在数字诊所中评估通过互联网提供的焦虑和抑郁的认知行为治疗方案
Alexandra L Silverman1,2, IreLee Ferguson3, Jacqueline R Bullis1,2
1Division of Depression and Anxiety, McLean Hospital, Belmont, MA, USA.
Journal of mood and anxiety disorders
|July 14, 2025
概括
像SilverCloud和THIS WAY UP (TWU) 这样的在互联网上提供的认知行为治疗 (iCBT) 程序显示对焦虑和抑郁的有效性. 两个程序都产生了类似的结果,尽管SilverCloud用户报告了更高的参与度.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 心理学 心理学 心理学
背景情况:
- 通过互联网提供的认知行为疗法 (iCBT) 对焦虑和抑郁有效.
- 像SilverCloud和THIS WAY UP (TWU) 这样的iCBT程序的比较有效性尚未得到充分理解.
研究的目的:
- 为了比较客户满意度,主观参与度和SilverCloud和TWU iCBT计划之间的治疗结果.
- 为了评估iCBT对焦虑和抑郁的有效性.
主要方法:
- 对195名使用SilverCloud或TWU的成年患者进行非随机程序评估.
- 评估治疗前,治疗后和四个月后续的结果.
主要成果:
- 两项计划都在治疗前后显著改善了抑郁症,焦虑症和功能障碍,并在随访期间保持.
- 银云用户报告主观参与度明显高于TWU用户.
- 没有发现客户满意度或方案之间的治疗结果变化斜率的显著差异.
结论:
- 像SilverCloud和TWU这样的iCBT程序对于治疗焦虑和抑郁是有效的.
- 虽然SilverCloud显示了更高的用户参与度,但整体治疗结果和满意度在两个程序之间是可比的.
- 需要进一步的研究,包括使用更大的样本进行随机对照试验,以确认这些发现.
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