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利用互联网提供认知行为疗法。

Using the Internet to provide cognitive behaviour therapy.

机构信息

Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden.

出版信息

Behav Res Ther. 2009 Mar;47(3):175-80. doi: 10.1016/j.brat.2009.01.010. Epub 2009 Feb 20.

DOI:10.1016/j.brat.2009.01.010
PMID:19230862
Abstract

A new treatment form has emerged that merges cognitive behaviour therapy with the Internet. By delivering treatment components, mainly in the form of texts presented via web pages, and provide ongoing support using e-mail promising outcomes can be achieved. The literature on this novel form of treatment has grown rapidly over recent years with several controlled trials in the field of anxiety disorders, mood disorders and behavioural medicine. For some of the conditions for which Internet-delivered CBT has been tested, independent replications have shown large effect sizes, for example in the treatment of social anxiety disorder. In some studies, Internet-delivered treatment can achieve similar outcomes as in face-to-face CBT, but the literature thus far is restricted mainly to efficacy trials. This article provides a brief summary of the evidence, comments on the role of the therapist and for which patient and therapist this is suitable. Areas of future research and exploration are identified.

摘要

一种新的治疗形式已经出现,它将认知行为疗法与互联网相结合。通过提供治疗组件,主要以通过网页呈现的文本形式,并通过电子邮件提供持续支持,可以实现预期的结果。近年来,关于这种新形式的治疗的文献迅速增加,在焦虑障碍、情绪障碍和行为医学领域进行了几项对照试验。对于一些已经通过互联网提供认知行为疗法治疗的疾病,独立的复制研究显示出了较大的效果,例如在治疗社交焦虑症方面。在一些研究中,通过互联网提供的治疗可以达到与面对面认知行为疗法相同的效果,但迄今为止的文献主要限于疗效试验。本文简要总结了这方面的证据,评论了治疗师的作用,以及哪些患者和治疗师适合这种治疗。确定了未来研究和探索的领域。

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