Internet-based behavioral activation and acceptance-based treatment for depression: A randomized controlled trial
Internet-based behavioral activation and acceptance-based treatment for depression: A randomized controlled trial
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DOI：
10.1016/j.jad.2012.12.020
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发表时间：
2013-06-01
影响因子：
6.6
通讯作者：
Andersson, Gerhard
中科院分区：
文献类型：
--
作者：
Carlbring, Per;Hagglund, Malin;Andersson, Gerhard
背景资料：基于互联网的抑郁症认知行为疗法已经在几项试验中进行了测试，但没有关于行为激活（BA）的互联网研究，也没有关于互联网上BA的研究，包括接受和承诺疗法（ACT）的组成部分。本研究的目的是开发和测试的影响，互联网提供的BA结合ACT对等候名单控制condition作为第一次测试的treatment.Methods的效果：选择发生了一个计算机化的筛选面试和随后的半结构化电话面试。共有80名来自公众的个体被随机分配到两种条件之一。治疗8周后对两组进行评定。我们还进行了3个月的随访。治疗包括在线互动元素和正念和接受练习的光盘。结果：治疗后Beck抑郁量表II的组间效应值d = 0.98（95%CI = 0.51-1.44），治疗组间差异无显著性（P > 0.05）。在治疗组中，25%（10/40）达到缓解，定义为BDI评分
Background: Internet-based cognitive behavior therapy for depression has been tested in several trials but there are no internet studies on behavioral activation (BA), and no studies on BA over the internet including components of acceptance and commitment therapy (ACT). The aim of this study was to develop and test the effects of internet-delivered BA combined with ACT against a waiting list control condition as a first test of the effects of treatment.Methods: Selection took place with a computerized screening interview and a subsequent semi-structured telephone interview. A total of 80 individuals from the general public were randomized to one of two conditions. The treatment lasted for 8 weeks after which both groups were assessed. We also included a 3 month follow-up. The treatment included interactive elements online and a CD-ROM for mindfulness and acceptance exercises. In addition, written support and feedback was given by a therapist every week.Results: Results at posttreatment showed a large between group effect size on the Beck Depression inventory II d = 0.98 (95%CI = 0.51-1.44). In the treated group 25% (10/40) reached remission defined as a BDI score