Department of Medical Psychology, Radboud University Medical Center, Nijmegen, The Netherlands.
Acta Derm Venereol. 2018 Feb 7;98(2):225-233. doi: 10.2340/00015555-2803.
Chronic somatic conditions, such as psoriasis, arthritis psoriatica and rheumatoid arthritis, have a large impact on patients' lives. Tailored therapist-guided internet-based cognitive-behavioural therapy (ICBT) has been shown to be effective in improving physical and psychological well-being in these patients. Two cases are presented here, in order to provide an in-depth illustration of the course and content of this novel treatment and to investigate the therapeutic alliance in an online treatment. After face-to-face intakes, both patients received therapist-guided ICBT tailored to their specific problems and treatment goals. The treatment resulted in improved physical and psychological well-being and these clinically significant improvements were maintained at 6-month follow-up. In addition, the therapeutic relationship was evaluated positively by both patients and increased further during treatment, indicating an adequate therapeutic working alliance in this online treatment. These case reports show that tailored ICBT may contribute to improved care for patients with chronic somatic conditions.
慢性躯体疾病，如银屑病、银屑病关节炎和类风湿关节炎，对患者的生活有很大影响。已证实，针对特定患者和治疗目标的个体化治疗师指导的基于互联网的认知行为疗法（ICBT）在改善这些患者的身心健康方面是有效的。本文呈现了两则案例，以便深入阐述这种新型治疗方法的过程和内容，并研究在线治疗中的治疗联盟。在面对面的摄入后，两名患者均接受了针对其特定问题和治疗目标的个体化治疗师指导的 ICBT。治疗结果改善了患者的身心健康，且这些临床显著改善在 6 个月随访时得以维持。此外，两名患者均对治疗关系给予了积极评价，且在治疗过程中进一步增强，表明这种在线治疗中有足够的治疗工作联盟。这些案例报告表明，个体化 ICBT 可能有助于改善慢性躯体疾病患者的护理。
