适应性行动作为跨诊断性互联网交付认知行为疗法的变化机制:与家庭作业参与的比较
Heather D Hadjistavropoulos1, Blake F Dear2, Nickolai Titov3
1Department of Psychology, University of Regina, Regina, Saskatchewan, Canada.
Internet interventions
|December 24, 2025
概括
适应性行动,而不仅仅是家庭作业,是成功跨诊断互联网交付认知行为治疗 (ICBT) 的关键. 早期鼓励这些行动可以改善各种心理健康结果和福祉.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 数字健康数字健康
背景情况:
- 适应性行动是通过互联网提供的跨诊断性认知行为疗法 (ICBT) 的潜在变化机制.
- 适应性行动与家庭作业参与在ICBT结果中的相对重要性尚未得到充分理解.
研究的目的:
- 为了研究治疗后适应性行动的维持.
- 检查适应性行动和家庭作业参与之间的关系.
- 确定适应性行动和家庭作业参与在各种治疗结果及其调解作用中的预测作用.
主要方法:
- 一项涉及625名接受跨诊断ICBT的成年人的研究.
- 使用"你做的事"问卷第15项 (TYDQ-15) 评估适应性行动.
- 通过家庭作业反思问卷 (HWRQ) 测量家庭作业参与度.
- 评估结果包括抑郁,焦虑,PTSD,恐慌,社会焦虑,失眠,功能障碍和幸福感.
主要成果:
- 适应性行动 (TYDQ-15分数) 从治疗前到治疗后有所改善,并在随访期间保持.
- 治疗中期的适应性行动比家庭作业更一致地预测了结果.
- 适应性行动部分调解了所有评估结果的变化,并显示了与焦虑,幸福感和抑郁症的相互关系.
结论:
- 治疗中期的适应性行动是跨诊断ICBT变化的更强,更一致的机制,而不是家庭作业.
- 在治疗早期鼓励适应性行动对于改善各种心理健康结果至关重要.
- 研究结果强调了在数字心理健康干预中适应性行动的重要性.
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