@Article{信息:doi 10.2196 / / jmir。3031，作者="M{\aa}nsson, Kristoffer NT and Skagius Ruiz, Erica and Gervind, Elisabet and Dahlin, Mats and Andersson, Gerhard"，标题="基于互联网的面对面认知行为治疗支持系统的开发和初步评估:概念研究的证明"，期刊="J Med Internet Res"，年="2013"，月="12"，日="10"，卷="15"，数="12"，页数="e280"，关键词="认知行为治疗;互联网;焦虑;抑郁症;背景:循证心理治疗，如认知行为疗法(CBT)，已被发现对治疗几种焦虑和情绪障碍有效。然而，关于依从性的问题是常见的，例如患者对家庭作业的依从性差，治疗师从严格循证的CBT中偏离。在过去的十年中，互联网交付的CBT (ICBT)的发展非常密集，结果表明，引导式ICBT可以与面对面的CBT一样有效，但也表明需要将两种形式的CBT交付整合起来。目的:在本研究中，我们开发并测试了一种新的治疗形式，其中ICBT和面对面治疗相结合。我们设计了一个通过互联网(使用电脑或苹果iPad)访问的支持系统，让患者和治疗师面对面地进行CBT治疗。 The support system included basic CBT components and a library of interventions gathered from existing ICBT manuals. Methods: The study involved 15 patients with mild to moderate anxiety or depression (or both). Eight therapists conducted the treatments. All participants were interviewed after the nine-week intervention. Further, patients provided self-reports on clinical measures pre- and post-trial, as well as at a 12-month follow-up. Results: A reduction was found in symptom scores across all measures. The reliable change index ranged from 60{\%} to 87{\%} for depression and anxiety. Large effect sizes (Cohen's d) ranging from 1.62 (CI 95{\%} 0.59-2.66) to 2.43 (CI 95{\%} 1.12-3.74) were found. There were no missing data and no treatment dropouts. In addition, the results had been maintained at the 12-month follow-up. Qualitative interviews revealed that the users perceived the support system as beneficial. Conclusions: The results suggest that modern information technology can effectively blend with face-to-face treatments and be used to facilitate communication and structure in therapy, thus reducing therapist drift. ", issn="14388871", doi="10.2196/jmir.3031", url="//www.mybigtv.com/2013/12/e280/", url="https://doi.org/10.2196/jmir.3031", url="http://www.ncbi.nlm.nih.gov/pubmed/24326065" }