Enhancing the effectiveness of CBT for patients with unipolar depression by integrating digital interventions into treatment: A pilot randomized controlled trial.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2024-11-01 Epub Date: 2023-11-03 DOI:10.1080/10503307.2023.2277866

Jan Kalde, Ece Atik, Johannes Stricker, Magnus Schückes, Peter Neudeck, Andre Pittig, Reinhard Pietrowsky

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Abstract

Objective: Blended cognitive behavioral therapy (bCBT) combines face-to-face therapy with digital elements, such as digital health apps. This pilot study aimed to explore the effectiveness and safety of a novel bCBT application for treating unipolar depression in adults combined with cognitive behavioral therapy (CBT) compared to CBT alone in routine care.

Methods: Patients (N = 82) were randomly assigned to bCBT (n = 42) or CBT (n = 40) over 12 weeks. bCBT consisted of weekly CBT sessions accompanied by the elona therapy depression module (a bCBT application for unipolar depression) for use between sessions. Standard CBT consisted of weekly CBT sessions. Outcomes (6,12 weeks) were analyzed with linear mixed models.

Results: Improvements in depressive symptoms (BDI-II, PHQ-9) were descriptively larger for the bCBT group. Yet, this difference did not reach statistical significance. bCBT was superior to standard CBT in secondary outcome measures of psychological health (d = .50) and generalized anxiety symptoms (d = -.45). In other secondary outcomes (BAI, PSWQ, GSE, WHOQOL-BREF), improvements were descriptively larger for bCBT compared to CBT.

Conclusion: This pilot study provided preliminary evidence that bCBT might be advantageous in comparison to CBT alone in the treatment of depression, but larger RCTs of the bCBT application are needed.

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通过将数字干预纳入治疗来增强CBT对单极性抑郁症患者的有效性：一项试点随机对照试验。

目的：混合认知行为疗法（bCBT）将面对面治疗与数字元素相结合，如数字健康应用程序。这项试点研究旨在探索一种新型bCBT应用程序在常规护理中联合认知行为疗法（CBT）治疗成人单极性抑郁症的有效性和安全性，与单独使用CBT相比。方法：患者（N = 82）被随机分配到bCBT（n = 42）或CBT（n = 40）在12周内。bCBT由每周CBT疗程组成，并在疗程之间使用elona治疗抑郁症模块（用于单极性抑郁症的bCBT应用程序）。标准CBT包括每周CBT会议。结果（6,12周）采用线性混合模型进行分析。结果：bCBT组抑郁症状（BDI-II、PHQ-9）的改善明显更大。然而，这种差异并没有达到统计学意义。bCBT在心理健康的次要结果测量方面优于标准CBT（d = .50）和广泛性焦虑症状（d = -.45）。在其他次要结果（BAI、PSWQ、GSE、WHOQOL-BREF）中，与CBT相比，bCBT的改善幅度更大。结论：这项试点研究提供了初步证据，表明在治疗抑郁症方面，与单独CBT相比bCBT可能更有利，但需要对bCBT应用进行更大规模的随机对照试验。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.