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Computer-Aided Psychotherapy for Anxiety Disorders: A Meta-Analytic Review

机译：焦虑症的计算机辅助心理治疗：荟萃分析

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摘要

Computer-aided psychotherapy (CP) is said to (1) be as effective as face-to-face psychotherapy, while requiring less therapist time, for anxiety disorder sufferers, (2) speed access to care, and (3) save traveling time. CP may be delivered on stand-alone or Internet-linked computers, palmtop computers, phone-interactive voice response, DVDs, and cell phones. The authors performed a meta-analysis of 23 randomised controlled studies (RCTs) that compared CP with non-CP in anxiety disorders: phobias, n = 10; panic disorder/agoraphobia, n = 9; PTSD, n = 3; obsessive-compulsive disorder, n = 1. Overall mean effect size of CP compared with non-CP was 1.08 (95% confidence interval: 0.84-1.32). CP and face-to-face psychotherapy did not differ significantly from each other (13 comparisons, d = -0.06). Much caution is needed when interpreting the findings indicating that outcome was unrelated to type of disorder, type of comparison group, mode of CP delivery (Internet, stand-alone PC, palmtop), and recency of the CP system and that effect size decreased when more therapist time was replaced by the computer. Because CP as a whole was as effective as face-to-face psychotherapy, certain forms of CP deserve to be integrated into routine practice.
机译：据说计算机辅助心理治疗（CP）（1）与面对面心理治疗一样有效，同时对焦虑症患者的治疗师时间更短，（2）加快就医速度，（3）节省旅行时间。 CP可以在独立或Internet链接的计算机，掌上型计算机，电话互动式语音响应，DVD和手机上交付。作者对23项随机对照研究（RCT）进行了荟萃分析，比较了焦虑症中CP与非CP的关系：恐惧症，n = 10；恐惧症，n = 10。恐慌症/厌恶症，n = 9； PTSD，n = 3；强迫症，n =1。与非CP相比，CP的总体平均影响大小为1.08（95％置信区间：0.84-1.32）。 CP和面对面的心理治疗之间没有显着差异（13个比较，d = -0.06）。在解释发现时表明结局与疾病类型，对照组类型，CP递送方式（互联网，独立PC，掌上电脑）和CP系统的新近度无关，并且效果大小在降低时，应特别谨慎计算机取代了更多的治疗师时间。因为CP整体上与面对面的心理治疗一样有效，所以某些形式的CP值得纳入常规实践中。

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  • 来源
    《Cognitive Behaviour Therapy》 |2009年第2期|66-82|共17页
  • 作者

    Pim Cuijpers; Isaac M. Marks; Annemieke van Straten; Kate Cavanagh; Lina Gega; Gerhard Andersson;

  • 作者单位

    Department of Clinical Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands;

    Department of Clinical Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands|Institute of Psychiatry, King's College London, London;

    Department of Clinical Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands;

    School of Psychology, University of Newcastle and Northumberland, Newcastle-upon-Tyne, UK;

    School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, UK;

    Department of Behavioural Sciences and Learning, Linkping University, Linkping|Department of Clinical Neuroscience, Psychiatry Section, Karolinska Institutet, Stockholm, Sweden;

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  • 原文格式 PDF
  • 正文语种 eng
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  • 关键词

    Computer-aided psychotherapy; anxiety disorders; Internet therapy; meta-analysis;

    机译：计算机辅助心理治疗;焦虑症;互联网疗法;荟萃分析;

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