基于互联网的认知行为疗法对巴西强迫症障碍的接受性和可行性
Maria Alice de Mathis1, Oskar Flygare2, Daniel L C Costa1
1Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo; Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders.
Behavior therapy
|January 31, 2026
概括
基于互联网的认知行为疗法 (ICBT) 在巴西有效治疗了强迫症 (OCD). 该计划显示显著减少症状和缓解率,表明更广泛实施的可行性.
科学领域:
- 心理健康 心理健康
- 精神病学是一个精神病学.
- 数字健康数字健康
背景情况:
- 强迫症 (OCD) 是一个重大的全球心理健康挑战.
- 在某些地区,获得基于证据的治疗方法,如认知行为疗法 (CBT),可能是有限的.
- 基于互联网的CBT (ICBT) 提供了一个可扩展的解决方案来弥合治疗差距.
研究的目的:
- 评估瑞典开发的强迫症治疗ICBT计划在巴西圣保罗的实施和有效性.
- 适应和翻译OCD-NET治疗手册,以适应巴西的情况.
- 使用RE-AIM框架评估治疗结果.
主要方法:
- 一项涉及35名被诊断患有强迫症的成年人的开放性试验.
- 基于暴露和反应预防 (EPR) 的10个模块ICBT程序的交付.
- 使用RE-AIM框架和耶鲁-布朗强迫症强迫性尺度 (Y-BOCS) 评估强迫症的严重程度和抑郁症状的PHQ-9.
主要成果:
- 完成率高 (85.7%),35名参与者中有30人完成了ICBT协议.
- 强迫症的严重程度显著降低,在6个月的随访后,60%的患者获得治疗反应,30%的患者缓解.
- 在抑郁症状中观察到的改善 (PHQ-9分数).
结论:
- 在中高收入国家背景下,ICBT是一种可行的,有效的强迫症治疗方法.
- 经过调整的OCD-NET计划显示了更广泛实施的前景.
- 需要进一步的研究来探索ICBT在服务不足的人群中的可接受性.
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