击败强迫症和数字学习 (BOLD):为患有强迫症的成年人提供治疗师支持的,自我指导的暴露和反应预防应用程序的公开试验
Tao Lin1, Kyla Godorecci1, Claire Zhang1
1Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Cognitive behaviour therapy
|March 5, 2026
概括
通过BOLD网络应用程序提供的暴露和响应预防 (EX/RP) 显著减少了强迫症 (OCD) 症状. 这种数字干预为传统的EX/RP提供了一个可扩展,具有成本效益的替代方案.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 数字治疗学数字治疗学
- 行为科学 行为科学
背景情况:
- 暴露和反应预防 (EX/RP) 是强迫症 (OCD) 的领先治疗方法.
- 提供者的有限可用性和治疗强度阻碍了广泛的EX/RP访问.
- 需要可扩展的,技术支持的干预措施,以减少治疗负担,同时保持有效性.
研究的目的:
- 开发和评估打击强迫症和数字学习 (BOLD) 网络应用程序.
- 评估强迫症成年人通过BOLD自我引导EX/RP的可接受性,可行性和初步结果.
- 为了比较BOLD的有效性和时间效率与传统的EX/RP.
主要方法:
- 一个小型的开放试验 (N=16) 涉及成年人与强迫症.
- 参与者使用了自我引导的BOLD网络应用程序,治疗师的支持最小.
- 测量结果包括强迫症症状的减少,治疗完成率,满意度,自我有效性和治疗时间.
主要成果:
- 在完成者中,BOLD显著降低了强迫症症状 (d = -1.27).
- 一半的参与者完成了干预,报告高满意度和自我效能.
- 大胆完成者表现出与传统EX/RP相似的结果,但需要73.39%的治疗时间减少.
结论:
- BOLD展示了作为一种可扩展,具有成本效益的强迫症数字干预的潜力.
- 这些发现支持进一步的研究,包括全力随机对照试验.
- 优化参与和降低参与障碍是BOLD改进的关键.
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