Two-year outcome of internet-based relapse prevention for partially remitted depression
Two-year outcome of internet-based relapse prevention for partially remitted depression
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DOI：
10.1016/j.brat.2013.08.002
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发表时间：
2013-11-01
影响因子：
4.1
通讯作者：
Engstrom, Ingemar
中科院分区：
文献类型：
--
作者：
Hollandare, Fredrik;Anthony, Susanne A.;Engstrom, Ingemar
本研究的目的是探讨基于互联网的复发预防部分缓解抑郁症患者的长期效果。84名部分缓解的单相抑郁症患者被随机分配到基于互联网的CBT（iCBT）或对照组。在10周的干预期后，参与者被随访24个月，并进行诊断性访谈以检测复发。抑郁症状的干预和每月自我评级是通过基于互联网的平台进行的，该平台确保与所有参与者的安全沟通。在基于互联网的干预两年后，与对照组相比，iCBT组中复发的参与者明显较少。iCBT组的复发率为13.7%（CI 95%= 2.5 - 24.9），对照组为60.9%（CI 95%= 44.8 - 77）。此外，与对照组相比，iCBT组在干预后两年内出现缓解的比例显着增加。基于互联网的CBT似乎有希望防止部分缓解抑郁症患者复发。(C)2013爱思唯尔有限公司保留所有权利。
The objective of the study was to investigate the long-term effects of internet-based relapse prevention for sufferers of partially remitted depression. Eighty-four individuals with partially remitted unipolar depression were randomized to either internet-based CBT (iCBT) or to a control group. After the ten week intervention period the participants were followed for 24 months and diagnostic interviews conducted to detect relapse. The intervention and monthly self-ratings of depressive symptoms were administered via an internet-based platform that ensured secure communication with all participants. Significantly fewer participants in the iCBT group had experienced a relapse compared with those in the control group two years after the internet-based intervention. The relapse rate in the iCBT group was 13.7% (CI 95% = 2.5-24.9) and in the control group it was 60.9% (CI 95% = 44.8-77). Furthermore, a significantly larger proportion of the iCBT group experienced remission two years after the intervention compared with the control group. Internet-based CBT seems promising for preventing relapse in sufferers of partially remitted depression. (C) 2013 Elsevier Ltd. All rights reserved.