TY -的盟Mansson摩挲NT AU - Skagius鲁伊兹,艾丽卡非盟- Gervind Elisabet盟——Dahlin垫AU -安德森,Gerhard PY - 2013 DA - 2013/12/10 TI -网络支持系统的开发和初步评估面对面的认知行为疗法:一个概念验证研究乔- J地中海互联网Res SP - e280六世- 15 - 12 KW -认知行为治疗法KW -互联网KW -焦虑KW -抑郁KW -苹果iPad AB -背景:循证心理疗法，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。该支持系统包括基本的CBT组件和从现有ICBT手册收集的干预措施库。方法:研究涉及15名轻度至中度焦虑或抑郁(或两者兼有)患者。8位治疗师进行了治疗。所有参与者都在9周的干预后接受了采访。 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. SN - 14388871 UR - //www.mybigtv.com/2013/12/e280/ UR - https://doi.org/10.2196/jmir.3031 UR - http://www.ncbi.nlm.nih.gov/pubmed/24326065 DO - 10.2196/jmir.3031 ID - info:doi/10.2196/jmir.3031 ER -