治疗师对互联网提供的认知行为治疗焦虑和抑郁症的治疗效应
Ivy F G Feliciano1, Lauren Staples1, Amelia Scott1
1eCentreClinic, School of Psychological Sciences, Macquarie University.
Journal of consulting and clinical psychology
|February 19, 2026
概括
研究了因特网提供的治疗焦虑和抑郁的认知行为疗法 (iCBT) 的治疗师效应. 虽然存在显著的治疗师差异,但它们只解释了客户结果变化的适度部分.
科学领域:
- 心理学 心理学 心理学
- 临床心理学 临床心理学
- 数字健康数字健康
背景情况:
- 治疗师效应,或治疗师归因于客户结果的变化,是在传统心理治疗中确立的.
- 在互联网交付的认知行为疗法 (iCBT) 中治疗师影响的研究是有限的.
- 了解治疗师的变化对于优化iCBT疗效至关重要.
研究的目的:
- 在日常护理环境中调查iCBT对焦虑和抑郁症的治疗师效应.
- 量化治疗师在iCBT中的差异解释的客户结果的差异.
主要方法:
- 分析了44位治疗师在ICBT中治疗的8145名客户的数据.
- 应用通用线性混合模型来评估治疗师对症状变化,临床改善,治疗完成和客户满意度的影响.
主要成果:
- 在所有结果指标中都发现了显著的治疗效应.
- 治疗师解释了一小部分的差异:症状变化为1.5% (焦虑) 和1.4% (抑郁症),临床变化为0.6%-0.7%,治疗完成为2.3%,客户满意度为1.4%.
结论:
- 治疗师之间的差异会影响客户在ICBT中的结果,但它们对结果变化的整体影响很小.
- 需要进一步的研究来验证这些发现在不同的iCBT环境中.
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