TY - JOUR AU - Mourad, Ghassan AU - Eriksson-Liebon, Magda AU - Karlström, Patric AU - Johansson, Peter PY - 2022 DA - 2022/1/28 TI -网络传递的认知行为疗法与单纯心理教育对非心源性胸痛患者心理困扰的影响:随机对照试验乔- J地中海互联网Res SP - e31674六世24 - 1 KW -心脏焦虑KW -认知行为疗法KW -健康相关的生活质量KW -互联网交付KW -非心脏胸痛KW -心理压力AB -背景:反复发作的患者非心脏胸痛(NCCP)经历心脏焦虑他们误解的痛苦是心脏相关,避免身体活动他们认为可能会威胁到他们的生命。以焦虑为目标的心理干预，如网络传递的认知行为疗法(iCBT)，通过支持患者学习如何感知和处理胸痛，可能是一个可行的解决方案。目的:本研究旨在评估护士主导的iCBT项目对NCCP患者心脏焦虑和其他患者报告结果的影响。方法:在过去的6个月内，因NCCP至少有2次医疗咨询，并经历心脏焦虑(心脏焦虑问卷评分≥24)的患者被随机分为5周的iCBT (n=54)或心理教育(n=55)。患者年龄分别为54 (SD 17)岁和57 (SD 16)岁，主要为女性(32/54,59% vs 35/ 55,64%)。iCBT项目包括心理教育、正念和体育锻炼，每周都有家庭作业。主要结局为心脏焦虑。次要结局为对身体感觉的恐惧、抑郁症状、与健康相关的生活质量和胸痛频率。采用意向治疗分析，随访3个月。 Mixed model analysis was used to determine between-group differences in primary and secondary outcomes. Results: No significant differences were found between the iCBT and psychoeducation groups regarding cardiac anxiety or any of the secondary outcomes in terms of the interaction effect of time and group over the 3-month follow-up. iCBT demonstrated a small effect size on cardiac anxiety (Cohen d=0.31). In the iCBT group, 36% (16/44) of patients reported a positive reliable change score (≥11 points on the Cardiac Anxiety Questionnaire), and thus an improvement in cardiac anxiety, compared with 27% of (13/48) patients in the psychoeducation group. Within-group analysis showed further significant improvement in cardiac anxiety (P=.04) at the 3-month follow-up compared with the 5-week follow-up in the iCBT group but not in the psychoeducation group. Conclusions: iCBT was not superior to psychoeducation in decreasing cardiac anxiety in patients with NCCP. However, iCBT tends to have better long-term effects on psychological distress, including cardiac anxiety, health-related quality of life, and NCCP frequency than psychoeducation. The effects need to be followed up to draw more reliable conclusions. Trial Registration: ClinicalTrials.gov NCT03336112; https://www.clinicaltrials.gov/ct2/show/NCT03336112 SN - 1438-8871 UR - //www.mybigtv.com/2022/1/e31674 UR - https://doi.org/10.2196/31674 UR - http://www.ncbi.nlm.nih.gov/pubmed/35089153 DO - 10.2196/31674 ID - info:doi/10.2196/31674 ER -