TY - JOUR AU - Farvolden, Peter AU - Denisoff, Eilenna AU - Selby, Peter AU - Bagby, R Michael AU - Rudy，劳拉PY - 2005 DA - 2005/3/26 TI -使用和纵向网络自助认知行为疗法的有效性程序恐慌症乔- J地中海互联网Res SP - e7六世- 7 - 1 KW -焦虑KW -抑郁KW -障碍KW -认知行为疗法千瓦CBT KW -自助KW -网络KW -治疗KW -初级保健KW -协作KW -管理KW -访问KW -心理健康AB -背景:焦虑症是造成巨大痛苦和经济损失的常见问题。基于网络的自助方法对焦虑症的疗效已在许多对照试验中得到证实。然而，在对照试验的背景下，关于基于网络的免费干预措施的使用模式和有效性的数据很少。目的:研究一种免费的、基于网络的12期认知行为疗法(CBT)在惊恐障碍和广场恐怖症治疗中的应用和纵向效果。方法:对恐慌中心99695名用户的累积匿名数据进行分析。研究人员检查了网站的使用统计数据，并对注册CBT项目的人进行了一项自我报告症状的纵向调查。主要结局指标是每次治疗(2-12次)开始时自我报告的恐慌发作频率和严重程度。结果:2002年9月1日至2004年2月1日期间，共有99695名用户访问了恐慌中心484695次，页面浏览量为1148097次。 In that same time period, 1161 users registered for the CBT program. There was an extremely high attrition rate with only 12 (1.03%) out of 1161 of registered users completing the 12-week program. However, even for those who remained in the program less than 12 weeks we found statistically significant reductions (P<.002) in self-reported panic attack frequency and severity, comparing 2 weeks of data against data after 3, 6, or 8 weeks. For example, the 152 users completing only 3 sessions of the program reduced their average number of attacks per day from 1.03 (week 2) to 0.63 (week 3) (P<.001). Conclusions: Freely available Web-based self-help will likely be associated with high attrition. However, for the highly self-selected group who stayed in the program, significant improvements were observed. SN - 1438-8871 UR - //www.mybigtv.com/2005/1/e7/ UR - https://doi.org/10.2196/jmir.7.1.e7 UR - http://www.ncbi.nlm.nih.gov/pubmed/15829479 DO - 10.2196/jmir.7.1.e7 ID - info:doi/10.2196/jmir.7.1.e7 ER -