Efficacy of Telehealth Treatments for Posttraumatic Stress-Related Symptoms: A Meta-Analysis
Efficacy of Telehealth Treatments for Posttraumatic Stress-Related Symptoms: A Meta-Analysis
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DOI：
10.1080/16506073.2010.550058
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发表时间：
2011-06-01
影响因子：
4.7
通讯作者：
Pruneau, Genevieve M.
中科院分区：
文献类型：
--
作者：
Sloan, Denise M.;Gallagher, Matthew W.;Pruneau, Genevieve M.
本荟萃分析总结了远程医疗治疗减轻创伤后应激障碍（PTSD）相关症状程度的结果研究结果。在文献检索中，确定了13项研究纳入元分析，并对相关变量进行了编码。共纳入725名参与者。结果表明，远程医疗治疗与创伤后应激障碍症状的前后显著相关（d = 0.99, 95%可信区间[CI]: 0.87-1.11, p < .001），并且相对于等候名单比较条件（d = 1.01, 95% CI: 0.76-1.26, p < .001），导致更好的治疗效果。然而，与支持性咨询远程医疗比较条件相比，远程医疗干预没有显著的发现（d = 0.11, 95% CI: -0.38至0.60,p = 0.67），并且与面对面干预相比，远程医疗干预的结果较差（d = -0.68, 95% CI: -0.39至-0.98,p < .001）。抑郁症状严重程度的结果与PTSD的结果基本一致。远程医疗干预产生了显著的组内效应量（d = 0.98, 95% CI: 0.86至1.10,p < .001），相对于等候名单比较条件（d = 0.80, 95% CI: 0.56至1.05,p < .001）。相对于面对面干预，远程医疗治疗产生了相当的抑郁结局效果（d = 0.13, 95% CI: -0.55至0.28,p = 0.53）。综上所述，这些发现支持对有ptsd相关症状的个体使用远程医疗治疗。
This meta-analysis summarizes the findings of outcome research on the degree to which telehealth treatments reduce posttraumatic stress disorder (PTSD)-related symptoms. In a search of the literature, 13 studies were identified for inclusion in the meta-analysis and were coded for relevant variables. A total of 725 participants were included. Results indicate that telehealth treatments are associated with significant pre- to postreduction in PTSD symptoms (d = 0.99, 95% confidence interval [CI]: 0.87-1.11, p < .001), and result in superior treatment effects relative to a wait-list comparison condition (d = 1.01, 95% CI: 0.76-1.26, p < .001). However, no significant findings were obtained for telehealth intervention relative to a supportive counseling telehealth comparison condition (d = 0.11, 95% CI: -0.38 to 0.60, p = .67), and telehealth intervention produced an inferior outcome relative to a face-to-face intervention (d = -0.68, 95% CI: -0.39 to -0.98, p < .001). Findings for depression symptom severity outcome were generally consistent with those for PTSD outcome. Telehealth interventions produced a significant within-group effect size (d = 0.98, 95% CI: 0.86 to 1.10, p < .001) and superior effect relative to wait-list comparison condition (d = 0.80, 95% CI: 0.56-1.05, p < .001). Relative to face-to-face interventions, telehealth treatments produced comparable depression outcome effects (d = 0.13, 95% CI: -0.55 to 0.28, p = .53). Taken together, these findings support the use of telehealth treatments for individuals with PTSD-related symptoms.