基于互联网的接受和承诺治疗与恐慌障碍的间接暴露:随机对照试验和工作联盟分析
Lisa Bäckman1,2, Sandra Weineland1,3,4, Kristofer Vernmark5
1Department of Psychology, University of Gothenburg, Gothenburg, Sweden.
Scandinavian journal of psychology
|November 29, 2025
概括
一个基于互联网的接受和承诺疗法 (IACT) 计划与整感受暴露有效地治疗恐慌症. 这种方法对同时患有 Agora 恐惧症的患者来说是有前途的,并观察到显著的症状减少.
科学领域:
- 精神病学和行为科学
- 临床心理学 临床心理学
- 数字健康数字健康
背景情况:
- 恐慌症是一种使人衰弱的疾病,通常与 agoraphobia 一起发生.
- 传统治疗可能在可访问性和患者参与度方面存在局限性.
- 基于互联网的干预提供了一个可扩展的精神卫生保健方法.
研究的目的:
- 为了评估基于互联网的接受和承诺治疗 (IACT) 程序的有效性,该程序被修改为恐慌障碍的整体感应暴露.
- 为了评估这个IACT程序在患有或没有同时出现 Agora 恐惧症的患者中的有效性.
- 探索工作联盟与治疗结果之间的关系.
主要方法:
- 一个随机对照试验涉及79名参与者超过10周.
- 在IACT治疗组和等候名单对照组之间的比较.
- 评估恐慌失调症状,诊断标准,生活质量,以及治疗师/客户评级的工作联盟.
主要成果:
- 与对照组相比,在IACT组中观察到治疗对恐慌症症状的显著影响 (d=0.92).
- 43%的参与者在治疗后不再符合诊断标准.
- 患有同时出现 Agora 恐惧症的患者表现出较大的治疗效应 (d=1.22) 尽管最初的症状严重程度较高.
- 治疗师评级的工作联盟,但不是客户评级,与治疗结果相关.
结论:
- 间接接触修饰的IACT是恐慌障碍的有效治疗方法.
- 这种干预表明,对于同时患有 Agora 恐惧症的人来说,有很大的前景.
- 治疗师-客户工作联盟的质量是治疗成功的一个重要因素.
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