A Systematic Review of Videoconference-Delivered Psychological Treatment for Anxiety Disorders
A Systematic Review of Videoconference-Delivered Psychological Treatment for Anxiety Disorders
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DOI：
10.1111/ap.12122
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发表时间：
2015-08-01
影响因子：
1.9
通讯作者：
Maclaine, Ellen
中科院分区：
文献类型：
--
作者：
Rees, Clare S.;Maclaine, Ellen
目的最近，人们越来越关注循证心理治疗机会有限的问题。影响获得服务的因素可能包括距服务提供者的地理距离、缺乏训练有素的专家以及高昂的治疗费用。视频会议为面对面的心理治疗提供了一种方便、低成本的替代方案。尽管视频会议治疗已经针对大量的心理健康问题进行了试验，但令人惊讶的是，很少有研究探索视频会议治疗焦虑症的功效。焦虑症是一种非常普遍的致残性疾病，需要有效的心理治疗。本研究的目的是确定关于视频会议治疗焦虑症有效性的证据状况。方法使用系统评价和荟萃分析指南的首选报告项目，我们对 2004 年至 2014 年间发表的所有主要招募焦虑症患者的研究进行了系统评价。结果我们确定了 20 项研究，总共涉及 613 名参与者。在纳入的研究中，50% 为非对照试验，50% 为对照试验。迄今为止进行的大多数研究集中在创伤后应激障碍（PTSD；n=10），其次是强迫症（n=5）、混合焦虑和抑郁症（n=2）、恐慌症（n=2）和社交恐惧症（n=1）。没有发现专门针对广泛性焦虑症的视频会议治疗的研究。结论根据视频会议治疗焦虑症有效性的累积证据以及总体上需要进行更多试验（特别是针对广泛性焦虑症）的需要来讨论研究结果。
ObjectiveRecently, increasing attention has been given to the issue of limited access to evidence-based psychological treatments. Factors affecting access can include geographical distance from service providers, lack of trained specialists, and prohibitive costs for treatment. Videoconferencing provides a convenient, low-cost alternative to in-person psychotherapy. Although videoconferencing treatment has been trialled for a vast array of mental health problems, surprisingly little research has been conducted exploring the efficacy of videoconferencing for the treatment of anxiety disorders. Anxiety disorders are highly prevalent and disabling conditions for which effective psychological treatment exists. The aim of the present study was to determine the state of the evidence with regard to the effectiveness of videoconference-delivered treatment for anxiety disorders.MethodUsing preferred reporting items for systematic reviews and meta-analyses guidelines, we conducted a systematic review of all studies that primarily recruited individuals with anxiety disorders, published between 2004 and 2014.ResultsWe identified 20 studies involving a total of 613 participants. Of the included studies, 50% were uncontrolled and 50% were controlled trials. The majority of studies conducted to date focused on post-traumatic stress disorder (PTSD; n=10), followed by obsessive-compulsive disorder (n=5), mixed anxiety and depression (n=2), panic disorder (n=2), and social phobia (n=1). No studies were located that focused on investigating videoconference-delivered therapy exclusively for generalised anxiety disorder.ConclusionsFindings are discussed in terms of the accumulating evidence for the effectiveness of videoconference-delivered therapy to treat anxiety disorders and the need for more trials overall, but particularly for generalised anxiety disorder.