一种文化适应的移动认知行为疗法,用于乙型肝炎患者的抑郁,焦虑和压力治疗:试点随机对照试验
Chao Kei Lao1, Xi Wang2, Xinyi Li2
1Macau University of Science and Technology, Macau.
Internet interventions
|July 23, 2025
概括
一项试点研究发现,针对乙型肝炎病毒 (HBV) 感染的移动认知行为干预是可行的和可接受的. 然而,与等候名单对照相比,它没有显著减少抑郁,焦虑或压力.
科学领域:
- 心理学 心理学 心理学
- 乙型肝炎病毒 (HBV) 研究
- 数字健康干预措施 数字健康干预措施
背景情况:
- 慢性乙型肝炎病毒 (HBV) 感染显著影响患者的身体,心理和社会福祉,往往导致抑郁,焦虑和压力.
- 针对HBV患者进行量身定制的在线心理干预的有限可用性,是一个显著的未满足的需求.
- 文化适应的数字干预对于解决HBV患者面临的心理健康挑战至关重要.
研究的目的:
- 评估中国HBV患者四周移动认知行为干预的可行性,可接受性和有效性.
- 评估干预对抑郁,焦虑,压力,疲劳,认知灵活性和创伤后压力的影响.
- 为在HBV人群中提供数字心理健康支持的更大规模试验的开发提供信息.
主要方法:
- 一项试点随机对照试验,涉及37名患有HBV和中度至重度心理困扰的成年人 (18-65岁).
- 参与者被随机分配到移动认知行为干预组或等候名单对照组.
- 干预包括动画精神教育,互动练习和每周反;结果每周评估,在基线/干预后评估.
主要成果:
- 干预是可行的,没有报告严重不良事件,参与者的满意度很高.
- 干预组的参与者平均完成了43.2%的课程.
- 虽然这两组都在抑郁和焦虑方面有所改善,但干预组和对照组在初级或二级心理结果方面没有发现显著差异.
结论:
- 该试点研究证明了HBV患者移动认知行为干预的可行性和可接受性.
- 进一步细化干预内容和交付是必要的,以提高有效性.
- 需要进行更大规模的试验,以确认在线心理干预的有效性,并改善这一群体的参与度.
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