一个由教练支持的,智能手机提供的认知行为疗法的试验,用于患有并发性抑郁症的牛皮
John S Barbieri1, Megan H Noe1,2, Nora Bensellam1
1Department of Dermatology, Brigham and Women's Hospital, Boston, MA, USA.
Journal of psoriasis and psoriatic arthritis
|October 13, 2025
概括
一个智能手机交付的认知行为疗法 (CBT) 计划显示了对患有抑郁症的牛皮患者的可行性和可接受性. 该干预措施导致抑郁和焦虑症状的显著改善,突出了其广泛使用的潜力.
科学领域:
- 皮肤病学 皮肤病学
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 牛皮与更高的抑郁风险有关.
- 认知行为疗法 (CBT) 对抑郁症有效,但面临着进入障碍.
研究的目的:
- 评估基于移动应用程序的辅导CBT程序的可行性,可接受性和初步有效性,用于患有牛皮和抑郁症的人.
主要方法:
- 一项为期8周的试点研究 (Mindset试验) 涉及患有牛皮和抑郁症状 (PHQ-9 ≥5) 的成年人.
- 参与者使用智能手机CBT程序,并得到教练的支持.
- 可行性 (模块完成) 和可接受性 (CSQ-8, uMARS) 是主要的结局;症状变化 (PHQ-9,GAD-7,Skindex-16,PSI) 是次要的.
主要成果:
- 63.3%的人完成了至少4个模块,43.3%的人完成了至少6个模块.
- 报告的满意度很高 (CSQ-8平均为27.2, uMARS平均为4.0).
- 在抑郁症 (PHQ-9),焦虑症 (GAD-7),牛皮症状 (Skindex-16) 和生活质量方面有显著改善.
结论:
- 智能手机交付的CBT是可行的,可以接受的,并显示了对患有抑郁症的牛皮患者的初步疗效.
- 可扩展模型需要在皮肤病学环境中的随机试验中进行进一步调查.
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