Department of Clinical Psychology, Vrije Universiteit Amsterdam, Van der Boechorststraat 1, Amsterdam, The Netherlands.
Cogn Behav Ther. 2009;38(2):66-82. doi: 10.1080/16506070802694776.
Computer-aided psychotherapy (CP) is said to (1) be as effective as face-to-face psychotherapy, while requiring less therapist time, for anxiety disorder sufferers, (2) speed access to care, and (3) save traveling time. CP may be delivered on stand-alone or Internet-linked computers, palmtop computers, phone-interactive voice response, DVDs, and cell phones. The authors performed a meta-analysis of 23 randomised controlled studies (RCTs) that compared CP with non-CP in anxiety disorders: phobias, n = 10; panic disorder/agoraphobia, n = 9; PTSD, n = 3; obsessive-compulsive disorder, n = 1. Overall mean effect size of CP compared with non-CP was 1.08 (95% confidence interval: 0.84-1.32). CP and face-to-face psychotherapy did not differ significantly from each other (13 comparisons, d = -0.06). Much caution is needed when interpreting the findings indicating that outcome was unrelated to type of disorder, type of comparison group, mode of CP delivery (Internet, stand-alone PC, palmtop), and recency of the CP system and that effect size decreased when more therapist time was replaced by the computer. Because CP as a whole was as effective as face-to-face psychotherapy, certain forms of CP deserve to be integrated into routine practice.
计算机辅助心理治疗（CP）据称对于焦虑障碍患者来说，（1）与面对面心理治疗一样有效，同时需要的治疗师时间更少，（2）加快获得治疗的速度，以及（3）节省旅行时间。CP 可以通过独立或联网的计算机、掌上电脑、电话互动语音应答、DVD 和手机来提供。作者对 23 项随机对照研究（RCT）进行了荟萃分析，这些研究将 CP 与焦虑障碍中的非 CP 进行了比较：恐惧症，n = 10；惊恐障碍/广场恐怖症，n = 9；创伤后应激障碍，n = 3；强迫症，n = 1。CP 与非 CP 相比的总体平均效应大小为 1.08（95%置信区间：0.84-1.32）。CP 与面对面心理治疗之间没有显著差异（13 次比较，d = -0.06）。当解释结果表明，结果与障碍类型、对照组类型、CP 传递模式（互联网、独立 PC、掌上电脑）以及 CP 系统的最新情况无关，并且当更多的治疗师时间被计算机取代时，效应大小会降低时，需要非常谨慎。由于 CP 作为一个整体与面对面心理治疗一样有效，某些形式的 CP 值得纳入常规实践。
