基于互联网和基于移动设备的认知行为疗法的对耳干预的影响:系统性审查和元分析
Qinan Xian1, Juan Zhou2, Xin Li1
1School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China.
Explore (New York, N.Y.)
|August 16, 2025
概括
基于互联网的认知行为疗法 (i-CBT) 有效地减少了耳的症状困扰,失眠,焦虑和抑郁. 这种低成本,灵活的方法为耳管理提供了一个有希望的新方向,特别是在资源有限的地方.
科学领域:
- 听力学 听力学是指听力学.
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 耳是一种普遍的听力障碍,严重影响生活质量,经常与抑郁症和焦虑症同时发生.
- 传统的声疗法存在诸多挑战,包括副作用和高成本.
- 基于互联网的认知行为疗法 (i-CBT) 成为一种灵活且具有成本效益的替代方案.
研究的目的:
- 通过元分析系统地评估i-CBT对耳患者的干预效应.
- 评估i-CBT在管理耳声和相关心理痛苦方面的潜在临床价值.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 从创立到2025年1月,搜索了四个主要数据库.
- 在普罗斯佩罗注册的研究协议 (ID:CRD42025646698).
主要成果:
- 包括9项研究,证明i-CBT显著改善了耳症状,失眠,焦虑和抑郁.
- 显著改善的关键指标包括耳功能指数,耳问卷,失眠严重程度指数,GAD-7,HADS焦虑,HADS抑郁和PHQ.
- 对于Tinnitus Handicap Inventory或耳认知问卷没有观察到显著的改善.
结论:
- i-CBT在减少耳的严重程度和缓解失眠,焦虑和抑郁等相关症状方面显示出有益的效果.
- 提供一种可扩展的,低成本的耳管理治疗方法,在资源有限的环境中特别有价值.
- 需要进一步的研究来优化i-CBT干预措施,标准化措施,并通过大规模的多中心试验确认长期疗效.
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