Turning Point, Registered Charity, Standon House, 21 Mansell Street, E1 8AA, London, UK.
Psychiatr Q. 2018 Dec;89(4):779-794. doi: 10.1007/s11126-018-9576-5.
Digitally delivered interventions aim to make psychological treatments more widely accessible and minimize clinician input. Although their clinical efficacy against wait-list, control conditions is well established, comparative outcome studies are a much better way to examine if psychotherapies are equally effective. Such reviews are still relatively lacking. The aim of this review was therefore to evaluate the effectiveness of digitally delivered psychological therapies over traditionally delivered (face-to-face) ones to alleviate symptoms in adults experiencing sub-threshold and clinical depression. Findings showed that digital interventions produced consistently clinically significant improvements in depressive symptoms. Moreover, the level of therapist contact or expertise did not affect much treatment effectiveness. Future research is pertinent to investigate further the influence of therapist input, the reasons for dropout, how to improve users' experience and therapeutic engagement and maintain improvements at post-treatment.
数字传递干预旨在使心理治疗更广泛地普及,并最大程度减少临床医生的投入。尽管它们在对抗候补名单和对照组方面的临床疗效已得到充分证实,但比较结果研究是一种更好的方法,可以检验心理疗法是否同样有效。然而,此类综述仍然相对缺乏。因此,本综述的目的是评估数字传递心理疗法相对于传统(面对面)疗法在减轻亚临床和临床抑郁成年人症状方面的有效性。研究结果表明,数字干预措施可显著改善抑郁症状。此外,治疗师的接触或专业水平对治疗效果影响不大。未来的研究对于进一步探讨治疗师投入的影响、辍学的原因、如何提高用户体验和治疗参与度以及在治疗后保持改善非常重要。