治疗师在针对抑郁症状的个人定制的基于互联网的认知行为治疗指导期间做什么:内容分析
Victoria Aminoff1, Laura Luisa Bielinski2, Matilda Berg1
1Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Internet interventions
|October 6, 2025
概括
治疗师支持的基于互联网的认知行为疗法 (ICBT) 表明量身定制的方法不同于非量身定制的方法. 强化行为可能会改善结果,而不支持的基调可能会导致抑郁症治疗的负面影响.
科学领域:
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 治疗师支持的基于互联网的认知行为疗法 (ICBT) 对抑郁症状有效.
- 引导个别定制的ICBT的治疗师的具体行为尚未得到充分理解.
研究的目的:
- 在个别定制的ICBT中检查治疗师的行为.
- 将这些行为与非定制ICBT中的行为进行比较.
- 调查治疗师行为与治疗结果 (抑郁症状和负面影响) 之间的关联.
主要方法:
- 来自6名治疗师和62名参与者的1055个治疗师与参与者的信息的内容分析.
- 使用Z测试进行非定制ICBT的先前研究与行为比例的比较.
- 相关性分析 (斯皮尔曼的rho) 来评估行为频率与抑郁症状和负面影响的变化之间的关联.
主要成果:
- 从非定制ICBT观察到大多数治疗师行为,但比例不同.
- 诸如"澄清框架"之类的行为更为常见; "同情的言论"不那么常见.
- 治疗师"强化"与抑郁症状的减少相关 (r_s = -0.33,p = 0.033).
- 治疗师"不支持的语气"与负面影响相关 (r_s = 0.35,p = 0.022).
结论:
- 个人定制的ICBT与非定制的ICBT相比,涉及类似但比例不同的治疗师行为.
- 治疗师强化行为可能与更好的治疗结果有关.
- 一个不支持治疗师的语气可能与不良治疗效应有关.
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