治疗师在患者坚持基于互联网的认知行为疗法的作用:定性研究
Henriikka Anne-Mari Seittu1,2, Tomas Falk2,3, Kushagra Bhatnagar2
1Department of Public Health, University of Helsinki, PO BOX 20 (Tukholmankatu 8 B), Helsinki, 00014, Finland, 358 505729645.
Journal of medical Internet research
|September 10, 2025
概括
在基于互联网的认知行为疗法 (iCBT) 中,治疗师的支持对于患者的坚持至关重要. 关键要素包括加强自主,治疗联盟和情绪调节,即使是通过简单的短信.
科学领域:
- 数字心理健康数字心理健康
- 临床心理学 临床心理学
- 心理治疗的研究研究.
背景情况:
- 基于互联网的认知行为疗法 (iCBTs) 对各种心理健康状况有效.
- 治疗师辅助的ICBT显示出比自导版本更低的学率.
- 治疗师支持在iCBT遵守中的具体作用尚未得到充分研究.
研究的目的:
- 探索患者在治疗师辅助iCBT的经验.
- 为了确定被认为对治疗坚持是重要的因素.
- 澄清治疗师支持在iCBT过程中的作用.
主要方法:
- 定性研究涉及89个半结构面试与iCBT用户.
- 采访使用定性Gioia方法进行分析.
- 参与者参与了各种治疗师辅助的ICBT项目,以治疗抑郁症和焦虑症等疾病.
主要成果:
- 通过加强个人自主权,治疗师的支持可以提高坚持.
- 治疗师对治疗联盟的承诺对于坚持至关重要.
- 帮助情绪调节,通常是通过基于文本的交互,显著影响了坚持.
结论:
- 在数字心理健康干预中,人力支持仍然至关重要.
- 治疗师在心理健康护理数字化中的作用不应被削弱.
- 基于文本的治疗师互动可以在iCBT中产生很大的影响.
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