%0期刊文章%@ 1438- 8871% I JMIR出版物%V 23卡塔尔世界杯8强波胆分析% N 5% P e27610 %T为公共安全人员量身定制的跨诊断互联网交付认知行为疗法的初步结果:纵向观察研究A Hadjistavropoulos,Heather D %A McCall,Hugh C %A Thiessen,David L %A Huang,Ziyin %A Carleton,R Nicholas %A Dear,Blake F %A Titov,Nickolai +里贾纳大学心理学系，行政-人文大楼，AH 345, 3737 Wascana Parkway，里贾纳，SK, S4S 0A2，加拿大，1 306 585 5133，Heather.Hadjistavropoulos@uregina.ca %K互联网%K认知行为治疗%K焦虑%K抑郁%K创伤后应激障碍%K公共安全人员%K CBT %K基于互联网的认知行为治疗%K ICBT %K PTSD %K结果%K诊断%K纵向%K观察%K文献%K有效性%D 2021 %7 5.5.2021 %9原始论文%J J医学互联网Res %G英语%X背景:加拿大公共安全人员(PSP)的精神健康障碍比例很高，在治疗方面面临许多障碍。互联网提供的认知行为疗法(ICBT)克服了许多这样的障碍，对治疗抑郁、焦虑和创伤后应激障碍(PTSD)症状有效。目的:本研究旨在填补文献中关于专为PSP定制的ICBT使用的空白。我们研究了一个定制的ICBT项目对萨斯喀彻温省PSP患者治疗抑郁、焦虑和创伤后应激障碍症状的有效性。方法:我们采用纵向单组开放试验设计(N=83)，在筛查时和治疗后8周进行结局测量。数据收集于2019年12月5日至2020年9月11日之间。主要结果包括抑郁、焦虑和创伤后应激障碍症状的改变。 Secondary outcomes included changes in functional impairment; symptoms of panic, social anxiety, and anger; as well as treatment satisfaction, working alliance, and program usage patterns. Results: Clients reported large symptom reductions on measures of depression and anxiety, as well as moderate reductions on measures of PTSD and secondary symptoms, except for social anxiety. Most clients who reported symptoms above clinical cut-offs on measures of depression, anxiety, and PTSD during screening experienced clinically significant symptom reductions. Results suggested good engagement, treatment satisfaction, and working alliance. Conclusions: Tailored, transdiagnostic ICBT demonstrated promising outcomes as a treatment for depression, anxiety, and PTSD among Saskatchewan PSP and warrants further investigation. Trial Registration: Clinicaltrials.gov NCT04127032; https://www.clinicaltrials.gov/ct2/show/NCT04127032 %M 33949959 %R 10.2196/27610 %U //www.mybigtv.com/2021/5/e27610 %U https://doi.org/10.2196/27610 %U http://www.ncbi.nlm.nih.gov/pubmed/33949959