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互联网 delivered 认知行为疗法治疗创伤后应激障碍的随机对照试验。

Randomized controlled trial of Internet-delivered cognitive behavioral therapy for posttraumatic stress disorder.

机构信息

Clinical Research Unit for Anxiety and Depression (CRUfAD), St Vincent's Hospital, Darlinghurst, New South Wales, Australia.

出版信息

Depress Anxiety. 2011 Jul;28(7):541-50. doi: 10.1002/da.20835.

Abstract

BACKGROUND

Posttraumatic stress disorder (PTSD) is a severe and disabling condition and few receive appropriate care. Internet-based treatment of PTSD shows promise in reducing barriers to care and preliminary evidence suggests it is efficacious in treating symptoms of PTSD.

METHODOLOGY

Forty-two individuals with a diagnosis of PTSD confirmed by clinician interview completed a randomized controlled comparison of Internet-based cognitive behavioral therapy (CBT) with a waitlist control condition.

PRINCIPLE FINDINGS

Large pre- to posttreatment effect sizes (ESs) were found for the Treatment group on measures of PTSD symptoms, depression, anxiety, and disability. A small between-group ES was found for PTSD symptoms and moderate between-group ESs were found for depression, anxiety, and disability.

CONCLUSIONS

Results provide preliminary support for Internet-based CBT as an efficacious treatment for individuals with a confirmed primary diagnosis of PTSD.

摘要

背景

创伤后应激障碍(PTSD)是一种严重且致残的疾病,但很少有人得到适当的治疗。基于互联网的 PTSD 治疗有望减少治疗障碍,初步证据表明其对治疗 PTSD 症状有效。

方法

42 名经临床医生访谈确诊为 PTSD 的个体完成了一项基于互联网的认知行为疗法(CBT)与等待名单对照条件的随机对照比较。

主要发现

治疗组在 PTSD 症状、抑郁、焦虑和残疾方面的测量中,治疗前到治疗后的效果大小(ES)较大。PTSD 症状的组间 ES 较小,抑郁、焦虑和残疾的组间 ES 中等。

结论

结果初步支持将基于互联网的 CBT 作为一种有效的治疗方法,用于确诊为 PTSD 的个体。

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