基层医疗中计算机化认知行为疗法治疗焦虑和抑郁的临床疗效：随机对照试验。
Clinical efficacy of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial.
作者信息
Proudfoot Judith, Ryden Clash, Everitt Brian, Shapiro David A, Goldberg David, Mann Anthony, Tylee Andre, Marks Isaac, Gray Jeffrey A
机构信息
Centre for General Practice Integration Studies, School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia.
出版信息
Br J Psychiatry. 2004 Jul;185:46-54. doi: 10.1192/bjp.185.1.46.
BACKGROUND
Preliminary results have demonstrated the clinical efficacy of computerised cognitive-behavioural therapy (CBT) in the treatment of anxiety and depression in primary care.
AIMS
To determine, in an expanded sample, the dependence of the efficacy of this therapy upon clinical and demographic variables.
METHOD
A sample of 274 patients with anxiety and/or depression were randomly allocated to receive, with or without medication, computerised CBT or treatment as usual, with follow-up assessment at 6 months.
RESULTS
The computerised therapy improved depression, negative attributional style, work and social adjustment, without interaction with drug treatment, duration of preexisting illness or severity of existing illness. For anxiety and positive attributional style, treatment interacted with severity such that computerised therapy did better than usual treatment for more disturbed patients. Computerised therapy also led to greater satisfaction with treatment.
CONCLUSIONS
Computer-delivered CBT is a widely applicable treatment for anxiety and/or depression in general practice.
背景
初步结果已证明计算机化认知行为疗法（CBT）在基层医疗中治疗焦虑和抑郁的临床疗效。
目的
在一个扩大的样本中确定该疗法的疗效对临床和人口统计学变量的依赖性。
方法
将274例焦虑和/或抑郁患者的样本随机分配，接受或不接受药物治疗、计算机化CBT或常规治疗，并在6个月时进行随访评估。
结果
计算机化疗法改善了抑郁、消极归因方式、工作和社会适应，且与药物治疗、既往疾病持续时间或现有疾病严重程度无相互作用。对于焦虑和积极归因方式，治疗与严重程度相互作用，因此对于病情更严重的患者，计算机化疗法比常规治疗效果更好。计算机化疗法还带来了更高的治疗满意度。
结论
计算机提供的CBT是全科医疗中广泛适用的焦虑和/或抑郁治疗方法。
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