TY - JOUR AU -松本，Kazuki AU - Hamatani, Sayo AU -清水，Eiji PY - 2021 DA - 2011/12/13 TI -视频会议传递的认知行为治疗对成人精神障碍的有效性:系统和整合审查乔- J地中海互联网Res SP - e31293六世- 23 - 12 KW - videoconference-delivered认知行为疗法千瓦焦虑-抑郁千瓦KW -精神疾病千瓦系统回顾KW -荟萃分析KW -数字医疗KW -心理健康KW -认知疗法KW -网络疗法KW -认知KW -神经发育KW -通信技术KW -卫生技术KW -心理障碍KW -焦虑症AB -背景:认知行为疗法(CBT)是治疗精神障碍的黄金标准。然而，亲自交付CBT的形式限制了对干预的访问。信息和通信技术的进步，特别是互联网，为认知行为治疗师提供了一个机会，通过视频会议为偏远地区的患者或客户提供服务。尽管已经进行了许多关于视频会议传递的认知行为疗法(VCBT)的随机对照试验，但VCBT对精神障碍的总体估计效果大小还没有通过系统综述和荟萃分析进行检验。目的:本研究试图通过系统的荟萃分析评价VCBT治疗精神障碍的有效性。方法:对VCBT与对照组(如正常治疗、注意力控制、等待名单控制和其他最低支持)直接比较的研究进行系统回顾和荟萃分析。为了确定符合我们研究目标的以往研究，2名独立审稿人通过7个数据库进行了系统搜索:MEDLINE(通过PubMed)、Web of Science、Science Direct、psyinfo、CINAHL、LILACS和SciELO。其他数据库(ClinicalTrials.gov和Cochrane Central resistance of Controlled Trials)也进行了检查。 All studies included in the review were assessed using the quality criteria of the Cochrane Collaboration. Statistical analysis was performed by using Cochrane Review Manager (RevMan, version 5.4.0). Standardized mean difference was used in major meta-analyses where a P value of .05 or less was the threshold for statistical significance. A heterogeneity test and the chi-square test were performed to assess the presence and extent of statistical heterogeneity with significance set at P<.10. Funnel plots were visually inspected to assess the risk of bias. Subgroup analyses were conducted for each disorder to estimate intervention effects. Results: The systematic search resulted in 16 studies (total N=1745) that met the criteria for this study and were included in the review. There were 10 studies on depressive symptoms, 3 on chronic pain, 1 on generalized anxiety disorder, 1 on obsessive-compulsive disorder, and 1 on hypochondriasis. The quality and risk of bias was also assessed. Results showed a pooled effect size (Hedge g) post treatment of −0.49 (95% CI –0.68 to –0.29), indicating that VCBT is effective for clients with psychiatric disorders. Study quality did not affect outcomes. Conclusions: While the overall results indicate the effectiveness of VCBT, there are still only a limited number of studies on specific psychiatric and somatic conditions. Therefore, more randomized controlled trials are needed to establish the effectiveness of VCBT for different disorders. Trial Registration: International Prospective Register of Systematic Reviews (PROSPERO) CRD42021224832; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=224832 SN - 1438-8871 UR - //www.mybigtv.com/2021/12/e31293 UR - https://doi.org/10.2196/31293 UR - http://www.ncbi.nlm.nih.gov/pubmed/34898445 DO - 10.2196/31293 ID - info:doi/10.2196/31293 ER -