Andersson Gerhard, Bergström Jan, Carlbring Per, Lindefors Nils
Department of Behavioural Sciences, Linköping University, Sweden.
Curr Opin Psychiatry. 2005 Jan;18(1):73-7.
The aim of this article is to review the emerging literature on the use of the Internet in the treatment of anxiety disorders. The questions asked are: (1) are Internet-delivered treatments for anxiety disorders supported by the research literature? (2) what is the quality of the evidence as it stands? (3) is there any evidence to suggest that Internet interventions can be harmful?
Recent and ongoing trials on panic disorder show that Internet-based self-help with minimal therapist contact is a promising approach in the treatment of panic disorder. However, trials have been small and there is a need for large-scale trials and studies conducted in psychiatric settings as most studies have recruited patients via advertisement. There is no evidence in the literature that Internet intervention is harmful, but most likely a stepped-care approach would be feasible to handle cases who fail to respond.
Internet-delivered interventions for anxiety disorders, and in particular panic disorder, are promising. There is however a need for further research and evaluation and there is also a need to find a proper place for such interventions in the clinical management of anxiety disorders, preferably using a stepped-care approach.
本文旨在综述有关互联网在焦虑症治疗中应用的最新文献。提出的问题如下：（1）研究文献是否支持通过互联网提供焦虑症治疗？（2）目前证据的质量如何？（3）是否有证据表明互联网干预可能有害？
近期及正在进行的惊恐障碍试验表明，在治疗惊恐障碍方面，与治疗师最少接触的基于互联网的自助疗法是一种有前景的方法。然而，试验规模较小，且由于大多数研究是通过广告招募患者，因此需要在精神科环境中进行大规模试验和研究。文献中没有证据表明互联网干预有害，但对于无反应的病例，采用逐步护理方法很可能是可行的。
通过互联网提供的焦虑症干预措施，尤其是惊恐障碍干预措施，很有前景。然而，需要进一步的研究和评估，并且还需要在焦虑症的临床管理中为这类干预措施找到合适的位置，最好采用逐步护理方法。
