TY - JOUR AU - Suchan, Victoria AU - Peynenburg, Vanessa AU - Thiessen, David AU - Nugent, Marcie AU - Dear, Blake AU - Titov, Nickolai AU - Hadjistavropoulos, Heather PY - 2022 DA - 2022/9/6 TI -基于互联网的产后焦虑和抑郁症状认知行为治疗:可行性随机对照试验JO - JMIR Form Res SP - e37216 VL - 6 IS - 9 KW -产后抑郁KW -产后焦虑KW -网络传递认知行为疗法KW -跨诊断KW -治疗师协助AB -背景:产后抑郁(PPD)和产后焦虑(PPA)往往是共病，并与显著的个人和经济成本相关。在经历产后抑郁症或PPA症状的母亲中，只有不到一半的人接受了面对面的治疗，这表明有必要采用其他分娩方式，比如互联网认知行为疗法(ICBT)。目的:本初步研究旨在检查治疗师辅助的、转诊性ICBT项目对PPD和PPA症状的影响，因为之前只有一项针对该人群的转诊性ICBT研究，该研究没有包括治疗师的帮助。方法:认可PPD或PPA症状的患者(N=63)被随机分配到为期8周的ICBT(新妈妈健康课程)或常规治疗(TAU)。患者在治疗前、治疗后、随访1个月完成抑郁、焦虑、压力、产后结合、关系满意度、治疗满意度和治疗配合度的测量。完成ICBT课程的患者在6个月的随访中也完成了结果测量。结果:随着时间的推移，ICBT组和TAU组都经历了统计学上显著的改善。与TAU组相比，ICBT组在治疗后和1个月的随访中，在更多的测量指标上有更大的改善，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)等主要结果测量指标上，ICBT组具有中等的组间Cohen d效应，在总体焦虑(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 0.23-1.28)。 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 SN - 2561-326X UR - https://formative.www.mybigtv.com/2022/9/e37216 UR - https://doi.org/10.2196/37216 UR - http://www.ncbi.nlm.nih.gov/pubmed/36066958 DO - 10.2196/37216 ID - info:doi/10.2196/37216 ER -