视频会议为社会焦虑障碍提供认知行为疗法:一个随机对照试验
Halaina R Winter1, Alice R Norton1,2, Bethany M Wootton1
1Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Ultimo, NSW 2007, Australia.
Cognitive behaviour therapy
|August 6, 2025
概括
通过视频会议提供的认知行为疗法 (vCBT) 有效治疗社会焦虑障碍 (SAD),显示显著的症状减少和高可接受性. 这种远程治疗选择的疗效与亲临治疗相美.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 数字治疗学数字治疗学
- 临床心理学 临床心理学
背景情况:
- 社会焦虑障碍 (SAD) 对获得传统的面对面治疗构成重大障碍.
- 通过视频会议提供认知行为疗法 (vCBT) 为改善治疗可访问性提供了一个潜在的解决方案.
研究的目的:
- 评估对被诊断患有SAD的个人进行vCBT的疗效和可接受性.
- 为了比较vCBT与等候名单对照组的有效性.
主要方法:
- 一项随机对照试验涉及78名患有SAD的参与者.
- 参与者被分配到vCBT条件或等候名单对照组.
- 用社会交互焦虑量表 (SIAS-6) 和社会恐惧症量表 (SPS-6) 评估治疗结果.
主要成果:
- 在减少社会焦虑症状 (SIAS-6,SPS-6) 方面,vCBT表现出很大的群体内效应大小.
- 组间分析显示,与等候名单对照组相比,vCBT组的显著改善 (中大效果大小).
- 在治疗后,57%的vCBT参与者不再符合SAD标准,68%的患者在3个月的随访后得到缓解.
结论:
- vCBT是一种有效且可接受的社会焦虑障碍远程治疗方法.
- 对vCBT的治疗效果大小与人身认知行为疗法相当.
- vCBT是增加获得基于证据的SAD治疗的可行选择.
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