Beaglehole Ben, Jordan Jennifer, Frampton Chris, Alexander Alison, Spencer Angela, Lacey Cameron, Porter Richard, Bell Caroline
Senior Lecturer and Psychiatrist, Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.
Associate Professor and Clinical Psychologist, Senior Lecturer and Psychiatrist, Department of Psychological Medicine, University of Otago, Christchurch, New Zealand.
N Z Med J. 2023 Feb 17;136(1570):12-19. doi: 10.26635/6965.5991.
To report the feasibility of delivering and the effectiveness of brief Group Transdiagnostic Cognitive Behavioural Therapy (TCBT) via Zoom for anxiety and/or depression in primary care.
Participants were eligible for this open-label study if their primary care clinician recommended brief psychological intervention for clinically diagnosed anxiety and/or depression. Group TCBT included an individual assessment followed by four x 2-hour manualised therapy sessions. Primary outcome measures assessed recruitment, adherence to treatment and reliable recovery measured using the PHQ-9 and GAD-7.
Twenty-two participants received TCBT over three groups. Recruitment and adherence to TCBT met feasibility thresholds for delivering group TCBT via Zoom. Improvements in the PHQ-9, GAD-7 and reliable recovery were present 3 and 6 months following treatment commencement.
Brief TCBT delivered using Zoom is a feasible treatment for anxiety and depression diagnosed in primary care. Definitive RCTs are required to provide confirmatory evidence of efficacy for brief group TCBT in this setting.
报告通过Zoom开展简短的跨诊断认知行为疗法（TCBT）治疗初级保健中焦虑症和/或抑郁症的可行性及有效性。
如果初级保健临床医生建议对临床诊断的焦虑症和/或抑郁症进行简短的心理干预，参与者就符合这项开放标签研究的条件。团体TCBT包括一次个体评估，随后是四个2小时的标准化治疗课程。主要结局指标评估招募情况、治疗依从性以及使用患者健康问卷-9（PHQ-9）和广泛性焦虑障碍量表-7（GAD-7）测量的可靠康复情况。
22名参与者分三组接受了TCBT。招募情况和对TCBT的依从性达到了通过Zoom开展团体TCBT的可行性阈值。在治疗开始后的3个月和6个月，PHQ-9、GAD-7以及可靠康复情况均有改善。
使用Zoom开展简短的TCBT是治疗初级保健中诊断出的焦虑症和抑郁症的一种可行疗法。需要进行确定性随机对照试验，以提供在这种情况下简短团体TCBT疗效的确证性证据。
