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首页> 外文期刊>The British journal of psychiatry : >Physical exercise and internet-based cognitive–behavioural therapy in the treatment of depression: randomised controlled trial
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Physical exercise and internet-based cognitive–behavioural therapy in the treatment of depression: randomised controlled trial

机译：体育锻炼和基于互联网的认知行为疗法治疗抑郁症：随机对照试验

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Background Depression is common and tends to be recurrent. Alternative treatments are needed that are non-stigmatising, accessible and can be prescribed by general medical practitioners. Aims To compare the effectiveness of three interventions for depression: physical exercise, internet-based cognitivea€“behavioural therapy (ICBT) and treatment as usual (TAU). A secondary aim was to assess changes in self-rated work capacity. Method A total of 946 patients diagnosed with mild to moderate depression were recruited through primary healthcare centres across Sweden and randomly assigned to one of three 12-week interventions (trail registry: KCTR study ID: KT20110063). Patients were reassessed at 3 months (response rate 78%). Results Patients in the exercise and ICBT groups reported larger improvements in depressive symptoms compared with TAU. Work capacity improved over time in all three groups (no significant differences). Conclusions Exercise and ICBT were more effective than TAU by a general medical practitioner, and both represent promising non-stigmatising treatment alternatives for patients with mild to moderate depression.
机译：背景抑郁很常见，并且容易复发。需要非耻辱，可及且可由普通医生开具的替代疗法。目的比较三种干预措施对抑郁症的有效性：体育锻炼，基于互联网的认知行为治疗（ICBT）和常规治疗（TAU）。第二个目的是评估自我评价工作能力的变化。方法通过瑞典各地的初级保健中心招募了946名被诊断为轻度至中度抑郁症的患者，并将其随机分配到三个为期12周的干预措施中的一种（追踪登记：KCTR研究ID：KT20110063）。在3个月时对患者进行了重新评估（缓解率78％）。结果与TAU相比，运动组和ICBT组的患者抑郁症状改善幅度更大。三个组的工作能力均随时间而提高（无显着差异）。结论运动和ICBT比普通医师更有效，并且对于轻度至中度抑郁症患者均代表有希望的非耻辱性治疗替代方法。

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