基于互联网的认知行为疗法与非专业人士支持:一种混合方法评估授权@家
Xiaoling Xiang1, Xinyin Zhang2, Elyse Narbut2
1School of Social Work, University of Michigan, Ann Arbor, Michigan, USA.
Clinical gerontologist
|July 2, 2025
概括
基于互联网的认知行为治疗 (iCBT) 计划Empower@Home有效地减少了老年人的抑郁症并改善了老年人的心理健康. 该计划显示了高完成率和显著的症状减少.
科学领域:
- 老年学是一门学科.
- 心理健康 心理健康
- 数字健康数字健康
背景情况:
- 年长的成年人经历了高水平的抑郁症和心理健康挑战.
- 对于这一群体来说,获得传统的心理健康服务可能是有限的.
- 基于互联网的认知行为疗法 (iCBT) 为老年人提供了一个可扩展的解决方案.
研究的目的:
- 评估Empower@Home的有效性,这是一项以老年人为中心,非专业人士支持的抑郁症iCBT计划.
- 评估使用iCBT程序在老年人中抑郁,焦虑和社会孤立的变化.
- 探索与iCBT计划的影响和用户体验相关的定性主题.
主要方法:
- 采用了并发混合方法设计.
- 在治疗前和治疗后评估了50岁以上的224名轻度至中度抑郁症状的成年人.
- 使用配对t测试和混合效应建模分析了定量数据;来自148名参与者的定性数据为主题分析提供了信息.
主要成果:
- 该计划的完成率为90%.
- 观察到抑郁症 (科恩d=0.9),焦虑和社会隔离的显著减少.
- 定性发现突出了CBT技能的获取和应用,改善了情感福祉,自我意识和自我照顾.
结论:
- 以老年人为中心,非专业人士支持的ICBT是一种有希望的干预措施,可以减少老年人的抑郁症并增强老年人的心理健康.
- 该计划证明了可行性和有效性,为改善该人口的心理健康结果提供了宝贵的工具.
- 研究结果为优化老年人数字心理健康干预提供了洞察力.
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