Department of Basic, Clinical Psychology, and Psychobiology, Universitat Jaume I, 12006 Castellón, Spain.
CIBER Fisiopatología de la Obesidad y Nutrición (CIBERON), Instituto Salud Carlos III, 28029 Madrid, Spain.
Int J Environ Res Public Health. 2019 Oct 11;16(20):3842. doi: 10.3390/ijerph16203842.
Adjustment disorder (AjD) is one of the most common disorders in clinical practice, and its symptoms are severe enough to cause great distress and functional impairment. The AjD CBT protocol specifically developed for this disorder has shown positive results when delivered face to face and through virtual reality. Despite existing evidence supporting the benefits of therapeutic homework as part of a psychological intervention, little is known about how to increase homework engagement in psychotherapy. This study examines the feasibility (doability, initial efficacy and acceptability) of a digital support system to deliver homework via the Internet in the treatment of AjD. Participants were randomly assigned to a traditional homework condition or a digital support system condition. Both interventions resulted in statistically significant improvements, with large effect sizes, in all the outcome measures at post-treatment, with no significant differences between groups. At 12-month follow-up, these therapeutic gains were maintained, and an improvement was even observed in both conditions, with no significant differences between groups. Additionally, treatment satisfaction predicted efficacy in both groups separately and when the whole group was considered. This is the first study to explore the feasibility an initial efficacy of delivering a therapeutic homework component for AjD through the Internet.
适应障碍（AjD）是临床实践中最常见的疾病之一，其症状严重到足以引起极大的痛苦和功能障碍。专门针对这种疾病开发的 AjD CBT 方案在面对面和通过虚拟现实进行时都显示出积极的结果。尽管现有证据支持作为心理干预一部分的治疗性家庭作业的好处，但对于如何增加心理治疗中的家庭作业参与度知之甚少。本研究探讨了通过互联网提供家庭作业的数字支持系统在治疗 AjD 中的可行性（可操作性、初步疗效和可接受性）。参与者被随机分配到传统家庭作业条件或数字支持系统条件。两种干预措施都在治疗后所有结果测量中都显示出统计学上显著的改善，具有较大的效果量，且组间无显著差异。在 12 个月的随访中，这些治疗效果得以维持，并且在两个条件下都观察到了改善，且组间无显著差异。此外，治疗满意度分别预测了两组和整个组的疗效。这是第一项探索通过互联网为 AjD 提供治疗性家庭作业部分的可行性和初步疗效的研究。
