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首页> 外文期刊>Cognitive Behaviour Therapy >Internet-Based Self-Help Versus One-Session Exposure in the Treatment of Spider Phobia: A Randomized Controlled Trial
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Internet-Based Self-Help Versus One-Session Exposure in the Treatment of Spider Phobia: A Randomized Controlled Trial

机译：基于互联网的自助治疗与一站式接触治疗蜘蛛恐惧症：随机对照试验。

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摘要

The authors compared guided Internet-delivered self-help with one session of live-exposure treatment in a sample of spider-phobic patients. A total of 30 patients were included following screening on the Internet and a structured clinical interview. The Internet treatment consisted of five weekly text modules, which were presented on a web page, a video in which exposure was modelled, and support provided via Internet. The live-exposure treatment was delivered in a 3-hr session following a brief orientation session. The main outcome measure was the behavioural approach test (BAT), and as secondary measures the authors used questionnaires measuring anxiety symptoms and depression. Results showed that the groups did not differ at posttreatment or follow-up, with the exception of the proportion showing clinically significant change on the BAT. At posttreatment 46.2% of the Internet group and 85.7% in the live-exposure group achieved this change. At follow-up the corresponding figures were 66.7% for the Internet group and 72.7% for the live treatment. Within-group effect sizes for the spider phobia questionnaire were large (d = 1.84 and 2.58 for the Internet and live-exposure groups, respectively, at posttreatment). The authors conclude that guided Internet-delivered exposure treatment is a promising new approach in the treatment of spider phobia.
机译：作者比较了蜘蛛恐惧症患者样本中通过互联网提供的引导式自助服务和一次现场暴露治疗的时间。通过互联网筛查和结构化的临床访谈后，总共纳入了30名患者。互联网处理包括五个每周的文本模块，这些模块显示在网页上，模拟了曝光的视频，以及通过互联网提供的支持。在简短的指导会后的3小时内进行了现场接触治疗。主要结局指标是行为方式测试（BAT），作为次要指标，作者使用了测量焦虑症状和抑郁的问卷。结果表明，各组在治疗后或随访中无差异，只是比例在BAT上显示出临床上的显着变化。在后处理中，互联网组的46.2％和现场曝光组的85.7％实现了此更改。随访时，互联网组的相应数字为66.7％，现场治疗为72.7％。蜘蛛恐惧症问卷的组内效应量很大（治疗后互联网组和生活暴露组的d分别为1.84和2.58）。作者得出的结论是，在互联网上进行有指导的接触治疗是治疗蜘蛛恐惧症的一种有前途的新方法。

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  • 来源
    《Cognitive Behaviour Therapy》 |2009年第2期|114-120|共7页
  • 作者

    Gerhard Andersson; Johan Waara; Ulf Jonsson; Fredrik Malmaeus; Per Carlbring; Lars-Gran st;

  • 作者单位

    Department of Behavioural Sciences and Learning, Linkping University, Linkping|Department of Clinical Neuroscience, Psychiatry Section, Karolinska Institutet, Stockholm|Swedish Institute for Disability Research, Linkping University, Linkping;

    Department of Psychology, Uppsala University, Uppsala, Sweden;

    Department of Psychology, Uppsala University, Uppsala, Sweden;

    Department of Psychology, Uppsala University, Uppsala, Sweden;

    Department of Behavioural Sciences and Learning, Linkping University, Linkping;

    Department of Psychology, Stockholm University, Stockholm, Sweden;

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  • 正文语种 eng
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  • 关键词

    spider phobia; Internet treatment; one-session exposure treatment;

    机译：蜘蛛恐惧症互联网待遇;一期暴露治疗;

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