文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

数字诊所中互联网提供的焦虑和抑郁认知行为疗法的项目评估

Program evaluation of internet-delivered cognitive behavioral treatments for anxiety and depression in a digital clinic.

作者信息

Silverman Alexandra L, Ferguson IreLee, Bullis Jacqueline R, Bajwa Harris, Mei Sara, Beard Courtney

机构信息

Division of Depression and Anxiety, McLean Hospital, Belmont, MA, USA.

Department of Psychiatry, Harvard Medical School, Boston, MA, USA.

出版信息

J Mood Anxiety Disord. 2025 Jan 9;9:100106. doi: 10.1016/j.xjmad.2025.100106. eCollection 2025 Mar.


DOI:10.1016/j.xjmad.2025.100106
PMID:40655231
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12244179/
Abstract

SilverCloud and THIS WAY UP (TWU) are two internet-delivered cognitive-behavioral therapy (iCBT) programs that have demonstrated effectiveness for anxiety and depression, yet little is known about their comparative effectiveness. This non-randomized program evaluation compared client satisfaction, subjective engagement, and treatment outcomes between the SilverCloud and TWU programs. Participants were 195 adult patients (106 using TWU and 89 using SilverCloud) enrolled in a digital CBT clinic who completed assessment measures at pre-treatment, mid-treatment, post-treatment, and one-, two-, three-, and four-month follow-ups. As hypothesized (preregistration: osf.io/x6bmy), patients in both programs reported high client satisfaction, and experienced improvements in depression (s = -0.79 and -0.78), anxiety (s = -0.95 and -0.84), and functional impairment (s = -0.42 and -0.45), from pre- to post-treatment that were maintained at four-month follow-up. However, according to exploratory analyses, the slope of change in treatment outcomes was not significantly different between programs during the treatment and follow-up phases. As hypothesized, patients who used SilverCloud self-reported significantly greater subjective engagement with their iCBT program compared to patients who used TWU (=0.36). However, contrary to hypotheses, client satisfaction was not significantly different between programs. This non-randomized program evaluation offers minimal evidence that one program was better than the other, though findings require replication in a randomized controlled trial and larger sample. Results provide further support for iCBT as a viable option to extend access to high-quality treatment for anxiety and depression.

摘要

SilverCloud和THIS WAY UP(TWU)是两个通过互联网提供的认知行为疗法(iCBT)项目,已证明对焦虑和抑郁有效,但对它们的相对有效性知之甚少。这项非随机项目评估比较了SilverCloud和TWU项目之间的客户满意度、主观参与度和治疗效果。参与者为195名成年患者(106名使用TWU,89名使用SilverCloud),他们参加了一家数字认知行为疗法诊所,并在治疗前、治疗中期、治疗后以及1个月、2个月、3个月和4个月随访时完成了评估测量。正如假设的那样(预注册:osf.io/x6bmy),两个项目的患者都报告了较高的客户满意度,并且在抑郁(效应量分别为-0.79和-0.78)、焦虑(效应量分别为-0.95和-0.84)和功能损害(效应量分别为-0.42和-0.45)方面从治疗前到治疗后都有改善,并且在4个月随访时得以维持。然而,根据探索性分析,在治疗和随访阶段,两个项目在治疗效果变化斜率上没有显著差异。正如假设的那样,与使用TWU的患者相比,使用SilverCloud的患者自我报告对其iCBT项目的主观参与度显著更高(效应量=0.36)。然而,与假设相反,两个项目之间的客户满意度没有显著差异。这项非随机项目评估提供了极少的证据表明一个项目比另一个项目更好,尽管研究结果需要在随机对照试验和更大样本中进行重复验证。结果进一步支持了iCBT作为一种可行的选择,以扩大获得焦虑和抑郁高质量治疗的机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/826e/12244179/deae494706e2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/826e/12244179/1f1a6ab6620c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/826e/12244179/deae494706e2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/826e/12244179/1f1a6ab6620c/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/826e/12244179/deae494706e2/gr2.jpg

相似文献

[1]
Program evaluation of internet-delivered cognitive behavioral treatments for anxiety and depression in a digital clinic.

J Mood Anxiety Disord. 2025-1-9

[2]
Therapist-supported Internet cognitive behavioural therapy for anxiety disorders in adults.

Cochrane Database Syst Rev. 2015-3-5

[3]
Therapist-supported Internet cognitive behavioural therapy for anxiety disorders in adults.

Cochrane Database Syst Rev. 2016-3-12

[4]
Integrating Videoconferencing Therapist Guidance Into Stepped Care Internet-Delivered Cognitive Behavioral Therapy for Child and Adolescent Anxiety: Noninferiority Randomized Controlled Trial.

JMIR Ment Health. 2025-1-22

[5]
Psychological therapies for women who experience intimate partner violence.

Cochrane Database Syst Rev. 2020-7-1

[6]
Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents.

Cochrane Database Syst Rev. 2015-3-23

[7]
The effectiveness of patient navigation programs for adult cancer patients undergoing treatment: a systematic review.

JBI Database System Rev Implement Rep. 2016-2

[8]
Computer and mobile technology interventions for self-management in chronic obstructive pulmonary disease.

Cochrane Database Syst Rev. 2017-5-23

[9]
Systemic pharmacological treatments for chronic plaque psoriasis: a network meta-analysis.

Cochrane Database Syst Rev. 2021-4-19

[10]
E-Health interventions for anxiety and depression in children and adolescents with long-term physical conditions.

Cochrane Database Syst Rev. 2018-8-15

本文引用的文献

[1]
Comparative Effectiveness of Three Digital Interventions for Adults Seeking Psychiatric Services: A Randomized Clinical Trial.

JAMA Netw Open. 2024-7-1

[2]
Technology-based Cognitive Behavioral Therapy Interventions.

Psychiatr Clin North Am. 2024-6

[3]
Satisfaction, engagement, and outcomes in internet-delivered cognitive behaviour therapy adapted for people of diverse ethnocultural groups: an observational trial with benchmarking.

Front Psychiatry. 2024-3-4

[4]
The engagement problem: A review of engagement with digital mental health interventions and recommendations for a path forward.

Curr Treat Options Psychiatry. 2023-9

[5]
Human Support in App-Based Cognitive Behavioral Therapies for Emotional Disorders: Scoping Review.

J Med Internet Res. 2022-4-8

[6]
The global gap in treatment coverage for major depressive disorder in 84 countries from 2000-2019: A systematic review and Bayesian meta-regression analysis.

PLoS Med. 2022-2-15

[7]
Internet-Delivered Versus Face-to-Face Cognitive Behavior Therapy for Anxiety Disorders: Systematic Review and Meta-Analysis.

Int J Prev Med. 2021-11-15

[8]
Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic.

Lancet. 2021-11-6

[9]
A tale of two countries: Increased uptake of digital mental health services during the COVID-19 pandemic in Australia and New Zealand.

Internet Interv. 2021-7-27

[10]
Targeting subjective engagement in experimental therapeutics for digital mental health interventions.

Internet Interv. 2021-5-19

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索