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A randomized controlled trial of ecological momentary intervention plus brief group therapy for generalized anxiety disorder

机译：生态瞬时干预加短暂组治疗广泛性焦虑症的随机对照试验

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摘要

Momentary intervention has been proposed as a cost-effective, generalizable, and ecologically valid method to increase the efficiency of face-to-face cognitive-behavioral therapy (CBT). The purpose of the current pilot study was to evaluate the efficacy of a six-session palmtop computer-assisted Group CBT for generalized anxiety disorder (GAD) (CAGT6) in comparison with a six-session Group CBT for GAD without the computer (CBGT6) and typical (12 session) Group CBT for GAD (CBGT12) in a randomized controlled trial. Thirty-four individuals with a primary diagnosis of GAD were randomized to one of the three conditions and completed measures of GAD and anxiety before therapy, after therapy, and at 6-, and 12-month follow-ups. Results indicated that CAGT6 was superior to CBGT6 at posttreatment, but not significantly different from CBGT12. At 6- and 12-month follow-ups, CAGT6 was neither significantly different from CBGT6, nor from CBGT12. Percentages of individuals achieving reliable change on two of the three GAD measures favored CAGT6 over CBGT6 at posttreatment, suggesting promise for the added value of the mobile technology.
机译：瞬时干预已被提议为一种经济有效，可推广且在生态上有效的方法，可以提高面对面的认知行为疗法（CBT）的效率。本试验研究的目的是评估六阶段掌上电脑辅助CBT组对广泛性焦虑症（GAD）（CAGT6）的疗效，与六阶段掌上电脑辅助CBT对不带计算机的GAD组（CBGT6）的疗效进行比较以及一项随机对照试验中的典型（12节）GAD组CBT（CBGT12）。初步诊断为GAD的三十四名患者被随机分配到以下三种情况之一，并在治疗前，治疗后以及6个月和12个月的随访中完成了GAD和焦虑的测量。结果表明，CAGT6在治疗后优于CBGT6，但与CBGT12没有显着差异。在6个月和12个月的随访中，CAGT6与CBGT6或CBGT12均无显着差异。在三种GAD指标中的两种指标上实现可靠变化的个人在后期处理中相对于CBGT6偏爱CAGT6，这预示着移动技术附加值的前景。

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