Guided Internet-Based CBT for Common Mental Disorders
Guided Internet-Based CBT for Common Mental Disorders
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DOI：
10.1007/s10879-013-9237-9
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发表时间：
2013-12-01
影响因子：
2
通讯作者：
Hedman, Erik
中科院分区：
文献类型：
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作者：
Andersson, Gerhard;Carlbring, Per;Hedman, Erik
互联网已成为世界许多地方大多数人生活的一部分。自20世纪90年代末以来，人们开展了一项深入的研究活动，发现认知行为疗法（CBT）等心理治疗通过互联网提供时有效。大多数研究表明，当治疗师提供某种形式的指导时，效果会更大，而无指导的治疗往往会导致更多的退出和更小的效果。互联网指导治疗通常包括书本长度的文本材料，但也可以包括其他组件，如音频文件和视频剪辑。家庭作业通常包括在内，并对完成的家庭作业给予反馈。基于互联网的指导性CBT（iCBT）已被发现适用于抑郁症，恐慌症，社交焦虑症和广泛性焦虑症等问题。有许多研究试验是通过媒体招募参与者的，在代表性的临床环境中进行的研究较少。大多数研究是在成人和大学环境中进行的，并在全国范围内招募。需要对老年人、儿童和青少年进行治疗和研究。总之，有必要将指导性iCBT的研究结果传播到常规临床环境中。
The Internet has become a part of most people's lives in many parts of the world. Since the late 1990s there has been an intensive research activity in which psychological treatments, such as cognitive behavior therapy (CBT), have been found to be effective when delivered via the Internet. Most research studies indicate that the effects are larger when some form of guidance is provided from a therapist, and unguided treatments tend to lead to more dropout and smaller effects. Guided Internet treatments often consists of book length text materials, but can also include other components such as audio files and video clips. Homework assignment is often included and feedback is given for completed homework. Guided Internet-based CBT (iCBT) has been found to work for problems such as depression, panic-, social anxiety-, and generalized anxiety disorders. There are many research trials in which participants have been recruited via media, and there has been less research conducted in representative clinical settings. Most research has been conducted on adults and in university settings with nationwide recruitment. There is a need for treatments and studies on older adults, children and adolescents. In conclusion, dissemination of the research findings on guided iCBT to regular clinical settings is warranted.