Anxiety online: a virtual clinic: preliminary outcomes following completion of five fully automated treatment programs for anxiety disorders and symptoms.
Anxiety online: a virtual clinic: preliminary outcomes following completion of five fully automated treatment programs for anxiety disorders and symptoms.
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DOI：
10.2196/jmir.1918
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发表时间：
2011-11-04
影响因子：
7.4
通讯作者：
Kyrios M
中科院分区：
文献类型：
--
作者：
Klein B;Meyer D;Austin DW;Kyrios M
在过去十年中，用于治疗或预防精神疾病和增进福祉的电子精神卫生干预措施的发展迅速上升。这一发展有助于公众避开在试图获得传统的面对面精神卫生保健服务时经常遇到的一些障碍。本研究的目的是调查五种全自动自助认知行为电子治疗程序的治疗后有效性，这些程序通过焦虑在线向国际公众提供，用于广泛性焦虑症（GAD）、伴或不伴广场恐怖症（PD/A）的惊恐障碍、强迫症（OCD）、创伤后应激障碍（PTSD）和社交焦虑症（SAD）。一个开放的全方位服务的虚拟心理诊所，治疗焦虑症。我们使用了一个自然的参与者选择，准实验设计，以评估每一个焦虑在线全自动自助电子治疗程序。参与者被要求至少有一种焦虑症的亚临床水平，以提供相关的疾病特异性全自动自助电子治疗计划。这些程序是通过焦虑在线免费提供的。共有225人自行选择了五种电子治疗方案之一（GAD，n = 88; SAD，n = 50; PD/A，n = 40; PTSD，n = 30; OCD，n = 17），并完成了12周的治疗后评估。在五个完全自动化的自助程序中，21/25的措施都有显着改善。在评估后，我们观察到所有五种焦虑症临床障碍严重程度评分均显著降低（科恩d范围0.72-1.22），增加了管理自己的心理健康护理的信心（Cohen d范围0.70-1.17），临床诊断总数减少（PD/A项目除外，发现了积极趋势）（Cohen d范围0.45-1.08）。此外，我们发现GAD、OCD、PTSD和SAD电子治疗程序的生活质量显著改善（Cohen d范围0.11-0.96），GAD、PD/A和PTSD电子治疗程序的一般心理困扰水平显著降低（Cohen d范围0.23-1.16）。总体而言，所有五个电子治疗程序的治疗满意度都很好，治疗后评估完成者报告在12周的治疗期间使用电子治疗程序的平均时间为395.60（SD 272.2）分钟。总体而言，所有五个全自动自助电子治疗程序似乎都提供了有希望的高质量结果;然而，结果需要复制。澳大利亚和新西兰临床试验注册中心ACTRN 121611000704998; http://www.anzctr.org.au/trial_view.aspx? ID=336143（由WebCite在http：//www.webcitation.org/618r3wvOG上存档）
The development of e-mental health interventions to treat or prevent mental illness and to enhance wellbeing has risen rapidly over the past decade. This development assists the public in sidestepping some of the obstacles that are often encountered when trying to access traditional face-to-face mental health care services. The objective of our study was to investigate the posttreatment effectiveness of five fully automated self-help cognitive behavior e-therapy programs for generalized anxiety disorder (GAD), panic disorder with or without agoraphobia (PD/A), obsessive–compulsive disorder (OCD), posttraumatic stress disorder (PTSD), and social anxiety disorder (SAD) offered to the international public via Anxiety Online, an open-access full-service virtual psychology clinic for anxiety disorders. We used a naturalistic participant choice, quasi-experimental design to evaluate each of the five Anxiety Online fully automated self-help e-therapy programs. Participants were required to have at least subclinical levels of one of the anxiety disorders to be offered the associated disorder-specific fully automated self-help e-therapy program. These programs are offered free of charge via Anxiety Online. A total of 225 people self-selected one of the five e-therapy programs (GAD, n = 88; SAD, n = 50; PD/A, n = 40; PTSD, n = 30; OCD, n = 17) and completed their 12-week posttreatment assessment. Significant improvements were found on 21/25 measures across the five fully automated self-help programs. At postassessment we observed significant reductions on all five anxiety disorder clinical disorder severity ratings (Cohen d range 0.72–1.22), increased confidence in managing one’s own mental health care (Cohen d range 0.70–1.17), and decreases in the total number of clinical diagnoses (except for the PD/A program, where a positive trend was found) (Cohen d range 0.45–1.08). In addition, we found significant improvements in quality of life for the GAD, OCD, PTSD, and SAD e-therapy programs (Cohen d range 0.11–0.96) and significant reductions relating to general psychological distress levels for the GAD, PD/A, and PTSD e-therapy programs (Cohen d range 0.23–1.16). Overall, treatment satisfaction was good across all five e-therapy programs, and posttreatment assessment completers reported using their e-therapy program an average of 395.60 (SD 272.2) minutes over the 12-week treatment period. Overall, all five fully automated self-help e-therapy programs appear to be delivering promising high-quality outcomes; however, the results require replication. Australian and New Zealand Clinical Trials Registry ACTRN121611000704998; http://www.anzctr.org.au/trial_view.aspx?ID=336143 (Archived by WebCite at http://www.webcitation.org/618r3wvOG)
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影响因子：
1.8
作者：
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通讯作者：
Rosa, Virginia
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影响因子：
6.9
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