@Article{信息:doi 10.2196 / / jmir。1918年，作者=“Klein, Britt和Meyer, Denny和Austin, David William和Kyrios, Michael”，标题=“焦虑在线——一个虚拟诊所:完成焦虑障碍和症状的五个全自动治疗项目后的初步结果”，期刊=“J medical Internet Res”，年=“2011”，月=“11”，日=“04”，卷=“13”，数=“4”，页=“e89”，关键词=“eTherapy;网络干预;e-mental健康;认知行为疗法;广泛性焦虑障碍;恐慌症;强迫症;社交焦虑障碍;创伤后应激障碍; self-help; fully automated; Web treatment", abstract="Background: The development of e-mental health interventions to treat or prevent mental illness and to enhance wellbeing has risen rapidly over the past decade. This development assists the public in sidestepping some of the obstacles that are often encountered when trying to access traditional face-to-face mental health care services. Objective: The objective of our study was to investigate the posttreatment effectiveness of five fully automated self-help cognitive behavior e-therapy programs for generalized anxiety disorder (GAD), panic disorder with or without agoraphobia (PD/A), obsessive--compulsive disorder (OCD), posttraumatic stress disorder (PTSD), and social anxiety disorder (SAD) offered to the international public via Anxiety Online, an open-access full-service virtual psychology clinic for anxiety disorders. Methods: We used a naturalistic participant choice, quasi-experimental design to evaluate each of the five Anxiety Online fully automated self-help e-therapy programs. Participants were required to have at least subclinical levels of one of the anxiety disorders to be offered the associated disorder-specific fully automated self-help e-therapy program. These programs are offered free of charge via Anxiety Online. Results: A total of 225 people self-selected one of the five e-therapy programs (GAD, n = 88; SAD, n = 50; PD/A, n = 40; PTSD, n = 30; OCD, n = 17) and completed their 12-week posttreatment assessment. Significant improvements were found on 21/25 measures across the five fully automated self-help programs. At postassessment we observed significant reductions on all five anxiety disorder clinical disorder severity ratings (Cohen d range 0.72--1.22), increased confidence in managing one's own mental health care (Cohen d range 0.70--1.17), and decreases in the total number of clinical diagnoses (except for the PD/A program, where a positive trend was found) (Cohen d range 0.45--1.08). In addition, we found significant improvements in quality of life for the GAD, OCD, PTSD, and SAD e-therapy programs (Cohen d range 0.11--0.96) and significant reductions relating to general psychological distress levels for the GAD, PD/A, and PTSD e-therapy programs (Cohen d range 0.23--1.16). Overall, treatment satisfaction was good across all five e-therapy programs, and posttreatment assessment completers reported using their e-therapy program an average of 395.60 (SD 272.2) minutes over the 12-week treatment period. Conclusions: Overall, all five fully automated self-help e-therapy programs appear to be delivering promising high-quality outcomes; however, the results require replication. Trial Registration: Australian and New Zealand Clinical Trials Registry ACTRN121611000704998; http://www.anzctr.org.au/trial{\_}view.aspx?ID=336143 (Archived by WebCite at http://www.webcitation.org/618r3wvOG) ", issn="1438-8871", doi="10.2196/jmir.1918", url="//www.mybigtv.com/2011/4/e89/", url="https://doi.org/10.2196/jmir.1918", url="http://www.ncbi.nlm.nih.gov/pubmed/22057287" }