一个为期6个月的支持在线计划,用于治疗迫害妄想:感觉更安全
Daniel Freeman1,2, Louise Isham1,2, Jason Freeman1
1Department of Experimental Psychology, https://ror.org/052gg0110University of Oxford, Oxford, UK.
Psychological medicine
|June 30, 2025
概括
感觉更安全的在线计划显著减少了精神病患者的迫害妄想. 这种可扩展的数字疗法显示出高临床有效性,与人体治疗相美,需要进一步的随机对照试验.
科学领域:
- 数字心理健康干预数字心理健康干预
- 精神病治疗 精神病治疗
- 在线心理治疗在线心理治疗
背景情况:
- 开发了一个可扩展的,为期6个月的在线课程,基于对迫害妄想的有效面对面治疗.
- 旨在提供可访问的干预,具有很大的临床效果,并减少了治疗师接触时间.
- 进行了概念验证测试,需要至少适度的临床效应才能进入随机对照试验 (RCT).
研究的目的:
- 为了测试"感觉更安全"在线计划的概念验证.
- 评估数字干预对迫害妄想的临床效果和可用性.
- 确定干预的效果是否足以推进随机对照试验 (RCT).
主要方法:
- "感觉更安全"计划是一款经过认证的医疗器械,为患者提供了多达10个基于评估的模块.
- 包括定期与心理健康专业人员进行远程会议,并可能通过亲自访问来补充.
- 14名患者的治疗前后队列试验使用精神病症状评分表 (PSYRATS) - 妄想评估了主要结果.
主要成果:
- 在线程序的高满意度和可用性评分被报告.
- 观察到迫害妄想的减少非常大 (科恩d = 3.0).
- 在偏执,焦虑,抑郁,心理健康和生活质量方面,人们注意到了显著的改善.
结论:
- 感觉更安全的在线计划证明了对迫害妄想的非常高的临床效应.
- 这些效果与面对面治疗的效果相似.
- 结果支持向随机对照试验 (RCT) 的进展.
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