对焦虑,抑郁,创伤和与压力有关的症状进行跨诊断指导互联网交付干预的有效性:随机对照试验
Anabel de la Rosa Gómez1, Pablo D Valencia2, Dulce M Díaz Sosa3
1Faculty of Higher Studies Iztacala, National Autonomous University of Mexico, Mexico City, Mexico.
在线跨诊断干预有效治疗焦虑和抑郁. 虽然受引导的UP显示出初始的好处,但不受引导的UP干预导致长期减少了焦虑和PTSD症状.
科学领域:
- 数字心理健康干预数字心理健康干预
- 跨诊断治疗方法的治疗方法.
- 情绪障碍管理 情绪障碍管理
背景情况:
- 在线跨诊断干预措施对焦虑和抑郁症显示出有效性.
- 这些干预措施改善了患者的生活质量.
- 墨西哥社区在获得心理健康护理方面面临着独特的挑战.
研究的目的:
- 评估互联网指导的跨诊断干预 (指导UP) 的有效性.
- 将引导式UP与自导版本 (无引导式UP) 进行比较.
- 评估在墨西哥社区治疗情绪障碍的可接受性和适宜性.
主要方法:
- 随机临床试验比较指导UP,无指导UP和等候名单对照.
- 247名年龄在18-70岁的参与者在四个时间点进行了评估.
- 测量焦虑,抑郁,创伤,压力和情绪失调.
主要成果:
- 引导UP报告了更高的接受度,满意度和适度.
- 与等待列表相比,这两种UP干预都显著减少了症状.
- 未经指导的UP显示在治疗后对焦虑,PTSD和情绪调节障碍的长期减少更大.
结论:
- UP在线干预证明了对情绪障碍的临床实用性.
- 无指导的UP显示了显著的长期收益.
- 在受引导的UP中,治疗师的支持可能会提高坚持和初始症状的减少.
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