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首页> 外文期刊>Journal of Technology in Human Services >Emotional Outcomes and Mechanisms of Change in Online Cognitive-Behavioral Interventions: A Quantitative Meta-Analysis of Clinical Controlled Studies
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Emotional Outcomes and Mechanisms of Change in Online Cognitive-Behavioral Interventions: A Quantitative Meta-Analysis of Clinical Controlled Studies

机译：在线认知行为干预的情感结果和变化机制：临床对照研究的定量Meta分析

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The present study investigates whether hypothesized cognitive mechanisms of change mediate the efficacy of cognitive-behavioral therapy (CBT) delivered online for treating depression and anxiety disorders. Articles were included by searching MEDLINE, PsychInfo and PsychArticles databases from January 1980 to March 2011. The inclusion criteria were as follows: (a) randomized clinical trials investigating the role of CBT delivered online, (b) patient sample had clinical or subclinical intensity emotional problems, (c) at least one measure of cognitions was included, (d) the inclusion of a control group, and (e) sufficient data provided to allow calculation of effect sizes. Eleven articles were selected. Results revealed a moderate overall effect size of CBT (d = .67, P  .05) on the combined cognitive and emotional outcomes. A positive impact of online CBT on cognitive factors (d = .69, P  .05) and emotional outcomes (d = .63, P  .05) was independently demonstrated. In conclusion, cognitive-behavioral therapy delivered online can be used as an efficacious treatment for patients with emotional disorders. Assuming causal effects, the data indicate that cognitive factors are an important mechanism of change in online CBT. Future online CBT focusing on changing cognitions are likely to be efficacious.View full textDownload full textKEYWORDSclinical controlled studies, cognition, cognitive-behavioral interventions, internet, mechanisms of changeRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/15228835.2011.653290
机译：本研究调查假设的认知变化机制是否介导在线交付的认知行为疗法（CBT）的疗效，以治疗抑郁症和焦虑症。从1980年1月至2011年3月在MEDLINE，PsychInfo和PsychArticles数据库中进行检索，纳入了文章。纳入标准如下：（a）研究在线递送CBT作用的随机临床试验，（b）患者样本具有情感上的临床或亚临床强度问题；（c）至少包括一项认知量度；（d）包括对照组；（e）提供足够的数据以计算效应量。选择了11篇文章。结果显示对认知和情绪的结合，CBT（d = .67，P <.05）的中等总体效果大小。独立显示在线CBT对认知因素（d = .69，P <.05）和情绪结果（d = .63，P <.05）的积极影响。总之，在线交付的认知行为疗法可以用作情绪障碍患者的有效疗法。假设因果关系，数据表明认知因素是在线CBT改变的重要机制。未来专注于改变认知的在线CBT可能是有效的。查看全文下载关键词临床对照研究，认知，认知行为干预，互联网，变化机制相关var addthis_config = {ui_cobrand：“ Taylor＆Francis Online”，services_compact：“ citeulike ，netvibes，twitter，technorati，可口，linkedin，facebook，stumbleupon，digg，google，更多”，发布：“ ra-4dff56cd6bb1830b”};添加到候选列表链接永久链接http://dx.doi.org/10.1080/15228835.2011.653290

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