The Centre for Emotional Health, Department of Psychology, Macquarie University, NSW 2109, Australia.
J Anxiety Disord. 2012 Aug;26(6):650-5. doi: 10.1016/j.janxdis.2012.04.002. Epub 2012 May 7.
This study examined the efficacy of an Internet-delivered cognitive-behavior therapy program developed for older adults. Twenty-two participants with elevated scores (≥8) on the Generalized Anxiety Disorder 7-Item Scale (GAD-7) participated in the course, which consisted of five lessons, homework tasks, additional resources, a moderated discussion forum, and weekly telephone support from a Clinical Psychologist. Ninety-five percent of the sample met diagnostic criteria for an anxiety disorder at pre-treatment. All participants completed the five lessons within the allotted eight weeks. Three-month follow-up data was collected from 95% of participants. Reductions in symptoms of anxiety and stress, with large within-group effect sizes (Cohen's d) were found on the GAD-7 (d=1.03) and the Depression, Anxiety and Stress Scales - 21 Items (d=0.98) at follow-up. Participants reported high levels of satisfaction with the program. These encouraging results provide tentative support for the online treatment of older adults with anxiety.
本研究考察了专为老年人开发的基于互联网的认知行为疗法的疗效。 22 名广泛性焦虑障碍 7 项量表（GAD-7）得分（≥8）升高的参与者参加了该课程，该课程包括五节课，家庭作业任务，其他资源，一个有主持人的讨论论坛以及每周与临床心理学家的电话支持。 95％的样本在治疗前符合焦虑症的诊断标准。所有参与者都在规定的八周内完成了五节课。从 95％的参与者中收集了三个月的随访数据。在随访时，GAD-7（d=1.03）和抑郁，焦虑和压力量表-21 项（d=0.98）上的焦虑和压力症状均有明显减轻，具有较大的组内效应量（Cohen 的 d）。参与者对该计划表示高度满意。这些令人鼓舞的结果为在线治疗老年焦虑症提供了初步支持。
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