主要药物治疗后出现症状的恐慌症患者的视频会议认知行为疗法:一个随机的,评估者盲目的,受控的试验
Yoichi Seki1, Ryo Takemura2, Chihiro Sutoh3
1Cognitive Behavioral Therapy Center, Chiba University Hospital, 1-8-1 Inohana, Chuo-ku, Chiba-shi, , 260-8677, Chiba, Japan. yoichi-seki@chiba-u.jp.
BMC psychiatry
|September 24, 2025
概括
基于视频会议的认知行为疗法 (CBT) 有效地治疗耐药患者的恐慌症. 这种远程治疗为那些难以获得面对面治疗的人提供了可行的替代方案.
科学领域:
- 精神病学和行为健康
- 远程医疗远程医疗
- 临床心理学 临床心理学
背景情况:
- 药物治疗是恐慌症的主要治疗方法,但许多患者仍然表现出症状.
- 在现实世界中,人身认知行为疗法 (CBT) 的使用往往是有限的.
- 对药物治疗耐药的恐慌症需要新的治疗策略.
研究的目的:
- 评估视频会议为基础的CBT的疗效,作为一种辅助治疗,用于那些没有响应初始药物治疗的恐慌障碍患者.
- 评估远程CBT在改善恐慌失调症状方面的有效性.
主要方法:
- 进行了一项随机对照试验,该试验对药物治疗后患有恐慌障碍的症状患者进行了随机对照.
- 参与者被分配到基于视频会议的CBT加常规护理或单独的常规护理.
- 主要结局指标是8周和16周恐慌障碍严重程度等级 (PDSS) 得分的变化.
主要成果:
- 16周后,基于视频会议的CBT组显示PDSS得分明显减少,与通常护理组相比 (平均差异: -8.67,P < .0001).
- 与常规护理组相比,基于视频会议的CBT组中的患者比例显著更高,实现了积极反应 (80%与6.7%) 和缓解 (66.7%与0.0%).
- 这项研究包括30名参与者 (每组15名).
结论:
- 基于视频会议的CBT是治疗惊慌失调患者的有效治疗方法,尽管药物治疗仍然存在症状.
- 这种远程传递方法为患有恐慌障碍的个人提供了切实可行的解决方案,他们面临着接触传统CBT的挑战.
- 远程医疗CBT对管理恐慌症,包括慢性形式的治疗有前途,特别是当亲自治疗难以获得时.
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