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首页> 外文期刊>The British journal of psychiatry : >Reducing demands on clinicians by offering computer-aided self-help for phobia/panic
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Reducing demands on clinicians by offering computer-aided self-help for phobia/panic

机译：通过提供计算机辅助的恐惧症/恐慌自助服务减少对临床医生的需求

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Background Many patients with phobia/panic find it hard to access effective treatment. Aims To test the feasibility of computer-guided exposure therapy for phobia/panic. Method Self-referrals were screened for 20 min and, if suitable, had six sessions of computer-guided self-help (from a system called FearFighter ). Pre- and post-treatment ratings of 54 patients were compared with those of 31 similar out-patients with phobia/panic who received the same treatment guided by a clinician. Results At pre-treatment, computer-guided cases were slightly less severe than clinician-guided patients. In a post-treatment intent-to-treat analysis, both groups improved comparably but computer-guided patients spent 86% less time with a clinician than did purely clinician-guided patients, who had no access to the computer system. Conclusions Computer-guided self-exposure therapy appeared feasible and effective for self-referrals and saved much clinician time. A controlled study is now needed.
机译：背景许多恐惧症/恐慌症患者难以获得有效的治疗。目的测试恐惧症/恐慌的计算机指导暴露疗法的可行性。方法筛选了20分钟的自我推荐人，并且在适当的情况下进行了六次计算机指导的自我帮助（来自称为FearFighter的系统）。将54例患者的治疗前和治疗后评级与31名在临床医生指导下接受相同治疗的恐惧/惊恐类似门诊患者的治疗前评级进行了比较。结果在治疗前，计算机指导的病例比临床指导的病例严重程度稍轻。在治疗后的意向治疗分析中，两组相比都有改善，但是计算机指导的患者在临床医生的时间要比纯临床医生指导的患者少86％，后者无法访问计算机系统。结论计算机引导的自我暴露疗法对于自我推荐是可行和有效的，并节省了很多临床时间。现在需要进行对照研究。

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