Internet-Based Cognitive Behavioral Therapy for Psychological Distress Associated With the COVID-19 Pandemic: A Pilot Randomized Controlled Trial.
Internet-Based Cognitive Behavioral Therapy for Psychological Distress Associated With the COVID-19 Pandemic: A Pilot Randomized Controlled Trial.
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DOI：
10.3389/fpsyg.2021.684540
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发表时间：
2021
影响因子：
3.8
通讯作者：
Andersson G
中科院分区：
文献类型：
--
作者：
Aminoff V;Sellén M;Sörliden E;Ludvigsson M;Berg M;Andersson G
背景：新冠肺炎大流行与各种负面心理后果有关。这对社会来说是一项挑战，因为常规心理服务不能像大流行之前那样提供。除了社交距离的要求外，还需要调整暴露等心理治疗成分，以避免增加感染的传播。互联网提供的认知行为疗法(ICBT)已经为一系列精神问题奠定了坚实的证据基础，并被建议作为一种可能的方法来应对这种情况。这项研究的目的是在2020年夏天进行一项随机对照试点试验，广泛关注心理困扰，并根据症状特征和偏好定制干预措施。方法：在广告和访谈之后，我们包括52名心理困扰程度升高的参与者。他们被随机分配到为期7周的单独定制ICBT(n=26)或等待名单控制条件(n=26)。抑郁和生活质量的测量被用作主要结果。我们还包括焦虑、失眠、创伤、压力、愤怒和饮酒的次要结果指标。对于筛查，我们使用了冠状病毒健康影响调查(危机)。结果：总体上，在治疗后，在抑郁[Beck抑郁量表(BDI)；Cohens d=0.63；患者健康问卷(PHQ-9)：D=0.62]和焦虑[广义焦虑障碍7项量表(GAD-7)；D=0.82]方面，总体上发现了中等到较大的组间效应。在压力症状方面也观察到了这一点[感知压力量表(PSS-14)；d=1.04]。在生活质量、失眠、创伤后应激症状和愤怒方面没有看到任何影响。对酒精使用有影响[酒精使用障碍鉴定测试(AUDIT)；d=0.54]，这与临床无关。结论：作为减少与新冠肺炎大流行相关的心理问题的一种方法，个人定制的国际禁止酷刑显示出初步的希望。一个可能的限制是，试验是在大流行的影响正在减少并且受到限制影响的人数较少的情况下进行的(例如，2020年夏天)。
Background: The COVID-19 pandemic has been associated with various negative psychological consequences. This is a challenge for the society as regular psychological services cannot be offered to the same extent as before the pandemic. In addition to the requirement of social distancing, there is a need to adjust psychological treatment components like exposure to avoid increasing the spread of the infection. Internet-delivered cognitive behavior therapy (ICBT) has an established evidence base for a range of psychiatric problems and has been suggested as one possible approach to deal with the situation. This study aimed to conduct a randomized controlled pilot trial during the summer of 2020 with a broad focus on psychological distress and a treatment approach that tailors the intervention based on symptom profile and preferences. Methods: Following the advertisement and interview, we included 52 participants with elevated levels of psychological distress. They were randomly allocated to either a 7-week-long individually tailored ICBT (n = 26) or a wait-list control condition (n = 26). Measures of depression and quality of life were used as primary outcomes. We also included secondary outcome measures of anxiety, insomnia, trauma, stress, anger, and alcohol use. For screening, we used the CoRonavIruS Health Impact Survey (CRISIS). Results: Overall moderate to large between-group effects were found at post-treatment in favor of the treatment on measures of both depression [Beck Depression Inventory (BDI); Cohens d = 0.63; Patient Health Questionnaire (PHQ-9): d = 0.62] and anxiety [Generalized Anxiety Disorder-7-item scale (GAD-7); d = 0.82]. This was also observed for stress symptoms [Perceived Stress Scale (PSS-14); d = 1.04]. No effects were seen on measures of quality of life, insomnia, symptoms of post-traumatic stress, and anger. There was an effect on alcohol use [Alcohol Use Disorder Identification Test (AUDIT); d = 0.54], which was not of clinical relevance. Conclusion: Individually tailored ICBT shows initial promise as a way to reduce psychological problems in association with the COVID-19 pandemic. A possible limitation was that the trial was conducted when the effects of the pandemic were decreasing and when fewer people were affected by the restrictions (e.g., the summer of 2020).
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
DOI：
10.1037/tra0000592
发表时间：
2020-05-01
影响因子：
6.3
作者：
Horesh, Danny;Brown, Adam D.
通讯作者：
Brown, Adam D.
影响因子：
4.8
作者：
Bastien, Celyne H.;Vallieres, Annie;Morin, Charles M.
通讯作者：
Morin, Charles M.
影响因子：
5.9
作者：
JACOBSON, NS;TRUAX, P
通讯作者：
TRUAX, P
DOI：
10.1080/13651501.2020.1821893
发表时间：
2020-09-18
影响因子：
3
作者：
Goulart, Alessandra C.;Bismarchi, Danielle;Wang, Yuan-Pang
通讯作者：
Wang, Yuan-Pang