个性化跨诊断认知行为疗法与中期治疗逐步护理以改善瑞典大学生心理健康:随机对照试验的可行性研究
Naira Topooco1, Philip Lindner2,3, Claes Andersson4
1Department of Psychology, Uppsala University, Uppsala, Sweden.
JMIR formative research
|January 15, 2026
概括
这项研究探讨了在互联网上提供个性化的认知行为疗法 (ICBT),用于患有焦虑和抑郁症的大学生. 可适应的ICBT方法显示可行性,观察到症状减少,但需要改进以减少磨损和压力.
科学领域:
- 心理健康研究 心理健康研究
- 数字治疗学数字治疗学
- 认知行为疗法是认知行为疗法.
背景情况:
- 大学学生的精神健康问题率很高,需要灵活的干预策略.
- 通过互联网提供的认知行为疗法 (ICBT) 为学生心理健康提供了可扩展的解决方案.
- 这项研究研究了学生群体中对焦虑和抑郁症的新型ICBT方法.
研究的目的:
- 评估大学生对焦虑和抑郁症的跨诊断ICBT的可行性.
- 评估ICBT内部的用户引导的内容个性化和适应性修改.
- 为未来随机对照试验的设计提供信息.
主要方法:
- 一个为期8周的,由治疗师支持的,开放标签的在线ICBT程序被交付给大学生.
- 参与者通过选择模块来个性化他们的治疗,并根据症状反应获得分阶段的护理.
- 通过覆盖范围,吸收,可接受性,阶段性护理程序和保持长达6个月的时间来评估可行性.
- 焦虑 (GAD-7) 和抑郁 (PHQ-9) 评分是主要结果指标.
主要成果:
- 包括28名学生,基线GAD-7和PHQ-9得分表明中度焦虑和抑郁.
- 参与者平均参与了6.2个模块,并生成了27个独特的治疗配置.
- 治疗联盟和满意度被评为可以接受到良好,尽管11名参与者报告压力增加.
- 观察到焦虑和抑郁症的症状减少,随访时有43%的消耗.
结论:
- 个性化,适应性ICBT是可行的大学生焦虑和抑郁症.
- 需要进行修改,以减少对未来试验的评估消耗和与治疗有关的压力.
- 这项研究为学生心理健康中ICBT的最终随机对照试验提供了基础.
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