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基于互联网的与面对面的认知行为疗法治疗社交焦虑障碍:一项随机对照试验。

Internet-Based Versus Face-to-Face Cognitive-Behavioral Therapy for Social Anxiety Disorder: A Randomized Control Trial.

机构信息

University of Guilan.

Institute of Higher Education Roshdiyeh.

出版信息

Behav Ther. 2024 May;55(3):528-542. doi: 10.1016/j.beth.2023.08.005. Epub 2023 Sep 4.

Abstract

During the COVID-19 epidemic, face-to-face mental health services faced obstacles. Using Internet-based interventions was a good solution and had the potential to overcome these treatment barriers. However, there is no strong research evidence about the effectiveness of these methods for social anxiety disorder in different cultures and developing countries. Therefore, the present study aimed to investigate the effectiveness and application of Internet-based cognitive-behavioral therapy for social anxiety disorder in Iran. The current study was a pretest-posttest follow-up experimental design. Fifty-four adolescents with social anxiety disorder were selected from Lorestan province (Iran) by cluster sampling method and randomly assigned to three groups: face-to-face, internet-based, and wait-list control. At the beginning and end of the study and 3-month follow-up, three groups were interviewed and answered questionnaires related to the primary and secondary symptoms of social anxiety disorder. Two experimental groups were treated with the same therapeutic intervention during 10 weekly sessions. ANCOVA analysis showed that both forms of intervention effectively reduced social phobia, fear of negative evaluation and social interaction anxiety and increased emotion regulation. Also, a significant decrease in secondary outcomes, including physical symptoms, insomnia, social dysfunction, and depression symptoms, was observed in both groups. The treatment effects were stable during a 3-month follow-up. Our findings showed that although Internet-based cognitive-behavioral therapy for adolescents with social anxiety disorder can be effective, several clinical, cultural, and implementation weaknesses should be considered.

摘要

在 COVID-19 疫情期间,面对面的心理健康服务面临障碍。使用基于互联网的干预措施是一个很好的解决方案,有潜力克服这些治疗障碍。然而,在不同文化和发展中国家,针对社交焦虑障碍,这些方法的有效性缺乏强有力的研究证据。因此,本研究旨在调查基于互联网的认知行为疗法在伊朗治疗社交焦虑障碍的效果和应用。本研究采用了预-后测随访实验设计。采用聚类抽样法从伊朗洛雷斯坦省选取了 54 名患有社交焦虑障碍的青少年,并随机分为三组:面对面组、基于互联网组和等待名单对照组。在研究开始和结束时,以及 3 个月随访时,三组均接受访谈并回答了与社交焦虑障碍的主要和次要症状相关的问卷。两个实验组在 10 周的时间内接受了相同的治疗干预。方差分析显示,两种形式的干预都能有效减轻社交恐惧症、对负面评价的恐惧和社交互动焦虑,并增强情绪调节能力。此外,两组的次要结果,包括身体症状、失眠、社交功能障碍和抑郁症状,都有显著下降。治疗效果在 3 个月随访期间保持稳定。我们的研究结果表明,尽管针对青少年社交焦虑障碍的基于互联网的认知行为疗法可能有效,但仍需考虑一些临床、文化和实施方面的弱点。

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