School of Psychiatry, University of New South Wales, Australia.
Curr Opin Psychiatry. 2011 Jan;24(1):18-23. doi: 10.1097/YCO.0b013e32833ed18f.
The rapidly growing number of published research papers attests to the increasing interest in Internet-delivered psychotherapy (iPT). The present article reviews the current status of iPT for the treatment of adults with symptoms of depression.
Randomized controlled trials have confirmed the efficacy of guided iPT in treating people with diagnosed or elevated symptoms of depression with equivalent results obtained by programs based on cognitive behavioural or problem solving models. With guidance, effect sizes are comparable to those obtained in face-to-face psychotherapy and low-intensity interventions are as effective as those with higher levels of therapist contact. On current evidence, entirely self-guided programs appear to have fewer benefits, but deliver tangible benefits to completers.
Recent studies indicate the utility of iPT. Large-scale trials are needed to evaluate optimal strategies for disseminating iPT. Future studies should independently replicate findings and efforts are required to educate patients and health professionals about iPT.
越来越多的研究论文的发表证明了人们对互联网心理疗法(IPT)的兴趣日益增加。本文综述了IPT 治疗成人抑郁症状的现状。
随机对照试验证实了指导 IPT 对治疗经诊断或有抑郁症状升高的患者的疗效,基于认知行为或解决问题模型的方案也取得了同等效果。在指导下,IPT 的效果与面对面心理治疗相当,而低强度干预与高接触治疗同样有效。根据目前的证据,完全自我指导的方案似乎益处较少,但对完成治疗的患者有明显的益处。
最近的研究表明 IPT 的有效性。需要进行大规模试验来评估 IPT 的最佳传播策略。未来的研究应该独立复制这些发现,并努力教育患者和卫生专业人员了解 IPT。