基于网络的认知行为放松疗法的动机和治疗可信度预测退出、治疗依从性和临床卡塔尔世界杯8强波胆分析结果随机对照试验%A Alfonsson,Sven %A Olsson,Erik %A Hursti,Timo %+卫生保健临床心理学，乌普萨拉大学公共卫生与护理科学系，Husargatan/Dag Hammarskjölds väg, BMC ing A11，瑞典乌普萨拉，751 22,46 18 471 00000,sven.alfonsson@pubcare.uu.se %K互联网%K依从性%K心理治疗%K动机%K患者依从性%D 2016 %7 08.03.2016 %9原文%J J Med Internet Res %G英文%X背景:在先前的研究中，年龄、教育程度、治疗可信度和治疗联盟等变量已显示影响患者在基于网络的心理治疗中的治疗依从性和结果。更详细地了解这些变量如何与不同的依从性措施和临床结果相关联，可能有助于设计更有效的在线治疗。目的:本研究的目的是调查在一项轻中度压力症状的在线放松研究中，可以预测退出、治疗依从性和治疗结果的人口统计学、心理学和治疗特异性变量。方法:对网络放松前、放松中、放松后受试者的退场、减员情况及自我报告资料进行分析。采用多元线性和逻辑回归分析来预测早期退出、总体减员、在线治疗进展、注册放松练习次数、治疗后症状水平和可靠改善。结果:治疗可信度显著预测了退出，而总体减员与报告关注即时后果和经历治疗的低水平内在动机有关。治疗进展由教育水平和治疗可信度预测，而记录的放松练习数量与治疗的内在动机相关。治疗后应激症状以参与治疗的外部压力感为正向预测，以治疗可信度为负向预测。 Reporting reliable symptom improvement after treatment was predicted by treatment credibility and therapeutic bond. Conclusions: This study confirmed that treatment credibility and a good working alliance are factors associated with successful Internet-based psychotherapy. Further, the study showed that measuring adherence in different ways provides somewhat different results, which underscore the importance of carefully defining treatment adherence in psychotherapy research. Lastly, the results suggest that finding the treatment interesting and engaging may help patients carry through with the intervention and complete prescribed assignments, a result that may help guide the design of future interventions. Trial Registration: Clinicaltrials.gov NCT02535598; http://clinicaltrials.gov/ct2/show/NCT02535598 (Archived by WebCite at http://www.webcitation.org/6fl38ms7y). %M 26957354 %R 10.2196/jmir.5352 %U //www.mybigtv.com/2016/3/e52/ %U https://doi.org/10.2196/jmir.5352 %U http://www.ncbi.nlm.nih.gov/pubmed/26957354