为乳腺癌患者提供量身定制的互联网认知行为疗法:一项随机对照试验,使用主动对照组
Gerhard Andersson1,2,3, Anton Käll1,3, Manja Enström1
1Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Cognitive behaviour therapy
|February 24, 2026
概括
通过互联网提供量身定制的认知行为疗法 (ICBT) 显著减少了乳腺癌幸存者的心理痛苦. 这些改善在六个月内持续下去,这表明ICBTT.
科学领域:
- 心理学 心理学 心理学
- 在瘤学瘤学.
- 数字健康数字健康
背景情况:
- 在乳腺癌幸存者中,心理压力很普遍.
- 现有的心理社会干预措施往往忽视了症状异质性.
- 需要为癌症患者提供量身定制,可访问的心理健康支持.
研究的目的:
- 评估由治疗师支持的定制互联网交付的认知行为疗法 (ICBT).
- 评估ICBT对乳腺癌幸存者的癌症相关心理症状的疗效.
- 为了比较ICBT与一个受调节的在线讨论论坛.
主要方法:
- 70名患有抑郁/焦虑症状的乳腺癌幸存者被随机分配.
- 干预小组:量身定制的ICBT (n=35) 和在线论坛 (n=35).
- 评估包括心理症状,生活质量和治疗前,治疗后 (10周) 和6个月的随访后发现的益处.
主要成果:
- 与在线论坛相比,ICBT组在所有测量结果中显示出显著的改善.
- 抑郁和焦虑症状的影响大小很大 (科恩的d = -0.89).
- 在ICBT组的改善在6个月的随访中得到维持.
结论:
- 量身定制的ICBT是一种有效的干预措施,用于治疗乳腺癌幸存者的心理痛苦.
- ICBT提供了一种可行的,个性化的方法来管理与癌症相关的心理健康挑战.
- 这些发现支持在幸存者护理中使用数字心理健康干预措施.
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