Computer-Assisted Cognitive Behavioral Therapy for Pregnant Women with Major Depressive Disorder
Computer-Assisted Cognitive Behavioral Therapy for Pregnant Women with Major Depressive Disorder
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DOI：
10.1089/jwh.2014.4867
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发表时间：
2014-10-01
影响因子：
3.5
通讯作者：
Epperson, C. Neill
中科院分区：
文献类型：
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作者：
Kim, Deborah R.;Hantsoo, Liisa;Epperson, C. Neill
背景：患有重度抑郁症（MDD）的孕妇报告称，心理治疗是比药物治疗更容易接受的治疗方法。然而，尽管几项研究的结果表明心理治疗对于孕妇来说是一种有效的治疗方法，但后勤障碍（包括费用和每周就诊的旅行）可能会限制现实世界的效用。我们假设计算机辅助认知行为疗法 (CCBT) 是可以接受的，并且会显着减少患有 MDD 的孕妇的抑郁症状。方法：作为对这一假设的初步检验，我们使用标准化 CCBT 方案治疗了 10 名患有 MDD 的孕妇。结果：试点结果非常有希望，80% 的参与者显示出治疗反应，60% 在仅接受 8 次 CCBT 后就显示出缓解。结论：针对患有 MDD 的孕妇开展了一项更大规模的 CCBT 随机对照试验。保证。
Background: Pregnant women with major depressive disorder (MDD) report that psychotherapy is a more acceptable treatment than pharmacotherapy. However, although results of several studies suggest that psychotherapy is an effective treatment for pregnant women, logistical barriers-including cost and traveling for weekly visits-can limit real-world utility. We hypothesized that computer-assisted cognitive behavior therapy (CCBT) would be both acceptable and would significantly decrease depressive symptoms in pregnant women with MDD.Methods: As a preliminary test of this hypothesis, we treated 10 pregnant women with MDD using a standardized CCBT protocol.Results: The pilot results were very promising, with 80% of participants showing treatment response and 60% showing remission after only eight sessions of CCBT.Conclusion: A larger, randomized controlled trial of CCBT in pregnant women with MDD is warranted.