Silfvernagel Kristin, Wassermann Carolina, Andersson Gerhard
Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Internet Interv. 2017 Mar 22;8:48-52. doi: 10.1016/j.invent.2017.03.002. eCollection 2017 Jun.
The mental health of young people is decreasing. It is therefore important to develop early interventions for young people with mental health problems. One previous randomized controlled trial on tailored Internet-based treatment for young adults with minimal therapist guidance has shown promising results for anxiety symptoms. The purpose of this study was to investigate the effects of tailored internet-administered CBT for young adults (16-25 years old) with anxiety, depression and possible comorbidity in regular care. Participants were recruited from a youth health care centre (n = 15). Screening consisted of online questionnaires followed by a semi-structured interview. A total of 10 participants completed pre and post measurement. The treatment consisted of individually prescribed CBT text modules with online therapist guidance. All dependent measures improved significantly immediately following treatment and the within-group effect based on pre- to post measurement on the primary outcome measure, the Beck Anxiety Inventory, was d = 1.50, the within-group effect on the secondary outcome measures, Montgomery Åsberg Depression Rating Scale-Self-Rated, Clinical Outcomes in Routine Evaluation and Quality of Life Inventory showed large improvement. Tailored internet-based treatment can be an approach in the treatment of anxiety symptoms and comorbid depressive symptoms in youth care.
年轻人的心理健康状况正在下降。因此，为有心理健康问题的年轻人制定早期干预措施很重要。之前一项关于在最少治疗师指导下为年轻人提供量身定制的基于互联网的治疗的随机对照试验，已显示出对焦虑症状有良好效果。本研究的目的是调查在常规护理中，为患有焦虑、抑郁及可能存在共病的16至25岁年轻人提供量身定制的互联网认知行为疗法（CBT）的效果。参与者从一家青少年保健中心招募（n = 15）。筛查包括在线问卷，随后是半结构化访谈。共有10名参与者完成了前后测量。治疗包括在在线治疗师指导下，根据个人情况规定的CBT文本模块。所有相关测量指标在治疗后立即有显著改善，基于主要结果测量指标贝克焦虑量表的前后测量得出的组内效应d = 1.50，在次要结果测量指标蒙哥马利抑郁评定量表自评版、常规评估临床结果和生活质量量表方面的组内效应显示有大幅改善。量身定制的基于互联网的治疗可以作为青少年护理中治疗焦虑症状和共病抑郁症状的一种方法。
