在因特网提供的抑郁症认知行为疗法中安排电话支持:两个人群的随机对照试验
Satu Pihlaja1, Jari Lipsanen2, Ville Ritola1,3
1Faculty of Medicine, Doctoral Programme in Clinical Research, University of Helsinki, Helsinki, Finland.
Frontiers in psychology
|February 20, 2026
概括
预定电话支持 (STS) 在抑郁症患者中改善了通过互联网提供的认知行为疗法 (iCBT) 的坚持. 然而,STS并没有提高所有患者的症状改善,只有那些有退学风险的人.
科学领域:
- 心理健康 心理健康
- 数字治疗学数字治疗学
- 临床心理学 临床心理学
背景情况:
- 通过互联网提供的认知行为疗法 (iCBT) 是抑郁症的有效治疗方法.
- 在常规的临床实践中,遵守ICBT可能是一个挑战.
- 定期电话支持 (STS) 可以改善iCBT的遵守和结果.
研究的目的:
- 研究额外的定期电话支持 (STS) 对接受互联网认知行为疗法 (iCBT) 的患者的坚持和抑郁症症状改善的影响.
- 为了比较iCBT在常规临床环境中带有和没有STS的效果.
- 探索STS的好处是否超出了学风险的患者.
主要方法:
- 一项随机对照试验,涉及101名接受iCBT治疗抑郁症的患者.
- 患者被分配到通常的ICBT或附加STS的ICBT.
- 通过达到治疗中期和治疗完成来衡量坚持.
- 评估了抑郁症症状的严重程度.
主要成果:
- 通常的ICBT和STS的ICBT都导致抑郁症症状的改善.
- STS显著增加了治疗的坚持,这一点可以通过更高的治疗中期和治疗完成率来证明.
- STS并没有提高整体症状的改善,除了以前被确定为学风险的患者的子组.
- 与风险人群相比,STS减少了治疗总体时间.
结论:
- 额外的定期电话支持 (STS) 有效地提高了对抑郁症的互联网认知行为治疗 (iCBT) 的坚持.
- 在症状严重程度上STS的好处主要观察到患有学风险的患者.
- STS可能是改善参与数字心理健康干预的宝贵工具.
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