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An evaluation of cognitive behavioral therapy for insomnia: A systematic review and application of Tolin’s Criteria for empirically supported treatments 失眠认知行为治疗的评价:Tolin经验支持治疗标准的系统回顾和应用。
IF 5.8 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2020-06-04 DOI: 10.1111/cpsp.12348
Cassandra L. Boness, Rachel Hershenberg, Joanna Kaye, Margaret-Anne Mackintosh, Damion J. Grasso, Amy Noser, Susan D. Raffa

The American Psychological Association's Society of Clinical Psychology recently adopted the “Tolin Criteria” to evaluate empirically supported treatments. These criteria better account for the strength and quality ofrapidly accumulating evidence bases for various treatments. Here, we apply this framework to cognitive behavioral therapy for insomnia (CBT-I). Following procedures outlined by Tolin, McKay, et al. (2015), Step 1 included an examination of quantitative systematic reviews; nine met inclusion criteria. Step 2 evaluated review quality and effect size data. We found high-quality evidence that CBT-I produces clinically and statistically significant effects on insomnia and other sleep-related outcomes. Based on the Tolin Criteria, the literature merits a “strong” recommendation for CBT-I. This report is a working model for subsequent applications of the Tolin Criteria.

美国心理协会临床心理学学会最近采用了“托林标准”来评估经验支持的治疗方法。这些标准更好地说明了快速积累的各种治疗证据基础的强度和质量。在这里,我们将这个框架应用于失眠的认知行为疗法(CBT-I)。按照Tolin,McKay等人(2015)概述的程序,步骤1包括定量系统评价的检查;9人符合入选标准。第2步评估了审查质量和效果大小数据。我们发现了高质量的证据,证明CBT-I对失眠和其他睡眠相关结果产生了临床和统计上显著的影响。根据Tolin标准,文献值得对CBT-I提出“强烈”建议。本报告是Tolin标准后续应用的工作模型。
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引用次数: 0
Navigating the ethics of Internet-guided self-help interventions 引导互联网自助干预的伦理
IF 5.8 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2018-03-06 DOI: 10.1111/cpsp.12235
A. Maya Borgueta, Clare K. Purvis, Michelle G. Newman

Internet-guided self-help (IGSH) programs have proliferated recently to treat common mental health problems such as anxiety and depression. However, technology has outpaced the development of ethical guidelines for this mode of delivery. We examine ethical challenges in this new space, including defining the role “guides” play in treatment, crisis management, and user selection and screening. IGSH programs can provide safe and ethical care when they (a) coordinate care effectively with other systems; (b) provide competent and well-defined guidance; and (c) reach users that are appropriate for and well-educated about the services they are going to receive. We argue that jurisdictional practice constraints and outdated regulatory and ethical guidelines may impede the ability of IGSH programs to maintain or even improve performance when faced with greater demand, larger populations, heterogeneous settings, and the desire for large-scale dissemination.

最近,互联网引导的自助(IGSH)项目激增,用于治疗常见的心理健康问题,如焦虑和抑郁。然而,技术的发展已经超过了这种分娩方式的道德准则的发展。我们研究了这个新领域的伦理挑战,包括定义“指南”在治疗、危机管理和用户选择和筛选中的作用。当IGSH项目(a)与其他系统有效协调护理时,它们可以提供安全和合乎道德的护理;(b)提供称职和明确的指导;(c)接触到适合并对他们将要接受的服务受过良好教育的用户。我们认为,当面临更大的需求、更大的人口、异质环境和大规模传播的愿望时,司法实践约束和过时的监管和道德准则可能会阻碍IGSH项目维持甚至提高绩效的能力。
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引用次数: 13
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Clinical Psychology-science and Practice
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