Clinical Research Unit for Anxiety and Depression, School of Psychiatry, University of New South Wales at St Vincent's Hospital, Sydney, NSW, Australia.
Med J Aust. 2010 Jun 7;192(S11):S45-7. doi: 10.5694/j.1326-5377.2010.tb03693.x.
Internet treatment programs for anxiety and depressive disorders are becoming available and offer cost-effective alternatives to face-to-face treatment with medication or cognitive behaviour therapy. The Clinical Research Unit for Anxiety and Depression at St Vincent's Hospital, Sydney, offers internet treatment courses at the VirtualClinic (http://www.virtualclinic.org.au) for people who meet diagnostic criteria for major depression, social phobia, panic disorder and generalised anxiety disorder. These courses are free to people recruited for research. The results of VirtualClinic trials show a high level of patient adherence and strong reductions in symptoms, and that very little clinician time is required. The four treatment programs that have been successfully evaluated in the VirtualClinic have been made available on a not-for-profit basis ($5 service fee) at the CRUfADclinic (http://www.crufadclinic.org) for general practitioners and other clinicians to use with their patients. These programs could be the first level of treatment in a stepped-care environment, where patients who do not benefit sufficiently could then receive face-to-face treatment from their clinician or be referred for specialist treatment.
互联网治疗计划可用于焦虑和抑郁障碍，为面对面的药物治疗或认知行为疗法提供了具有成本效益的替代方案。悉尼圣文森特医院的焦虑和抑郁临床研究单位在 VirtualClinic（http://www.virtualclinic.org.au）为符合重度抑郁症、社交恐惧症、恐慌症和广泛性焦虑症诊断标准的人群提供互联网治疗课程。这些课程对招募来参与研究的人员是免费的。VirtualClinic 试验的结果表明，患者的遵医率很高，症状明显减轻，而且只需要很少的临床医生时间。在 VirtualClinic 中成功评估的四个治疗方案已在非营利性的 CRUfADclinic（http://www.crufadclinic.org）上提供，供全科医生和其他临床医生与他们的患者一起使用，该方案收取 5 美元的服务费。这些方案可以作为阶梯式护理环境中的初始治疗手段，那些未充分受益的患者随后可以接受临床医生的面对面治疗，或被转介给专家进行治疗。
