基于互联网的认知行为疗法在常规精神科护理中治疗惊恐障碍的疗效。
Effectiveness of internet-based cognitive behaviour therapy for panic disorder in routine psychiatric care.
机构信息
Department of Clinical Neuroscience, Division of Psychiatry, Karolinska Institutet, Stockholm; Department of Clinical Neuroscience, Osher Center for Integrative Medicine, Karolinska Institutet, Stockholm; Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm.
出版信息
Acta Psychiatr Scand. 2013 Dec;128(6):457-67. doi: 10.1111/acps.12079. Epub 2013 Feb 14.
OBJECTIVE
Guided Internet-based cognitive behaviour therapy (ICBT) for panic disorder has been shown to be efficacious in several randomized controlled trials. However, the effectiveness of the treatment when delivered within routine psychiatric care has not been studied. The aim of this study was to investigate the effectiveness of ICBT for panic disorder within the context of routine psychiatric care.
METHOD
We conducted a cohort study investigating all patients (n = 570) who had received guided ICBT for panic disorder between 2007 and 2012 in a routine care setting at an out-patient psychiatric clinic providing Internet-based treatment. The primary outcome measure was the Panic Disorder Severity Scale-Self-report (PDSS-SR).
RESULTS
Participants made large improvements from screening and pretreatment assessments to posttreatment (Cohen's d range on the PDSS-SR = 1.07-1.55). Improvements were sustained at 6-month follow-up.
CONCLUSION
This study suggests that ICBT for panic disorder is as effective when delivered in a routine care context as in the previously published randomized controlled trials.
目的
基于互联网的认知行为疗法（ICBT）已被证明对多种随机对照试验中的恐慌症有效。然而，在常规精神科护理中提供治疗时，其治疗效果尚未得到研究。本研究旨在探讨在常规精神科护理背景下 ICBT 对恐慌症的有效性。
方法
我们进行了一项队列研究，调查了 2007 年至 2012 年间在一家提供基于互联网治疗的门诊精神科诊所的常规护理环境中接受过恐慌症引导 ICBT 的所有患者（n=570）。主要结局测量是恐慌症严重程度自评量表（PDSS-SR）。
结果
参与者从筛查和治疗前评估到治疗后有了很大的改善（PDSS-SR 上的 Cohen's d 范围为 1.07-1.55）。在 6 个月的随访中，改善仍持续存在。
结论
本研究表明，在常规护理环境中提供的 ICBT 对恐慌症的疗效与之前发表的随机对照试验相当。
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