Up-scaling clinician assisted internet cognitive behavioural therapy (iCBT) for depression: A model for dissemination into primary care
Up-scaling clinician assisted internet cognitive behavioural therapy (iCBT) for depression: A model for dissemination into primary care
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DOI：
10.1016/j.cpr.2014.05.006
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发表时间：
2015-11-01
影响因子：
12.8
通讯作者：
Williams, Alishia D.
中科院分区：
文献类型：
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作者：
Andrews, Gavin;Williams, Alishia D.
抑郁症是一个全球健康问题，但只有一小部分抑郁症患者得到了哪怕是最低限度的适当治疗。互联网提供的自动化认知行为疗法(ICBT)很容易分发，而且保真度得到保证，可能是解决覆盖范围扩大问题的一种方法。在这篇关于iCBT治疗成人重度抑郁障碍的综述中，我们通过参考有效性和有效性的研究证据来解决临床医生在使用这项技术时所关注的问题，并提出了iCBT在实践中传播和吸收的模型。这篇综述包括对符合严重抑郁障碍标准的参与者的研究，这些参与者在学习并利用认知行为原则改变思想、情绪和行为时得到了支持。我们的结论是，这种形式的治疗是有效的，患者和临床医生都可以接受。(C)2014爱思唯尔有限公司。保留所有权利。
Depression is a global health problem but only a minority of people with depression receive even minimally adequate treatment. Internet delivered automated cognitive behaviour therapy (iCBT) which is easily distributed and in which fidelity is guaranteed could be one solution to the problem of increasing coverage. In this review of iCBT for Major Depressive Disorder in adults, we address the concerns of clinicians in utilizing this technology by reviewing the research evidence with reference to efficacy and effectiveness and presenting a model for dissemination and uptake of iCBT into practice. This review includes studies of participants who would meet criteria for major depressive disorder who were supported as they learnt and implemented changes in thoughts, emotions and behaviours by using cognitive behaviour principles. We conclude that this form of treatment is effective and acceptable to both patients and clinicians. (C) 2014 Elsevier Ltd. All rights reserved.