Gega Lina, Marks Isaac, Mataix-Cols David
London University, United Kingdom.
J Clin Psychol. 2004 Feb;60(2):147-57. doi: 10.1002/jclp.10241.
This article describes a broad-spectrum, computer-aided self-help clinic that raised the throughput of anxious/depressed patients per clinician and lowered per-patient time with a clinician without impairing effectiveness. Many sufferers improved by using one of four computer-aided systems of cognitive behavior therapy (CBT) self-help for phobia/panic, depression, obsessive-compulsive disorder, and general anxiety. The systems are accessible at home, two by phone and two by the Web. Initial brief screening by a clinician can be done by phone, and if patients get stuck they can obtain brief live advice from a therapist on a phone helpline. Such clinician-extender systems offer hope for enhancing the convenience and confidentiality of guided self-help, reducing the per-patient cost of CBT, and lessening stigma. The case examples illustrate the clinical process and outcomes of the computer-aided system.
本文介绍了一家广谱的计算机辅助自助诊所，该诊所提高了每位临床医生治疗焦虑/抑郁患者的效率，减少了每位患者与临床医生接触的时间，同时不影响治疗效果。许多患者通过使用四种计算机辅助认知行为疗法（CBT）自助系统中的一种得到了改善，这些系统分别针对恐惧症/恐慌症、抑郁症、强迫症和广泛性焦虑症。这些系统可以在家中使用，两种通过电话，两种通过网络。临床医生可以通过电话进行初步简短筛查，如果患者遇到困难，可以通过电话热线从治疗师那里获得简短的实时建议。这种临床医生扩展系统为提高引导式自助的便利性和保密性、降低CBT的每位患者成本以及减少污名化带来了希望。案例展示了计算机辅助系统的临床过程和结果。
