针对社会焦虑障碍的强化7天互联网认知行为治疗:一种随机对照试验
Kayla R Steele1, Emily Upton2, Monique Holden2
1School of Psychology, University of New South Wales, Sydney, Australia; Black Dog Institute, University of New South Wales, Sydney, Australia.
Journal of anxiety disorders
|October 4, 2025
概括
通过互联网进行的强化认知行为疗法 (iCBT) 在患有社会焦虑障碍 (SAD) 的成年人中显著减少了社会焦虑和功能障碍. 这个第一个RCT发现ICBT是可行的和可接受的,较少的参与者符合SAD治疗后的标准.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 社会焦虑障碍 (SAD) 显著影响个人的生活质量.
- 通过互联网提供的认知行为疗法 (iCBT) 提供了一个可扩展的治疗选择.
- 强化短期ICBT对SAD的疗效需要进一步研究.
研究的目的:
- 评估针对社会焦虑障碍 (SAD) 的强化,临床医生指导的互联网交付认知行为疗法 (iCBT) 计划的有效性.
- 评估ICBT对社会焦虑,抑郁和功能障碍的可行性,可接受性和影响.
主要方法:
- 一个随机对照试验 (RCT) 将密集的ICBT (n=33) 与等候名单对照 (WLC; n=28) 进行比较.
- 参与者接受了为期7天,为期6小时的临床医生指导的ICBT计划.
- 结果包括自我报告措施和诊断面试SAD和严重抑郁症 (MDD) 在治疗后和1个月的随访.
主要成果:
- 与WLC相比,iCBT组的社会焦虑症状明显较低 (Hedges的g> .96) 和功能障碍 (g> .59).
- 在减轻抑郁症状方面没有发现显著差异 (g = .42).
- 在随访时,较少的ICBT参与者符合SAD标准 (47.6%) 与WLC (96.4%) 相比.
结论:
- 强化ICBT是一种可行的,可接受的SAD治疗方法,显著减少了社会焦虑和功能障碍.
- 在降低SAD诊断标准方面,iCBT显示出有希望的结果.
- 需要进一步研究活跃对照组,更大的样本和更长的随访时间.
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