数字与面对面的认知行为治疗对酒精使用障碍的比较有效性:系统性审查和元分析
Ji Eun Kim1,2, Jiyeong Kim3,4, Nayeon Choi4
1Department of Psychiatry, https://ror.org/046865y68Hanyang University College of Medicine, Seoul, Korea.
Psychological medicine
|October 20, 2025
概括
数字认知行为疗法 (CBT) 显著减少了成年人饮酒障碍 (AUD) 的饮酒量. 面对面的CBT在减少饮酒频率方面更有效,特别是在积极治疗环境中.
科学领域:
- 精神病学和行为科学 精神病学和行为科学
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 酒精使用障碍 (AUD) 是一个重要的公共卫生问题,对个人健康和社会功能产生重大影响.
- 认知行为疗法 (CBT) 是对AUD的一种成熟治疗方法,传统上是亲自提供.
- 数字化提供CBT提供了更高的可访问性和便利性,解决了传统面对面治疗的障碍.
研究的目的:
- 系统地审查和比较数字与面对面的CBT对AUD成年人的有效性.
- 进行随机对照试验 (RCT) 的元分析,评估这些不同的交付格式.
主要方法:
- 遵守PRISMA 2020系统审查指南.
- 包括25个RCT,共有2065名参与者.
- 随机效应元分析使用标准化平均变化 (SMCR) 来评估干预前后效应.
主要成果:
- 数字CBT显示饮用量显著减少 (SMCR = 1.21,p = 0.004).
- 与数字CBT (SMCR = 0.54,p < 0.001) 相比,面对面的CBT在减少饮酒频率上显示出更强大的显著效应 (SMCR = 1.02,p = 0.006).
- 亚组分析表明,面对面的CBT对积极治疗是有效的,但不能用于预防复发.
结论:
- 数字和面对面的CBT在治疗AUD方面都有潜力,在特定结果方面具有不同的优势.
- 数字CBT似乎有效地减少饮酒量,而面对面的CBT可能对饮酒频率产生更大的影响.
- 进一步的研究可能会根据治疗目标和患者特征探索最佳的输送格式.
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