Clinical Research Unit for Anxiety and Depression, St Vincent's Hospital, 390 Victoria Street, Darlinghurst, Sydney, New South Wales, 2010, Australia; School of Psychiatry, Faculty of Medicine, University of New South Wales, Sydney, NSW, 2052, Australia.
Clinical Research Unit for Anxiety and Depression, St Vincent's Hospital, 390 Victoria Street, Darlinghurst, Sydney, New South Wales, 2010, Australia.
J Affect Disord. 2021 Sep 1;292:197-203. doi: 10.1016/j.jad.2021.05.116. Epub 2021 Jun 4.
The mental health impacts of COVID-19 have been considerable with many individuals experiencing significant anxiety and depression. Online cognitive behavioural therapy (iCBT) programs provide scalable access to psychological interventions, however the effectiveness of these programs during the pandemic has not been investigated. This study examined the uptake and effectiveness of iCBT for symptoms of anxiety and depression during the first eight months of the pandemic in Australia (March- October 2020) and compared outcomes to the 12 months prior to COVID-19.
6,132 adults commenced iCBT (5,074 during the pandemic and 1,058 in the year before) and completed measures of anxiety and depression symptom severity, and psychological distress pre- and post-treatment.
In the COVID-19 period, we observed a 504% increase in the number of monthly course registrations compared to the year prior (with a peak increase of 1,138% between April and June 2020). Baseline anxiety and depression symptom severity were similar for the COVID and pre-COVID groups. Prior to and during the pandemic, the iCBT course was associated with large effect size reductions in anxiety (g = 0.94-1.18) and depression (g = 0.92-1.12) symptom severity, as well as psychological distress (g = 1.08-1.35).
lack of control group and long-term follow-up, as well as lack of detailed information about course users (e.g., health status and life context).
Results indicate the considerable increase in demand for psychological support during the COVID-19 pandemic in Australia and demonstrate the effectiveness and scalability of iCBT for symptoms of anxiety and depression.
COVID-19 对心理健康的影响相当大，许多人经历了明显的焦虑和抑郁。在线认知行为疗法（iCBT）程序为心理干预提供了可扩展的途径，但是在大流行期间这些程序的效果尚未得到调查。本研究调查了澳大利亚 COVID-19 大流行的头八个月（2020 年 3 月至 10 月）期间 iCBT 对焦虑和抑郁症状的采用率和有效性，并将结果与 COVID-19 之前的 12 个月进行了比较。
6132 名成年人开始接受 iCBT（5074 名在大流行期间，1058 名在 COVID-19 之前），并在治疗前和治疗后完成了焦虑和抑郁症状严重程度以及心理困扰的测量。
在 COVID-19 期间，与前一年相比，每月课程注册人数增加了 504%（2020 年 4 月至 6 月之间的峰值增加了 1138%）。COVID 和 COVID-19 之前的组的基线焦虑和抑郁症状严重程度相似。在大流行之前和期间，iCBT 课程与焦虑（g=0.94-1.18）和抑郁（g=0.92-1.12）症状严重程度以及心理困扰（g=1.08-1.35）的大效应量降低相关。
缺乏对照组和长期随访，以及缺乏有关课程使用者的详细信息（例如，健康状况和生活环境）。
结果表明，澳大利亚在 COVID-19 大流行期间对心理支持的需求大幅增加，并证明了 iCBT 对焦虑和抑郁症状的有效性和可扩展性。
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