针对焦虑和抑郁症的定制数字自助:随机可行性试验,有或没有指导
Magnus Karlsson-Good1, Fredrik Holländare2,3, Hugo Hesser4,5
1Department of Psychiatry, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Cognitive behaviour therapy
|February 17, 2026
概括
对抑郁和焦虑的数字自助干预显示出可行性,无论临床医生是否指导,结果都是相似的. 这种数字认知行为疗法 (iCBT) 方法提供可扩展的心理健康支持.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 精神病学是一个精神病学.
背景情况:
- 由治疗师指导的基于互联网的认知行为疗法 (iCBT) 改善了接入,但由于对治疗师的依赖,它面临着可扩展性的挑战.
- 数字自助干预提供了一个潜在的解决方案,以增加治疗抑郁症和焦虑症的可用性.
研究的目的:
- 评估针对患有抑郁和焦虑症状的成年人定制的数字自助干预措施的可行性.
- 为了比较自我帮助和临床医生指导的分娩模型之间的结果和临床医生的时间.
主要方法:
- 瑞典的一项随机对照试验,有124名参与者患有轻度抑郁或焦虑症状.
- 参与者被随机分配 (1:1) 到一个为期八周的数字计划,有或没有临床指导.
- 可行性通过坚持,可信度,满意度和不良事件以及症状减少来评估.
主要成果:
- 干预被认为是可信的,满意度和参与度很高;三分之二的人完成了至少三个模块.
- 在这两组中,症状的减少很大,并且相似 (科恩d = 1.051.10).
- 自助 (36分钟) 与指导 (66分钟) 交付的临床时间较低,尽管指导组报告的满意度更高.
结论:
- 数字自助干预对于患有抑郁和焦虑症状的成年人来说是可行的.
- 自助和临床医生指导的数字干预都能显著减少症状.
- 这种方法支持未来的试验,比较自助和临床医生指导的数字心理健康治疗.
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