Effects of an Internet-based cognitive behavioral therapy (iCBT) program in Manga format on improving subthreshold depressive symptoms among healthy workers: a randomized controlled trial.
Effects of an Internet-based cognitive behavioral therapy (iCBT) program in Manga format on improving subthreshold depressive symptoms among healthy workers: a randomized controlled trial.
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DOI：
10.1371/journal.pone.0097167
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发表时间：
2014
期刊：
影响因子：
3.7
通讯作者：
Kasai K
中科院分区：
文献类型：
--
作者：
Imamura K;Kawakami N;Furukawa TA;Matsuyama Y;Shimazu A;Umanodan R;Kawakami S;Kasai K
本研究的目的是开发一种新的基于互联网的计算机认知行为治疗（iCBT）程序，漫画格式，日本漫画，为工人和检查iCBT程序的效果，改善阈下抑郁症使用随机对照试验（RCT）设计在日本私营企业的工人。一家公司的所有工人（n = 290）和另一家大公司总部三个部门的所有工人（n = 1 500）都是通过邀请电子邮件招聘的。 符合入选标准的参与者被随机分配到干预组或对照组（每组N=381）。 开发了一个为期六周、六节课的使用漫画（日本漫画）故事的iCBT课程。该计划包括几项CBT技能：自我监控，认知重建，自信，解决问题和放松。干预组以每周一节课的频率学习iCBT课程。抑郁（贝克抑郁量表II; BDI-II）作为基线的主要结局进行评估，并对干预组和对照组进行3个月和6个月的随访。iCBT项目显示出对BDI-II的显著干预效应（t =-1.99，p<0.05），效应量较小（科恩d：-0.16，95%置信区间：-0.32至0.00，6个月随访）。 本研究首次证明，通过互联网提供的计算机认知行为疗法可有效改善一般工作人群的抑郁症。提高项目参与者的参与度以提高iCBT项目的效果似乎至关重要。UMIN临床试验注册中心UMIN 000006210
The purpose of this study was to develop a new Internet-based computerized cognitive behavior therapy (iCBT) program in Manga format, the Japanese cartoon, for workers and to examine the effects of the iCBT program on improving subthreshold depression using a randomized controlled trial (RCT) design among workers employed in private companies in Japan. All workers in a company (n = 290) and all workers in three departments (n = 1,500) at the headquarters of another large company were recruited by an invitation e-mail. Participants who fulfilled the inclusion criteria were randomly allocated to intervention or control groups (N = 381 for each group). A six-week, six-lesson iCBT program using Manga (Japanese comic) story was developed. The program included several CBT skills: self-monitoring, cognitive restructuring, assertiveness, problem solving, and relaxation. The intervention group studied the iCBT program at a frequency of one lesson per week. Depression (Beck Depression Inventory II; BDI-II) was assessed as a primary outcome at baseline, and three- and six-month follow-ups for both intervention and control groups were performed. The iCBT program showed a significant intervention effect on BDI-II (t = −1.99, p<0.05) with small effect sizes (Cohen's d: −0.16, 95% Confidence Interval: −0.32 to 0.00, at six-month follow-up). The present study first demonstrated that a computerized cognitive behavior therapy delivered via the Internet was effective in improving depression in the general working population. It seems critical to improve program involvement of participants in order to enhance the effect size of an iCBT program. UMIN Clinical Trials Registry UMIN000006210
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影响因子：
7.4
作者：
Clarke G;Eubanks D;Reid E;Kelleher C;O'Connor E;DeBar LL;Lynch F;Nunley S;Gullion C
通讯作者：
Gullion C
影响因子：
3.7
作者：
Andrews G;Cuijpers P;Craske MG;McEvoy P;Titov N
通讯作者：
Titov N
DOI：
10.1097/jom.0b013e31816c435b
发表时间：
2008-08-01
影响因子：
3.2
作者：
Billings, Douglas W.;Cook, Royer F.;Dove, David C.
通讯作者：
Dove, David C.
影响因子：
5.1
作者：
Grime, PR
通讯作者：
Grime, PR
DOI：
10.2307/2264559
发表时间：
1949-12-01
期刊：
JOURNAL OF EDUCATIONAL SOCIOLOGY
影响因子：
--
作者：
Hutchinson, Katharine H.
通讯作者：
Hutchinson, Katharine H.