@Article{信息:doi 10.2196 / / jmir.4.1。e3，作者=“Christensen, Helen和Griffiths, Kathleen M和Korten, Ailsa”，标题=“基于网络的认知行为疗法:网站使用和抑郁和焦虑分数变化的分析”，期刊=“J Med Internet Res”，年=“2002”，月=“Feb”，日=“15”，卷=“4”，数=“1”，页面=“e3”，关键词=“Internet”;抑郁症;一级预防;背景:认知行为疗法被认为是一种有效的治疗和预防抑郁症的方法，可以通过面对面、自助书籍(阅读疗法)和计算机管理进行。认知行为疗法的公共卫生影响受到成本和缺乏训练有素的从业者的限制。我们开发了一种免费的基于互联网的认知行为治疗干预(MoodGYM, http://moodgym.anu.edu.au)，旨在治疗和预防年轻人的抑郁症，对所有互联网用户开放，并针对那些可能没有正式接触专业帮助服务的人。目的:记录网站使用情况、访问者特征以及MoodGYM用户抑郁和焦虑症状的变化，MoodGYM是一个向公众提供基于认知行为的预防干预的网站。方法:对所有访问MoodGYM网站超过6个月的访问者进行调查，包括2909名注册者，其中1503名完成了至少一次在线评估。71名参加变态心理学课程的大学生访问了该网站进行教育培训，他们的结果被分别纳入和检查。 The main outcome measures were (1) site-usage measures including number of sessions, hits and average time on the server, and number of page views; (2) visitor characteristics including age, gender, and initial Goldberg self-report anxiety and depression scores; and (3) symptom change measures based on Goldberg anxiety and depression scores recorded on up to 5 separate occasions. Results: Over the first almost-6-month period of operation, the server recorded 817284 hits and 17646 separate sessions. Approximately 20{\%} of sessions lasted more than 16 minutes. Registrants who completed at least one assessment reported initial symptoms of depression and anxiety that exceeded those found in population-based surveys and those characterizing a sample of University students. For the Web-based population, both anxiety and depression scores decreased significantly as individuals progressed through the modules. Conclusions: Web sites are a practical and promising means of delivering cognitive behavioral interventions for preventing depression and anxiety to the general public. However, randomized controlled trials are required to establish the effectiveness of these interventions. ", issn="1438-8871", doi="10.2196/jmir.4.1.e3", url="//www.mybigtv.com/2002/1/e3/", url="https://doi.org/10.2196/jmir.4.1.e3", url="http://www.ncbi.nlm.nih.gov/pubmed/11956035" }