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Efficacy of Telehealth Treatments for Posttraumatic Stress-Related Symptoms: A Meta-Analysis

机译：远程医疗对创伤后应激相关症状的疗效：一项荟萃分析

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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.View full textDownload full textKeywordstrauma, telehealth, Internet, computer-aided psychotherapy, cognitive behavior therapyRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/16506073.2010.550058
机译：这项荟萃分析总结了关于远程医疗治疗减轻创伤后应激障碍（PTSD）相关症状的程度的结果研究结果。在文献检索中，确定了13项纳入荟萃分析的研究，并对相关变量进行了编码。总共有725名参与者。结果表明，远程医疗治疗与PTSD症状的显着降低有关（d = 0.99，95％置信区间[CI]：0.87-1.11，p <.001），并且相对于a而言可产生更好的治疗效果等待列表比较条件（d = 1.01，95％CI：0.76-1.26，p <.001）。但是，相对于支持性咨询远程医疗比较条件（d = 0.11，95％CI：“ 0.38至0.60，p = .67”），远程医疗干预未获得重大发现，并且远程医疗干预产生了较差的结果相对于面对面的干预（d = 0.68，95％CI：0.39至0.98，p <.001）。抑郁症状严重程度结果的发现通常与PTSD结果一致。远程医疗干预产生了显着的组内影响大小（d = 0.98，95％CI：0.86至1.10，p <.001）和相对于等待列表比较条件（d = 0.80，95％CI：更好的效果： 0.56-1.05，p <.001）。相对于面对面的干预，远程医疗治疗产生了可比的抑郁结果效果（d = 0.13，95％CI：α0.55至0.28，p = .53）。综上所述，这些发现支持对患有PTSD相关症状的个人使用远程医疗。查看全文下载全文关键字Strauma，远程医疗，互联网，计算机辅助心理治疗，认知行为疗法相关var addthis_config = {ui_cobrand：“ Taylor＆Francis Online”， services_compact：“ citeulike，netvibes，twitter，technorati，美味，linkedin，facebook，stumbleupon，digg，google，更多”，发布：“ ra-4dff56cd6bb1830b”};添加到候选列表链接永久链接http://dx.doi.org/10.1080/16506073.2010.550058

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