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Long-term effect of stepped-care vs in-person cognitive behavioral therapy for pediatric obsessive-compulsive disorder.阶梯式护理与面对面认知行为疗法对儿童强迫症的长期影响。
Internet Interv. 2023 Mar 15;32:100613. doi: 10.1016/j.invent.2023.100613. eCollection 2023 Apr.
2
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JAMA. 2021 May 11;325(18):1863-1873. doi: 10.1001/jama.2021.3839.
3
Cost-effectiveness of Internet-Delivered vs In-Person Cognitive Behavioral Therapy for Children and Adolescents With Obsessive-Compulsive Disorder.互联网传递与面对面认知行为疗法治疗儿童和青少年强迫症的成本效益比较。
JAMA Netw Open. 2021 Jul 1;4(7):e2118516. doi: 10.1001/jamanetworkopen.2021.18516.
4
Treatment Gains Are Sustainable in Pediatric Obsessive-Compulsive Disorder: Three-Year Follow-Up From the NordLOTS.儿科强迫症治疗获益可持续:来自 NordLOTS 的三年随访结果。
J Am Acad Child Adolesc Psychiatry. 2020 Feb;59(2):244-253. doi: 10.1016/j.jaac.2019.01.010. Epub 2019 Feb 14.
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One-Year Outcome for Responders of Cognitive-Behavioral Therapy for Pediatric Obsessive-Compulsive Disorder.儿童强迫症认知行为治疗应答者的一年预后。
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Therapist-Guided, Internet-Delivered Cognitive-Behavioral Therapy for Adolescents With Obsessive-Compulsive Disorder: A Randomized Controlled Trial.治疗师指导的、基于互联网的认知行为疗法治疗青少年强迫症:一项随机对照试验。
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Cognitive behavior therapy augmentation of pharmacotherapy in pediatric obsessive-compulsive disorder: the Pediatric OCD Treatment Study II (POTS II) randomized controlled trial.认知行为疗法联合药物治疗儿童强迫症:儿科强迫症治疗研究 II(POTS II)随机对照试验。
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Low-intensity cognitive-behaviour therapy interventions for obsessive-compulsive disorder compared to waiting list for therapist-led cognitive-behaviour therapy: 3-arm randomised controlled trial of clinical effectiveness.与等待接受治疗师主导的认知行为疗法相比,低强度认知行为疗法对强迫症的干预:一项关于临床疗效的三臂随机对照试验。
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本文引用的文献

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Morbidity and mortality in obsessive-compulsive disorder: A narrative review.强迫症的发病率和死亡率:一项叙述性综述。
Neurosci Biobehav Rev. 2022 May;136:104602. doi: 10.1016/j.neubiorev.2022.104602. Epub 2022 Mar 7.
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The Cost of Obsessive-Compulsive Disorder in Swedish Youth.瑞典青年强迫症的代价。
Child Psychiatry Hum Dev. 2023 Feb;54(1):248-254. doi: 10.1007/s10578-021-01261-z. Epub 2021 Sep 28.
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Cost-effectiveness of Internet-Delivered vs In-Person Cognitive Behavioral Therapy for Children and Adolescents With Obsessive-Compulsive Disorder.互联网传递与面对面认知行为疗法治疗儿童和青少年强迫症的成本效益比较。
JAMA Netw Open. 2021 Jul 1;4(7):e2118516. doi: 10.1001/jamanetworkopen.2021.18516.
4
Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies.全球精神障碍发病年龄:192 项流行病学研究的大规模荟萃分析。
Mol Psychiatry. 2022 Jan;27(1):281-295. doi: 10.1038/s41380-021-01161-7. Epub 2021 Jun 2.
5
Effect of an Internet-Delivered Stepped-Care Program vs In-Person Cognitive Behavioral Therapy on Obsessive-Compulsive Disorder Symptoms in Children and Adolescents: A Randomized Clinical Trial.互联网递增效度治疗方案与面对面认知行为疗法治疗儿童和青少年强迫症症状的效果比较:一项随机临床试验。
JAMA. 2021 May 11;325(18):1863-1873. doi: 10.1001/jama.2021.3839.
6
Introduction to knowledge and competency standards for specialized treatments for obsessive-compulsive disorder throughout the lifespan: Phase two series by the International Accreditation Task Force of the Canadian Institute for Obsessive Compulsive Disorders (CIOCD, www.ciocd.ca).全生命周期强迫症专科治疗知识和能力标准简介:加拿大强迫症研究学会国际认证工作组(CIOCD,www.ciocd.ca)第二阶段系列。
Psychiatry Res. 2021 Apr;298:113753. doi: 10.1016/j.psychres.2021.113753. Epub 2021 Jan 23.
7
Long-term outcomes of therapist-guided Internet-delivered cognitive behavior therapy for pediatric obsessive-compulsive disorder.治疗师指导的互联网认知行为疗法对儿童强迫症的长期疗效。
NPJ Digit Med. 2020 Sep 23;3:124. doi: 10.1038/s41746-020-00327-x. eCollection 2020.
8
Women Are at Greater Risk of OCD Than Men: A Meta-Analytic Review of OCD Prevalence Worldwide.女性患强迫症的风险高于男性:全球强迫症患病率的荟萃分析综述。
J Clin Psychiatry. 2020 Jun 23;81(4):19r13085. doi: 10.4088/JCP.19r13085.
9
Stepped Care Internet-Delivered vs Face-to-Face Cognitive-Behavior Therapy for Pediatric Obsessive-Compulsive Disorder: A Trial Protocol for a Randomized Noninferiority Trial.阶梯式护理互联网递送与面对面认知行为疗法治疗儿童强迫症:一项随机非劣效试验的试验方案。
JAMA Netw Open. 2019 Oct 2;2(10):e1913810. doi: 10.1001/jamanetworkopen.2019.13810.
10
Treatment Gains Are Sustainable in Pediatric Obsessive-Compulsive Disorder: Three-Year Follow-Up From the NordLOTS.儿科强迫症治疗获益可持续:来自 NordLOTS 的三年随访结果。
J Am Acad Child Adolesc Psychiatry. 2020 Feb;59(2):244-253. doi: 10.1016/j.jaac.2019.01.010. Epub 2019 Feb 14.

阶梯式护理与面对面认知行为疗法对儿童强迫症的长期影响。

Long-term effect of stepped-care vs in-person cognitive behavioral therapy for pediatric obsessive-compulsive disorder.

作者信息

Lauri Klara Olofsdotter, Andersson Erik, Mataix-Cols David, Norlin Lisa, Eriksson Viktor, Melin Karin, Lenhard Fabian, Serlachius Eva, Aspvall Kristina

机构信息

Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.

出版信息

Internet Interv. 2023 Mar 15;32:100613. doi: 10.1016/j.invent.2023.100613. eCollection 2023 Apr.

DOI:10.1016/j.invent.2023.100613
PMID:37033903
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10073887/
Abstract

Long-term follow-up data from trials of digital mental health interventions are rare. This study reports 2-year follow-up data from a non-inferiority trial (N = 152) comparing stepped-care (internet-delivered cognitive behavioral therapy [CBT] followed by traditional in-person CBT if needed) vs in-person CBT for pediatric obsessive-compulsive disorder. Both treatment groups had comparable long-term effects, with the majority of participants being responders (stepped-care 66 %; in-person CBT 71 %) 2 years after the end of treatment.

摘要

数字心理健康干预试验的长期随访数据很少见。本研究报告了一项非劣效性试验(N = 152)的2年随访数据,该试验比较了分步护理(如有需要,先进行互联网认知行为疗法 [CBT],然后进行传统面对面CBT)与面对面CBT治疗儿童强迫症的效果。两个治疗组的长期效果相当,在治疗结束2年后,大多数参与者都有反应(分步护理组为66%;面对面CBT组为71%)。