基于互联网的认知行为治疗对体征障碍和常见相关功能障碍的有效性:随机对照试验的元分析
Shengyi Liu1, Yinghong Li2, Zihua He1
1Department of Neurology, West China Hospital, Sichuan University, Chengdu, China.
General hospital psychiatry
|January 27, 2026
概括
基于互联网的认知行为疗法 (iCBT) 有效地治疗体质症状障碍和功能体质综合征,优于等待列表. 虽然与其他疗法相比,但iCBT为这些疾病提供了更好的可访问性.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 认知行为疗法 (CBT) 是人体症状障碍 (SSD) 和功能性人体综合征的推治疗方法.
- 面对面的CBT交付面临着重大可访问性挑战.
- 基于互联网的CBT (iCBT) 提供了一个可扩展的解决方案来克服这些障碍.
研究的目的:
- 评估基于互联网的CBT (iCBT) 对被诊断为SSD和常见功能性体征综合征的患者的疗效.
- 为了比较ICBT与等待名单,其他心理治疗和通常治疗的有效性.
- 评估iCBT对身体症状,健康焦虑,情绪,功能和睡眠的影响.
主要方法:
- 一个系统的元分析,坚持PRISMA声明.
- 在主要数据库中进行的搜索:PubMed,Embase和CENTRAL.
- 主要结局:身体症状和健康焦虑;次要结局:情绪,功能和睡眠.
主要成果:
- 与等待列表相比,iCBT在一般症状,胃肠道问题,疲劳和健康焦虑方面表现出显著的疗效.
- 对于胃肠道症状,疲劳和纤维肌痛,iCBT的效果与通常治疗相比相当或略高.
- 对于一般症状或健康焦虑,iCBT与其他心理治疗之间没有发现显著差异. 综合的不良事件发生率为27%,没有报告严重事件.
结论:
- 基于互联网的CBT (iCBT) 是对体征症状障碍和功能体征综合征的有效干预.
- 虽然有效,但特定综合征之间的异质性需要个性化治疗计划.
- 对于这些疾病来说,iCBT是一个可行的和可访问的治疗选择.
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