技术在焦虑症临床护理中的应用：证据图谱。
The Use of Technology in the Clinical Care of Anxiety: An Evidence Map.
机构信息
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles (Maher); Southern California Evidence-based Practice Center, RAND Corporation, Santa Monica, California (Maher, Apaydin, Raaen, Motala, Baxi, Hempel); Center for the Study of Healthcare Innovation, Implementation and Policy, Veterans Affairs (VA) Greater Los Angeles Healthcare System, Los Angeles (Apaydin); Southern California Evidence Review Center, Keck School of Medicine, University of Southern California, Los Angeles (Hempel).
出版信息
Psychiatr Serv. 2021 Feb 1;72(2):195-199. doi: 10.1176/appi.ps.202000178. Epub 2020 Dec 9.
OBJECTIVE
Cost, distance, and stigma may present barriers to face-to-face treatment for anxiety disorders. Technology can help overcome these barriers. The evidence map presented here provides an overview of technology use in clinical care for anxiety.
METHODS
Searches in three databases from their inception dates to June 2019 identified published randomized controlled trials (RCTs) examining technology use in anxiety disorder management. Reviewers screened 4,061 records, included 128 RCTs, and extracted data on study characteristics and technology type, function, and effectiveness.
RESULTS
In 88% of the 128 RCTs, the authors reported reduced anxiety symptoms postintervention. Studies of computer technology (66%) and patient self-directed psychotherapy (31%) were most common. Many interventions were studied by only a few RCTs, and many studies had small sample sizes.
CONCLUSIONS
Almost all interventions reported improved anxiety symptoms, with computer applications having the largest evidence base. More information is needed to evaluate the role of technology in clinical care for anxiety.
目的
费用、距离和耻辱感可能会成为面对面治疗焦虑症的障碍。技术可以帮助克服这些障碍。本文呈现的证据图谱概述了在焦虑症临床治疗中使用技术的情况。
方法
从三个数据库的创建日期开始，一直检索到 2019 年 6 月，以确定发表的、检查技术在焦虑症管理中使用情况的随机对照试验（RCT）。审查员筛选了 4061 条记录，纳入了 128 项 RCT，并提取了关于研究特征和技术类型、功能和效果的数据。
结果
在 128 项 RCT 中，有 88%的作者报告干预后焦虑症状减轻。计算机技术（66%）和患者自我导向心理疗法（31%）的研究最为常见。许多干预措施仅由少数 RCT 研究，许多研究的样本量较小。
结论
几乎所有的干预措施都报告了焦虑症状的改善，其中计算机应用的证据基础最大。需要更多信息来评估技术在焦虑症临床治疗中的作用。
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