基于应用程序的社会焦虑障碍认知疗法:基于应用程序的指导和非指导治疗与等候名单的随机控制比较
Jan Schittenhelm1, Ronja von Rechenberg2, Laura Schäfer1
1Department of Clinical Psychology and Psychotherapy, Goethe-Universität Frankfurt, Germany.
Behaviour research and therapy
|January 31, 2026
概括
基于互联网的认知行为疗法 (CBT) 应用程序有效治疗社会焦虑障碍 (SAD). 治疗师指导的CBT显示的学率低于非指导的CBT,这表明混合治疗对SAD患者有益.
科学领域:
- 精神病学是一个精神病学.
- 数字健康数字健康
- 认知行为疗法是认知行为疗法.
背景情况:
- 基于互联网的认知行为疗法 (iCBT) 在治疗社会焦虑障碍 (SAD) 方面表现有前途.
- 在SAD的ICBT中,治疗师指导的作用需要进一步研究.
- 在一项比较研究中,评估了"Mindable:社会恐惧症"应用程序.
研究的目的:
- 为了比较治疗师指导的应用程序 (vCT) 与非指导的应用程序 (iCT) 对SAD的有效性.
- 评估治疗师指导对治疗结果和学率的影响.
- 与等候名单对照 (WLC) 相比,评估"Mindable:社会恐惧症"应用程序的有效性.
主要方法:
- 164名SAD患者被随机分配到vCT,iCT或WLC组.
- 治疗持续时间为12周,包括8次视频会议的VCT.
- 主要结果:利博维茨社会焦虑量表 (LSAS);次要结果:抑郁,人际愉悦.
主要成果:
- 与iCT (42.6%) 相比,在vCT (15%) 和WLC (9.3%) 中,学率明显较低.
- 与WLC相比,vCT和iCT都显著降低了LSAS得分 (分别d = -1.1和 -1.01).
- 在vCT和iCT之间没有发现LSAS减少的显著差异 (d = 0.04).
结论:
- "Mindable:社会恐惧症"应用程序在治疗SAD方面是有效的.
- 对SAD进行ICBT的治疗师指导似乎减少了中断率.
- 结合治疗师指导的混合护理方法显示了改善iCBT遵守的潜力.
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