Department of Clinical Psychology and Psychotherapy, Free University Berlin, Berlin, Germany.
Cogn Behav Ther. 2010;39(1):72-7. doi: 10.1080/16506070902999935.
Advances in communication technology offer additional strategies for providing psychological treatment. Previous trials of Internet-based treatment approaches reported significant reductions in posttraumatic stress and related symptoms in response to Internet-based treatments relative to control groups. However, empirical data on the long-term effects of those approaches are sparse. In order to evaluate the long-term effect of an Internet-based intervention, the authors conducted an 18-month follow-up of an Internet-based cognitive behavioural therapy for posttraumatic stress. Severity of posttraumatic stress symptoms was the primary outcome. Additional measures were depression, anxiety, mental and physical health, and health care utilization during the follow-up period. Treatment group participants (n = 34) were assessed 1.5 years after completing treatment. Results indicated that reductions in symptoms of posttraumatic stress symptoms, depression, and anxiety found at posttreatment were sustained during the 18-month follow-up period. Preliminary evidence on long-term effects of Internet-based health care as shown in this study is promising. However, research with larger and clinically more diverse samples is needed to fully assess the clinical impact and potential of Internet-based health care provision.
通信技术的进步为提供心理治疗提供了额外的策略。先前基于互联网的治疗方法的试验报告称，与对照组相比，基于互联网的治疗方法可显著减少创伤后应激和相关症状。然而，关于这些方法的长期效果的实证数据还很缺乏。为了评估基于互联网的干预措施的长期效果，作者对基于互联网的创伤后应激认知行为疗法进行了为期 18 个月的随访。创伤后应激症状的严重程度是主要结果。在随访期间还测量了抑郁、焦虑、心理健康和身体健康以及医疗保健的利用情况。治疗组参与者（n = 34）在完成治疗后 1.5 年进行评估。结果表明，治疗后发现的创伤后应激症状、抑郁和焦虑症状的减轻在 18 个月的随访期间得以维持。本研究初步显示出基于互联网的医疗保健的长期效果是有希望的。然而，需要更大、更具临床多样性的样本研究来全面评估基于互联网的医疗保健提供的临床影响和潜力。
