清楚. 这项研究发现,在改善赋权或工作联盟方面,群体和个人治疗之间没有显著差异,尽管两者随着时间的推移都得到了改善.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 数字健康数字健康
背景情况:
- 基于互联网的干预越来越多地用于心理支持.
- 在线干预的有效性背后的机制,如赋权和工作联盟,需要进一步调查.
- 社会焦虑障碍 (SAD) 构成了重大的公共卫生挑战,需要可获得的治疗选择.
研究的目的:
- 为了比较临床医生指导的小组 (GT) 与个人 (IT) 基于互联网的干预措施对SAD的有效性.
- 检查授权和工作联盟在减少SAD症状和改善治疗坚持方面的作用.
- 研究授权和工作联盟对治疗结果的潜在调解效应.
主要方法:
- 120名患有SAD的人被随机分配到GT或IT条件中.
- 在整个干预过程中,授权和工作联盟被反复评估.
- 测量了社会焦虑症状和坚持 (完成的练习).
- 统计分析包括t测试,相关性,重复测量ANOVA和调解模型.
主要成果:
- 在赋权或工作联盟方面,GT和IT之间没有发现显著差异.
- 在两种治疗条件下,赋权和工作联盟都得到了改善.
- 在工作联盟中,GT表现出了早期的优势,而IT表现出了稍微更好的坚持.
- 在IT条件中观察到授权和坚持之间更强的关联.
- 没有发现授权或工作联盟对减少社会焦虑或坚持社会的调解效应.
结论:
- 在线干预,无论是团体还是个人,都显示出增强患者赋权的潜力.
- 无论是小组还是个体的临床医生指导的互联网干预措施都被发现在增强授权或工作联盟方面都没有优势.
- 关于授权和联盟的研究结果应该被解释为由于潜在权力限制的趋势.
- 需要进一步的研究来阐明这些在线干预措施可以减少社会焦虑症状的确切机制.
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