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首页> 外文期刊>International Journal of Pediatrics >Cognitive Behavioural Therapy through PowerPoint: Efficacy in an Adolescent Clinical Population with Depression and Anxiety
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Cognitive Behavioural Therapy through PowerPoint: Efficacy in an Adolescent Clinical Population with Depression and Anxiety

机译：通过PowerPoint的认知行为疗法：在抑郁和焦虑的青少年临床人群中的功效

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Background. Limited help-seeking behaviours, among adolescents with mental health concerns and many barriers to accessing mental health services, make innovative approaches to administering mental health therapies crucial. Therefore, this study evaluated the efficacy of e-CBT given via PowerPoint slides to treat adolescents with anxiety and/or depression. Method. 15 adolescents referred to an outpatient adolescent psychiatry clinic to treat a primary DSM-IV diagnosis of anxiety and/or depression chose between 8 weeks of e-CBT (n=7) or 7 weeks of live CBT (n=8). The e-CBT modules were presented using PowerPoint delivered weekly through email by either a senior psychiatry resident or an attending physician. Within each session, participants in both groups had personalized feedback on their mandatory weekly homework assignment from the previous week’s module. BYIs were completed before treatment and and after final treatment within both groups to assess changes in depression, anxiety, anger, disruption, and self-concept. Findings. Before treatment, BYI scores did not sig. differ between groups. After treatment, e-CBT participants reported sig. improved depression, anger, anxiety, and self-concept BYI scores while live CBT participants did not report any sig. changes. Only the Beck Anxiety Inventory sig. differed between groups after CBT. Conclusion. Despite the low sample size within this study, using email to deliver e-CBT PowerPoint slides and individualized homework feedback shows promise as an alternate method of CBT delivery that reduces barriers to receiving mental health treatment that occur internationally.
机译：背景。在有精神健康问题且在获得精神卫生服务方面有许多障碍的青少年中，寻求帮助的行为有限，这使得管理精神卫生疗法的创新方法至关重要。因此，本研究评估了通过PowerPoint幻灯片提供的e-CBT治疗患有焦虑和/或抑郁症的青少年的疗效。方法。 15名青少年转诊至门诊青少年精神病诊所，以治疗DSM-IV对焦虑和/或抑郁的主要诊断，他们选择在8周的e-CBT（n = 7）或7周的实时CBT（n = 8）之间进行选择。高级精神病住院医师或主治医师通过电子邮件每周发送一次PowerPoint，介绍了e-CBT模块。在每个环节中，两个小组的参与者都从前一周的模块中获得了有关其每周强制性作业的个性化反馈。两组患者在治疗前和最终治疗后均已完成BYI，以评估抑郁症，焦虑症，愤怒，干扰和自我概念的变化。发现。治疗前，BYI评分未信号。组之间有所不同。治疗后，e-CBT参与者报告信号。改善的抑郁，愤怒，焦虑和自我概念BYI评分，而实时CBT参与者未报告任何信号。变化。只有贝克焦虑量表信号。 CBT后各组之间存在差异。结论。尽管这项研究的样本量很小，但使用电子邮件发送e-CBT PowerPoint幻灯片和个性化的作业反馈显示出有望作为CBT传递的替代方法，从而减少国际上接受心理健康治疗的障碍。

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