产后焦虑和抑郁症状的经诊断性网络认知行为疗法:卡塔尔世界杯8强波胆分析可行性随机对照试验%A Suchan,Victoria %A Peynenburg,Vanessa %A Thiessen,David %A Nugent,Marcie %A Dear,Blake %A Titov,Nickolai %A Hadjistavropoulos,Heather %+里贾纳大学心理学系，3737 Wascana Parkway，里贾纳，SK, S4S 0A2，加拿大，1 306 585 5133hadjista@uregina.ca %K产后抑郁%K产后焦虑%K互联网提供的认知行为治疗%K跨诊断%K治疗师协助%D 2022 %7 6.9.2022 %9原始论文%J JMIR表格Res %G英文%X背景:产后抑郁(PPD)和产后焦虑(PPA)通常是共病的，并与重大的个人和经济成本相关。在经历PPD或PPA症状的母亲中，只有不到一半的人接受了面对面的治疗，这表明需要替代的交付形式，如互联网交付的认知行为疗法(ICBT)。目的:本试点研究旨在研究治疗师辅助的跨诊断ICBT项目对PPD和PPA症状的影响，因为此前只有一项针对该人群的跨诊断ICBT研究，该研究不包括治疗师协助。方法:认可PPD或PPA症状的客户(N=63)被随机分配到8周的跨诊断ICBT课程(新妈妈健康课程)或常规治疗(TAU)。患者在治疗前、治疗后和随访1个月时完成了抑郁、焦虑、压力、产后联系和关系满意度的测量，以及治疗满意度和治疗联盟的测量。在完成ICBT课程的患者的6个月随访中也完成了结果测量。结果:随着时间的推移，ICBT组和TAU组均有统计学意义上的改善。与TAU组相比，ICBT组在治疗后和1个月随访中采取了更多措施，在焦虑(Cohen d=0.65, 95% CI 0.13-1.17)、PPD (Cohen d=0.52, 95% CI 0.01-1.04)和抑郁(Cohen d=0.56, 95% CI 0.05-1.08)等主要结局指标和总体痛苦(Cohen d=0.69, 95% CI 0.17-1.21)、焦虑(Cohen d=0.59, 95% CI 0.07-1.11)和压力(Cohen d=0.76, 95% CI 0.07-1.11)等次要结局指标上，两组间科恩d效应中等。 95% CI 0.23-1.28). Time-by-group interactions for proportional reductions between groups over time were only significant after treatment and at the 1-month follow-up for the primary anxiety measure (P=.006). This study was underpowered for detecting small or medium effects. Overall, clients perceived the treatment as credible, and 95% (21/22) of the clients were satisfied with the treatment content and therapist support. Conclusions: Findings from this pilot study provide preliminary support for transdiagnostic ICBT in treating PPD and PPA symptoms to improve access to psychological treatments. Trial Registration: ClinicalTrials.gov NCT04012580; https://clinicaltrials.gov/ct2/show/NCT04012580 %M 36066958 %R 10.2196/37216 %U https://formative.www.mybigtv.com/2022/9/e37216 %U https://doi.org/10.2196/37216 %U http://www.ncbi.nlm.nih.gov/pubmed/36066958