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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Effectiveness randomized controlled trial of face to face versus Internet cognitive behaviour therapy for social phobia.
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Effectiveness randomized controlled trial of face to face versus Internet cognitive behaviour therapy for social phobia.

机译:有效性面对社交恐惧症与互联网认知行为疗法的随机对照试验。

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摘要

OBJECTIVE: To compare the effectiveness of Internet cognitive behaviour therapy (CBT) with face-to-face CBT in social phobia. METHODS: Randomized controlled trial of 75 patients with social phobia referred to an anxiety disorders clinic. A total of 37 patients participated, and post-treatment data was obtained from 25 Subjects (Ss). An intention to treat analysis was used. The same therapist (M.D.) treated both groups. RESULTS: Both groups made significant progress on symptoms and disability measures. There were no significant differences in outcome between the Internet and face-to-face groups. The total amount of therapist time required was 18 min per patient for the Internet group and 240 min per patient for the face-to-face group. CONCLUSIONS: Both forms of treatment were equally effective and this is consistent with previous findings in depression and panic disorder. The difference in clinician time required was substantial. If Internet CBT was offered as 'standard of care' the staff time saved would permit a stepped care model in which in-depth therapy for the difficult to recover patients could be provided without an increase in staff.
机译:目的:比较互联网认知行为疗法(CBT)和面对面的CBT在社交恐惧症中的有效性。方法:75例社交恐惧症患者的随机对照试验转诊至焦虑症诊所。共有37位患者参加,并且从25位受试者(Ss)获得了治疗后数据。使用治疗分析的意图。同一治疗师(医学博士)治疗两组。结果:两组在症状和残疾措施方面均取得了重大进展。互联网和面对面小组之间的结果没有显着差异。对于互联网组,治疗师的总时间为每位患者18分钟,对于面对面组,每位患者共需要240分钟。结论:两种治疗方式均有效,这与先前在抑郁症和恐慌症中的发现一致。临床医生所需时间差异很大。如果将互联网CBT作为“护理标准”,则节省的员工时间将允许采用阶梯式护理模式,在这种模式下,可以为难以康复的患者提供深度治疗而无需增加人员。

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