治疗师指导的互联网交付认知行为疗法的成本和结果:多中心观察研究
Zareen Abbas Khan1,2, Jørn Heggelund3, Stian Lydersen4
1Research and Development Unit, Department of Mental Health Care, St Olav's University Hospital, Trondheim, Norway.
Journal of medical Internet research
|July 28, 2025
概括
治疗师指导的互联网认知行为疗法 (iCBT) 在日常护理中有效治疗抑郁症,焦虑症和恐慌症,改善患者的结果和功能. 成本因医院而异,突出显示了患者数量对资源效率的影响.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 治疗师指导的互联网认知行为疗法 (iCBT) 对抑郁症,焦虑症和恐慌症有很大的前景.
- 关于iCBT在国家医疗保健机构的实际结果和成本的数据有限.
研究的目的:
- 评估治疗师指导的抑郁症,社会焦虑症和恐慌症iCBT的项目成本和结果.
- 检查不同医院iCBT成本和影响的变化.
主要方法:
- 在挪威4家医院中对565名患者进行单臂观察研究 (2021-2024年).
- 测量症状严重程度 (PHQ-9,SPIN,PDSS),生活质量 (EQ-5D-5L) 和工作/社会功能 (WSAS).
- 从医院和社会角度分析了项目成本和病假日.
主要成果:
- 治疗后和6个月后期观察到症状,生活质量和功能方面的显著改善.
- 病假日数显著减少,EQ-5D-5L实用性得分增加.
- 每名患者的平均项目成本为1030.12美元,与患者数量相关的显著变化 (636.41美元至2152.47美元) 有关.
结论:
- 治疗师指导的ICBT在日常专业护理中有效改善心理健康结果.
- 医院患者数量显著影响iCBT计划的成本效益.
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