参考文献:网络自助的心理治疗对抑郁患者有明显疗效。
抑郁   抑郁症   抑郁的治疗   
British Journal of Psychiatry刊发的临床研究报告证实,经过基于网络自助的认知行为治疗(CCBT)后,中、重度抑郁患者恢复到了健康状态。
 
计算机化的认知行为治疗在一级医疗机构中对焦虑和抑郁的治疗效果:随机控制实验
Clinical efficacy of computerised cognitive–behavioural therapy for anxiety and depression in primary care: randomised controlled trial.
 
摘要
背景:之前在一级医疗机构中的研究已经证实了计算机化的认知行为治疗对抑郁和焦虑是有效果的。
目标:使用更大的样本确定临床和人口学变量对治疗有效性的影响。
方法:274名患有抑郁、焦虑和混合性抑郁焦虑障碍的患者,无论是否接受药物治疗,被随机分配到CCBT组和普通治疗组。他们在随后的六个月中要接受追踪测试。
结果:计算机化治疗改善了抑郁、负向归因风格、工作和社会适应性等指标。这些改善效果与是否服药、患病的时长和严重程度等因素没有交互作用。对于焦虑和积极归因风格指标,治疗效果和患病严重程度有交互作用,即对于那些病情更严重的患者,CCBT的效果要好于普通治疗。计算机化治疗的满意度也更高一些。
结论:在医疗实践中,CCBT能够被有效的广泛应用于抑郁和焦虑的治疗中。
Abstract
Background Preliminary results have demonstrated the clinical efficacy of computerised cognitive – behavioural therapy (CBT) in the treatment of anxiety and depression in primary care. 
Aims
To determine, in an expanded sample, the dependence of the efficacy of this therapy upon clinical and demographic variables. 
Method
A sample of 274 patients with anxiety and/or depression were randomly allocated to receive, with or without medication, computerised CBT or treatment as usual, with follow-up assessment at 6 months. 
Results
The computerised therapy improved depression, negative attributional style, work and social adjustment, without interaction with drug treatment, duration of preexisting illness or severity of existing illness. For anxiety and positive attributional style, treatment interacted with severity such that computerised therapy did better than usual treatment for more disturbed patients. Computerised therapy also led to greater satisfaction with treatment. 
Conclusions
Computer-delivered CBT is a widely applicable treatment for anxiety and/or depression in general practice.
 
 
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  • 117.73.***.*** 2012-11-16 21:00:06
    hao 
    1
  • reniya 2013-2-20 12:20:15
    因为好多英文词看不懂
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