Computer-assisted cognitive behavior therapy for obsessive-compulsive disorder: a randomized trial on the impact of lay vs. professional coaching.
Computer-assisted cognitive behavior therapy for obsessive-compulsive disorder: a randomized trial on the impact of lay vs. professional coaching.
复制标题
DOI：
10.1186/s12991-015-0048-0
复制
发表时间：
2015
影响因子：
3.7
通讯作者：
Greist JH
中科院分区：
文献类型：
--
作者：
Kobak KA;Greist R;Jacobi DM;Levy-Mack H;Greist JH
该研究的目的是检查计算机认知行为疗法（CBT）自助治疗强迫症（OCD）（BT步骤）的影响，无论是单独还是由非专业的非治疗师教练或经验丰富的CBT治疗师的指导支持。通过报纸广告招募了87名具有临床意义的强迫症受试者，并随机分配接受12周的治疗，其中单独使用BT步骤（n = 28），BT步骤与非治疗师指导（n = 28）或BT步骤与CBT治疗师指导（n = 31）。受试者按照自己的节奏进行BT步骤。单独接受BT步骤的受试者收到项目经理的欢迎电话。随机分配至任一辅导组的受试者每周定期接受电话辅导、鼓励和支持。教练没有提供正式的治疗;因此，外行和CBT教练都完成了相同的任务。所有三个治疗组的耶鲁-布朗强迫量表（YBOCS）评分均显著降低，无指导组、非专业指导组和治疗师指导组的平均（SD）变化分别为6.5（5.7）、7.1（6.1）和6.5（6.1）（所有p均< .001）。这些代表的效应量分别为1.16、1.41和1.12。治疗组之间在YBOCS变化评分（F（2）= 0.10，p = 0.904）或暴露次数（F（2）= 0.033，p = 0.967）方面无显著差异。当被问及他们更喜欢哪种治疗方法（计算机与临床医生）时，48%的人说计算机，33%的人说面对面治疗，19%的人没有偏好。结果支持使用在线自助治疗中度强迫症。无论是外行教练还是CBT治疗师教练的指导都没有显着改善结果。
The purpose of the study was to examine the impact of computerized cognitive behavior therapy (CBT) self-help treatment for obsessive-compulsive disorder (OCD) (BT Steps) both alone and when supported by coaching from either a lay non-therapist coach or an experienced CBT therapist. Eighty-seven subjects with clinically significant OCD were recruited through newspaper ads and randomly assigned to receive 12 weeks of treatment with either BT Steps alone (n = 28), BT Steps with non-therapist coaching (n = 28), or BT Steps with CBT therapist coaching (n = 31). Subjects worked on BT Steps at their own pace. Subjects receiving BT Steps alone received a welcome call from the project manager. Subjects randomized to either of the coaching arms received regularly scheduled weekly phone calls for coaching, encouragement, and support. No formal therapy was provided by the coaches; thus, both lay and CBT coaches completed the same tasks. All three treatment arms showed a significant reduction in Yale-Brown Obsessive Compulsive Scale (YBOCS) scores, with mean (SD) changes of 6.5 (5.7), 7.1 (6.1), and 6.5 (6.1) for the no coaching, lay coaching, and therapist coaching arms, respectively (all p’s < .001). These represent effect sizes of 1.16, 1.41, and 1.12, respectively. No significant differences were found between treatment arms on YBOCS change scores, F(2) = 0.10, p = .904, or number of exposures sessions done (F(2) = 0.033, p = .967). When asked which method of therapy (computer vs. clinician) they preferred, 48% said computer, 33% said face-to-face therapy, and 19% had no preference. Results support the use of online self-help for the treatment of moderate OCD. The addition of coaching by either a lay coach or a CBT therapist coach did not significantly improve outcomes.
登录
查看更多内容
影响因子：
6.6
作者：
Andersson, Gerhard;Hesser, Hugo;Carlbring, Per
通讯作者：
Carlbring, Per
影响因子：
5.9
作者：
Chambless, DL;Hollon, SD
通讯作者：
Hollon, SD
影响因子：
6.9
作者：
Andersson, E.;Enander, J.;Andren, P.;Hedman, E.;Ljotsson, B.;Hursti, T.;Bergstrom, J.;Kaldo, V.;Lindefors, N.;Andersson, G.;Ruck, C.
通讯作者：
Ruck, C.
DOI：
10.1016/j.jocrd.2012.12.005
发表时间：
2013-04-01
影响因子：
1.8
作者：
Diefenbach GJ;Tolin DF
通讯作者：
Tolin DF
影响因子：
2
作者：
Andersson, Gerhard;Carlbring, Per;Hedman, Erik
通讯作者：
Hedman, Erik