Internet Interventions-The Application of Information Technology in Mental and Behavioural Health最新文献_第6页

A culturally adapted mobile cognitive behavioral therapy for individuals with Hepatitis B on depression, anxiety and stress: A pilot randomized controlled trial 一种适应文化的移动认知行为疗法治疗乙型肝炎患者的抑郁、焦虑和压力：一项试点随机对照试验

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-07-10 DOI: 10.1016/j.invent.2025.100862

Chao Kei Lao , Xi Wang , Xinyi Li , Zhongqing Wang , Guangyu Zhou

Hepatitis B Virus (HBV) is a major global public health concern, with chronic infection affecting physical, psychological, social and work functioning, often leading to depression, anxiety, and stress. However, tailored online psychological interventions remain limited. This pilot randomized controlled trial aimed to evaluate the feasibility, acceptability and efficacy of a culturally-adapted four-week mobile cognitive-behavioral intervention for reducing depression, anxiety, and stress levels among individuals with HBV in China. Thirty-seven HBV-positive participants (age 18–65) with moderate to severe depression, anxiety or stress were recruited through an online platform. Participants were randomly assigned to an intervention group (n = 19) or waitlist control (n = 18). The intervention included animated psychoeducation, interactive exercises, and weekly feedback from trained clinical psychology graduates. Primary outcomes—depression, anxiety, and stress—were assessed weekly (T0–T4), while secondary outcomes—fatigue, cognitive flexibility, and post-traumatic stress—were measured at baseline (T0) and post-intervention (T4). Results showed that the intervention was feasible, with no serious adverse events reported. Participants in the intervention group completed an average of 43.2 % of the program and reported high satisfaction with it. Intention-to-treat repeated-measures ANOVA indicated significant improvements in depression and anxiety for both groups but found no significant differences between groups in primary or secondary psychological outcomes. This pilot study underscores the need to refine intervention content and delivery methods. Larger trials are needed to evaluate the efficacy of online psychological interventions for individuals with HBV and to explore strategies for enhancing engagement and adherence.

乙型肝炎病毒（HBV）是一个主要的全球公共卫生问题，慢性感染影响身体、心理、社会和工作功能，往往导致抑郁、焦虑和压力。然而，量身定制的在线心理干预仍然有限。本试点随机对照试验旨在评估一种文化适应的为期四周的移动认知行为干预在中国降低HBV患者抑郁、焦虑和压力水平的可行性、可接受性和有效性。37名患有中度至重度抑郁、焦虑或压力的hbv阳性参与者（年龄18-65岁）通过在线平台招募。参与者被随机分配到干预组（n = 19）或候补组（n = 18）。干预包括动画心理教育，互动练习，以及训练有素的临床心理学毕业生的每周反馈。主要结局-抑郁、焦虑和压力-每周评估一次（T0 - T4），而次要结局-疲劳、认知灵活性和创伤后压力-在基线（T0）和干预后（T4）测量。结果表明，干预措施是可行的，无严重不良事件报告。干预组的参与者平均完成了43.2%的计划，并报告了很高的满意度。意向治疗重复测量方差分析显示，两组患者在抑郁和焦虑方面均有显著改善，但在主要或次要心理结局方面各组间无显著差异。这项初步研究强调了改进干预内容和实施方法的必要性。需要更大规模的试验来评估在线心理干预对HBV患者的疗效，并探索增强参与和依从性的策略。

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引用次数: 0

Feasibility of internet-based multimodal emotion recognition training in adolescents with and without autism: A pilot study 基于网络的多模态情绪识别训练在有自闭症和无自闭症青少年中的可行性：一项试点研究

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-07-10 DOI: 10.1016/j.invent.2025.100861

Nora Choque Olsson , Julia Nordlander Björkman , Rasmus Lackell , Oliver Bergens , Håkan Fischer , Lillian Döllinger , Jan Bergström , Per Carlbring , Petri Laukka

Background

Research suggests that individuals with autism spectrum disorder (ASD) have difficulties in emotion recognition (ER), which could lead to social difficulties. ER can be enhanced through targeted interventions, but generalization to everyday functioning poses a challenge. Using dynamic multimodal emotional expressions for training may increase similarities to everyday situations. This pilot study investigated the feasibility of internet-based multimodal emotion recognition training (iMERAT) for adolescents with ASD.

Method

Eight adolescents with ASD and nine typically developing (TD) adolescents took part in the iMERAT intervention, which included brief online training sessions conducted each weekday during a 3-week period. Training was performed on dynamic facial, vocal and multimodal emotional expressions, with outcome feedback provided after each response. A survey was conducted to explore participants' experiences of the training. ER was measured pre- and post-training using a multimodal ER test.

Results

Participants reported that the training was moderately difficult, instructions were relatively easy to understand, and the duration of training was appropriate. Content analysis of open-ended responses suggested further adaptations, such as providing more explanations of emotions and further tailoring content and language for adolescents. ER increased from pre- to post-intervention, with large effect sizes for both ASD and TD adolescents.

Conclusion

Results suggest that the iMERAT intervention is feasible for adolescents with ASD. Gains in ER ability were observed, but the small sample size and lack of a control group render these findings tentative. Further research is required to assess the effectiveness of the iMERAT and possible impact on broader social skills.

研究表明，患有自闭症谱系障碍（ASD）的个体在情绪识别（ER）方面存在困难，这可能导致社交困难。内源性休克可通过有针对性的干预措施得到增强，但将其推广到日常功能则是一个挑战。在训练中使用动态多模态情绪表达可能会增加与日常情况的相似性。本初步研究探讨了基于互联网的多模态情绪识别训练（iMERAT）对青少年ASD的可行性。方法8名ASD青少年和9名典型发育（TD）青少年参加了iMERAT干预，其中包括在3周内每个工作日进行的简短在线培训课程。对动态面部、声音和多模态情绪表达进行训练，并在每次反应后提供结果反馈。我们进行了一项调查，以探讨参与者的培训经验。使用多模态ER测试测量训练前和训练后的ER。结果参与者反映培训难度适中，指导内容相对容易理解，培训时间适当。开放式回答的内容分析建议进一步调整，例如提供更多的情绪解释，并进一步为青少年量身定制内容和语言。从干预前到干预后，ER增加了，对ASD和TD青少年都有很大的效应量。结论iMERAT干预青少年ASD是可行的。研究人员观察到了内质反应能力的提高，但样本量小，缺乏对照组，因此这些发现是初步的。需要进一步的研究来评估iMERAT的有效性以及对更广泛的社交技能可能产生的影响。

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引用次数: 0

Internet-based cognitive behavioral therapy for anxiety and depressive symptoms in Brazilian emerging adults: A pilot randomized controlled trial 基于互联网的认知行为疗法治疗巴西新生成人的焦虑和抑郁症状：一项随机对照试验

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-07-09 DOI: 10.1016/j.invent.2025.100854

Juliana Maltoni , Carmem Beatriz Neufeld , Victoria Aminoff , Gerhard Andersson

Background

Anxiety and depressive disorders are highly prevalent in Brazil, with higher vulnerability among young adults. Despite the high prevalence, Brazil faces significant challenges in its mental health care system, with only a minority receiving treatment. Tailored internet-delivered cognitive behavioral therapy (ICBT) offers a promising strategy to address this treatment versus demand gap. This study examines the efficacy of individually tailored ICBT intervention with on-demand support for reducing anxiety and depressive symptoms in young adults.

Methods

This two-arm randomized controlled trial involved Brazilian young adults (aged 18–24 years) who were randomly assigned to either a treatment group (n = 46) or a waitlist control group (n = 46). The 8-week treatment included individually tailored ICBT with therapist support on-demand via chat, conducted on an online platform. Primary outcomes were symptoms of anxiety and depression. Secondary measures included stress, insomnia, smartphone and social media use, perfectionism, and quality of life. A six-month follow-up was conducted.

Results

Multiple regression analysis indicated that the treatment group, in comparison to the control group, showed significant reductions in anxiety, depression, stress, and insomnia, as well as improvements in quality of life, with moderate to large effects sizes.

Conclusion

ICBT is a viable intervention for young Brazilians experiencing common mental health symptoms. Further research is needed to explore implementation and impact on other populations.

背景焦虑和抑郁症在巴西非常普遍，在年轻人中易感程度更高。尽管患病率很高，但巴西的精神卫生保健系统面临着重大挑战，只有少数人接受治疗。量身定制的互联网认知行为疗法（ICBT）为解决这种治疗与需求之间的差距提供了一个有希望的策略。本研究考察了个性化ICBT干预与按需支持对减少年轻人焦虑和抑郁症状的疗效。方法：这项两组随机对照试验涉及巴西年轻人（18-24岁），他们被随机分配到治疗组（n = 46）和候补对照组（n = 46）。为期8周的治疗包括在在线平台上进行个性化定制的ICBT，并通过聊天按需提供治疗师支持。主要结局是焦虑和抑郁症状。次要指标包括压力、失眠、智能手机和社交媒体使用、完美主义和生活质量。进行了为期六个月的随访。结果多元回归分析显示，与对照组相比，治疗组在焦虑、抑郁、压力、失眠等方面均有显著减少，生活质量也有显著改善，且效应量为中大型。结论icbt是巴西青少年常见心理健康症状的有效干预手段。需要进一步研究以探讨执行情况及其对其他人群的影响。

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引用次数: 0

Digital bridges to social connection: A systematic review and meta-analysis of digital interventions for loneliness and social isolation 通往社会联系的数字桥梁：对孤独和社会隔离的数字干预的系统回顾和荟萃分析

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-07-08 DOI: 10.1016/j.invent.2025.100856

Thomas Hansen , Rune Johansen , Benedicte Kirkøen , Kim Stene-Larsen , Melanie Straiton , Ragnhild A. Tornes , Anne Reneflot

As loneliness and social isolation emerge as pressing public health concerns, identifying effective interventions is essential. Digital solutions offer flexible, scalable, and cost-effective approaches, yet their effectiveness remains uncertain. This systematic review and meta-analysis assess the impact of randomized controlled trials (RCTs) on digital interventions to reduce loneliness and social isolation. Following PRISMA 2020 guidelines, we searched seven databases and grey literature (2022–) and applied random-effects models to pool effect sizes by intervention type. A total of 40 RCTs involving 6062 participants were included, with one-third focusing on younger individuals. Loneliness was assessed in 36 studies, while eight examined social isolation. Interventions were classified as psychological (k = 25), social (k = 4), activity-based (k = 4), robot-based (k = 4), and social media reduction (k = 5). Psychological interventions—especially those with group or social components—along with group-based activities and robotic pets, were effective in reducing loneliness. In contrast, social contact interventions, self-guided individual activities, and conversational robots showed limited impact. Social media reduction interventions suggested potential benefits, though results were not statistically significant. The evidence base exhibited moderate to high risk of bias, heterogeneity, and limited long-term follow-up. We provide specific recommendations for future interventions and research, including leveraging digital technologies for enhanced personalization, using digital tools for signposting non-digital interventions, systematically comparing digital and non-digital versions of the same intervention, and, most critically, examining the impact of increasingly popular AI-driven and humanlike social chatbots.

随着孤独和社会隔离成为紧迫的公共卫生问题，确定有效的干预措施至关重要。数字解决方案提供了灵活、可扩展和经济高效的方法，但其有效性仍不确定。本系统综述和荟萃分析评估了随机对照试验（rct）对减少孤独感和社会隔离的数字干预的影响。根据PRISMA 2020指南，我们检索了7个数据库和灰色文献（2022 -），并应用随机效应模型按干预类型汇总效应大小。共纳入了40项随机对照试验，涉及6062名参与者，其中三分之一集中在年轻人身上。36项研究对孤独感进行了评估，8项研究对社会孤立进行了评估。干预措施分为心理（k = 25）、社会（k = 4）、基于活动（k = 4）、基于机器人（k = 4）和减少社交媒体（k = 5）。心理干预——尤其是那些有群体或社交成分的干预——以及基于群体的活动和机器人宠物，在减少孤独感方面是有效的。相比之下，社会接触干预、自我引导的个人活动和会话机器人的影响有限。减少社交媒体的干预措施显示了潜在的好处，尽管结果在统计上并不显著。证据基础显示出中高偏倚风险、异质性和有限的长期随访。我们为未来的干预和研究提供了具体建议，包括利用数字技术增强个性化，使用数字工具指示非数字干预措施，系统地比较同一干预措施的数字和非数字版本，最重要的是，研究日益流行的人工智能驱动和类人社交聊天机器人的影响。

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引用次数: 0

Young people's compliance with the Experience Sampling Method (ESM): Examining patterns, predictors and associations with well-being and mental health 青年人对经验抽样法的遵守情况：检查与幸福和心理健康有关的模式、预测因素和联系

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-07-08 DOI: 10.1016/j.invent.2025.100859

Julius März , Lianne P. de Vries , Hanneke Scholten , Annabel Vreeker , Jeroen S. Legerstee , Loes Keijsers , Brenda W.J.H. Penninx , Manon H.J. Hillegers

The Experience Sampling Method (ESM) can help young people gain insight into their fluctuating emotions through multiple daily surveys. This can act as an intervention to improve well-being and mental health. However, the effectiveness of ESM interventions is expected to depend on compliance, i.e., how often participants respond to these surveys. We aimed to understand compliance patterns among young people during an ESM-based intervention, explored predictors of these patterns, and examined if the intervention's impact on well-being and mental health varied with compliance levels.

Dutch adolescents and young adults (N = 1139, 12–25 years, mean age = 17.67; 79 % female) completed baseline questionnaires, responded to five daily ESM surveys over three weeks using the Grow It! app, and completed follow-up questionnaires.

Despite overall low compliance (mean compliance = 33.8 %), latent class growth analyses identified four compliance patterns: stable high (N = 176; M = 78.8 %), stable medium (N = 193; M = 50.1 %), high initial and decreasing (N = 272; M = 30.9 %), and low initial and decreasing (N = 498; M = 13.2 %). These patterns were not consistently associated with age, gender, education, baseline well-being, or depressive and anxiety symptoms, and did not influence the intervention's effect on well-being and mental health outcomes.

We identified specific ESM compliance patterns among young people but found no clear predictors or outcomes of these patterns. To improve compliance and intervention effectiveness, future ESM interventions can potentially be enhanced by personalized designs, incorporating intrinsic and extrinsic motivators, and investigating situational factors and additional participant characteristics.

经验抽样法（ESM）可以帮助年轻人通过多次日常调查来了解他们波动的情绪。这可以作为一种干预措施，改善幸福感和心理健康。然而，预计ESM干预措施的有效性取决于遵守情况，即参与者对这些调查的反应频率。我们的目的是了解在基于esm的干预中年轻人的依从性模式，探索这些模式的预测因素，并检查干预对幸福感和心理健康的影响是否随依从性水平而变化。荷兰青少年和年轻人(N = 1139, 12-25岁，平均年龄= 17.67；（79%女性）完成了基线问卷，在三周内使用“Grow It!”App，并完成后续调查问卷。尽管总体依从性较低（平均依从性= 33.8%），潜在类别增长分析确定了四种依从性模式：稳定的高依从性(N = 176；M = 78.8%)，稳定培养基(N = 193；M = 50.1%)，初始值高且呈下降趋势(N = 272；M = 30.9%)，初始值低且呈递减趋势(N = 498；m = 13.2%)。这些模式与年龄、性别、教育程度、基线幸福感或抑郁和焦虑症状并不一致相关，也不影响干预对幸福感和心理健康结果的影响。我们确定了年轻人中特定的ESM依从模式，但没有发现这些模式的明确预测因素或结果。为了提高依从性和干预效果，未来的ESM干预可以通过个性化设计、结合内在和外在激励因素、调查情境因素和其他参与者特征来增强。

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引用次数: 0

User engagement in a digital health intervention designed for young people who have experienced technology-assisted sexual abuse (i-Minds trial) 用户参与为经历过技术辅助性虐待的年轻人设计的数字健康干预（i-Minds试验）

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-07-08 DOI: 10.1016/j.invent.2025.100858

Sandra Bucci , Xiaolong Zhang , Kaja Dabrowska , Amanda Larkin , Ethel Quayle , Matthias Schwannauer , Filippo Varese , Pauline Whelan

Background

Technology-assisted sexual abuse (TASA) mostly involves the production and non-consensual sharing of sexual images; however, evidence-based support for young people (YP) who have experienced TASA is scant. Digital Health Interventions (DHIs) have the potential to increase access to support and provide timely therapeutic input in a familiar format to YP. However, studies describing engagement with DHIs is nascent. Our objective is to describe engagement patterns for YP people who used the i-Minds app.

Methods

The i-Minds app is a co-designed mentalisation-based DHI for YP who have experienced TASA. Usage data was collected during the 6-week intervention window using Matomo analytics software and analysed according to the AMUsED framework.

Results

Forty-one participants were onboarded to the app. Of these, 95 % completed the introductory mandatory module, and nearly half completed the remaining three modules. Median duration of app engagement was 33 days. Most participants used the app on weekdays in the afternoon. Demographic variables, namely gender not matching with sex assigned at birth/prefer not to disclose and higher baseline clinical severity were associated with higher app engagement.

Conclusions

Participants showed high module completeness and engagement duration, suggesting the potential for real-world use. Potential participant-level predictors of engagement, such as gender identity and severity of TASA related traumatic stress and emotional distress, were identified. Achieving satisfactory engagement in DHIs is challenging yet necessary for delivering effective interventions. Future studies should explore participant-level predictors of engagement to inform real-world use of DHIs with a diverse sample.

技术辅助性虐待（TASA）主要涉及性图像的制作和未经同意的分享；然而，对经历过TASA的年轻人（YP）的循证支持很少。数字卫生干预措施（DHIs）有可能增加获得支持的机会，并以熟悉的格式向青少年计划提供及时的治疗投入。然而，描述与DHIs接触的研究尚处于起步阶段。我们的目标是描述使用i-Minds应用程序的YP人员的参与模式。方法i-Minds应用程序是为经历过TASA的YP人员共同设计的基于心理的DHI。在为期6周的干预期内，使用Matomo分析软件收集使用数据，并根据amuse框架进行分析。41名参与者使用了该应用程序。其中，95%的人完成了入门必修模块，近一半的人完成了剩下的三个模块。应用粘性的平均持续时间为33天。大多数参与者在工作日的下午使用这款应用。人口统计变量（即性别与出生时的性别不匹配/不愿透露）和较高的基线临床严重程度与较高的应用粘性相关。结论参与者表现出较高的模块完整性和参与时间，表明其具有实际应用的潜力。确定了参与的潜在参与者水平预测因素，如性别认同和与TASA相关的创伤应激和情绪困扰的严重程度。实现令人满意的DHIs参与是具有挑战性的，但对于提供有效的干预措施是必要的。未来的研究应该探索参与者层面的参与预测因素，以告知现实世界中不同样本的DHIs使用情况。

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引用次数: 0

Key questions to ask before implementing a Digital Mental Health Service (DMHS): A primer for policy makers 实施数字心理健康服务（DMHS）之前要问的关键问题：政策制定者的入门书

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-07-05 DOI: 10.1016/j.invent.2025.100857

Nickolai Titov , Blake F. Dear , Lauren Staples , Alana Fisher , Heather D. Hadjistavropoulos , Olav Nielssen

Background

The proven success of treating high prevalence mental disorders via the internet by digital mental health services (DMHSs) has created enormous interest in the implementation of these services. In response, there are now excellent guides to support the “how” of DMHS implementation.

Method

Drawing on the authors' experiences of successfully implementing high volume DMHSs and reflecting on planning sessions with decision makers and funders, the authors identified important questions that should be considered by policy makers, funders and healthcare managers before implementing a DMHS. These questions are more concerned with the “why” of implementation and are questions not typically examined or discussed in existing implementation guides and frameworks.

Results

The authors describe eleven questions categorised by theme: 1. The nature of mental health and treatments, 2. The nature of DMHSs, and 3. Governance and eco-system. Questions include which mental health conditions to address, whether the condition even requires treatment, what type of services should be offered, where would the DMHS fit into the broader mental health system, how will they integrate with other health services, what is the optimal funding model, how will they employ technology, and what governance is required.

Conclusions

Policy makers and funders have the challenging task of determining resource allocation among competing priorities in a complex and ever-changing world. We propose that navigating the complexities of DMHSs can be facilitated by developing a robust program logic that addresses these and other important questions. It is noted that the long-term success DMHSs requires not only a clear vision and careful planning, but realistic and stable funding, and a commitment to ongoing evaluation and development.

背景：通过数字精神卫生服务（dmhs）通过互联网治疗高患病率精神障碍已被证明是成功的，这引起了人们对实施这些服务的巨大兴趣。作为回应，现在有优秀的指南来支持DMHS的“如何”实施。方法根据作者成功实施大规模DMHS的经验，并与决策者和资助者进行规划会议的反思，作者确定了政策制定者、资助者和卫生保健管理人员在实施DMHS之前应该考虑的重要问题。这些问题更多地与实现的“为什么”有关，并且是在现有的实现指南和框架中通常没有检查或讨论的问题。结果作者描述了按主题分类的11个问题：1。2.心理健康的性质和治疗；2 . dmhs的性质；治理和生态系统。问题包括需要解决哪些精神健康状况，这种状况是否需要治疗，应该提供哪种类型的服务，DMHS将在哪里融入更广泛的精神卫生系统，它们将如何与其他卫生服务相结合，最佳融资模式是什么，它们将如何使用技术，以及需要什么样的治理。在一个复杂和不断变化的世界中，决策者和资助者面临着一项具有挑战性的任务，即在相互竞争的优先事项中确定资源分配。我们建议，通过开发一个健壮的程序逻辑来解决这些问题和其他重要问题，可以促进驾驭dmhs的复杂性。报告指出，dmhs的长期成功不仅需要清晰的愿景和仔细的规划，而且需要现实和稳定的资金，并致力于持续的评价和发展。

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引用次数: 0

Effects of digital interventions on neuroplasticity and brain function of individuals with developmental disabilities: A systematic review 数字干预对发育障碍个体神经可塑性和脑功能的影响：系统综述

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-07-02 DOI: 10.1016/j.invent.2025.100850

Hyunyoung Lee , Yoomi Shin , Hayoung Moon , Yuna Choi , Anna Lee

Developmental disabilities (DDs) impact individuals' cognitive, psychological, and motor functions, and result in specific neural differences. Interventions to enhance neuroplasticity are important for this population. This review examined relevant existing studies to understand the effects of digital interventions on neuroplasticity and neural functions of individuals with DDs. A systematic review was conducted on PubMed, PsycINFO, CINAHL, and Scopus databases. Studies that focused on digital interventions to enhance neuroplasticity of individuals with DDs and used neuroimaging methods to evaluate effectiveness were included. The results of the current review were synthesized based on Roy's adaptation model. Of 3433 retrieved studies, 37 were included. The included studies used cognitive training, neuromodulation, and social cognitive training integrated with digital devices such as a computer, mobile app, or virtual reality. Neuroimaging results after digital interventions demonstrated changes in brain wave patterns and increased activation in certain regions. Behavioral assessments exhibited significant improvements including attention- deficit/hyperactivity disorder symptoms, attention, emotional recognition, and social skills. Digital interventions may enhance neural functions and neuroplasticity in individuals with DDs. Further studies with diverse methodologies and a broader spectrum of DDs are essential to fully understand the potential of digital interventions in neurodevelopmental challenges among the population.

发育障碍影响个体的认知、心理和运动功能，并导致特定的神经差异。增强神经可塑性的干预措施对这一人群很重要。本文回顾了现有的相关研究，以了解数字干预对dd患者神经可塑性和神经功能的影响。对PubMed、PsycINFO、CINAHL和Scopus数据库进行系统评价。研究集中于数字干预以增强ddds患者的神经可塑性，并使用神经影像学方法评估有效性。本综述的结果基于Roy的适应模型进行综合。在检索到的3433项研究中，纳入了37项。纳入的研究将认知训练、神经调节和社会认知训练与数字设备（如计算机、移动应用程序或虚拟现实）相结合。数字干预后的神经成像结果显示脑电波模式发生了变化，某些区域的激活增加。行为评估显示出显著的改善，包括注意缺陷/多动障碍症状、注意力、情绪识别和社交技能。数字干预可能会增强dd患者的神经功能和神经可塑性。为了充分了解数字干预在人群神经发育挑战中的潜力，使用多种方法和更广泛的dd进行进一步研究至关重要。

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引用次数: 0

Work-focused therapy in an internet-based CBT format – A mixed methods feasibility study 以工作为中心的基于网络的CBT形式的治疗——混合方法可行性研究

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-07-01 DOI: 10.1016/j.invent.2025.100855

Henning Monsen , Jon Vøllestad , Peter Prescott , Audun Røren , Kristin Bruvik , Torkil Berge , Pål W. Wallace , Tine Nordgreen , Nick Titov , Anders Hovland

Background

Common mental disorders (CMD) are one of the main causes for work absenteeism. While traditional cognitive behavioural therapy is effective for symptom reduction, its impact on return to work is less pronounced. Work-focused therapy for those with CMD has shown positive results on return to work, but availability of such treatment is scarce.

Objective

To investigate a transdiagnostic work-focused Internet Delivered Cognitive Behavioural Therapy (W-ICBT) intervention. Further, to investigate its feasibility in terms of use and adherence, including the participants experience of perceived effects, for outpatients on sick leave with diagnoses of depression and/or anxiety.

Method

We conducted a naturalistic feasibility study using a convergent, mixed-methods pre-post design. Outcomes included adherence and use of the treatment, return to work, work related self-efficacy, symptoms of depression and anxiety, quality of life and the experience of participants through qualitative interviews.

Results

19 patients were screened, 15 included and 11 completed the 12-week treatment. Degree of sick leave was reduced from 79 % to 32 % for the completer sample (g = 0.95, p = .003), with statistically significant results on self-efficacy (g = 1.05 p = .005), depression (g = 0.81, p = .024), quality of life (g = 1.20, p = .002). No significant changes were observed on measures of anxiety and impairment of daily living. These results were supported by the findings from the qualitative interviews.

Conclusion

W-ICBT appears to be a promising approach to reducing work absenteeism and warrants further research.

常见精神障碍（CMD）是导致旷工的主要原因之一。虽然传统的认知行为疗法对减轻症状有效，但对重返工作岗位的影响不太明显。针对CMD患者的以工作为中心的治疗在重返工作岗位后显示出积极的效果，但这种治疗的可用性很少。目的探讨以跨诊断工作为中心的网络认知行为治疗（W-ICBT）干预方法。进一步，探讨其在抑郁症和/或焦虑症门诊病人的使用和依从性方面的可行性，包括参与者对感知效果的体验。方法采用会聚、混合方法进行自然可行性研究。结果包括坚持和使用治疗、重返工作岗位、与工作相关的自我效能、抑郁和焦虑症状、生活质量和参与者通过定性访谈的体验。结果筛选19例，纳入15例，完成12周治疗11例。完成者的病假率从79%降至32% (g = 0.95, p = 0.003)，在自我效能（g = 1.05 p = 0.005）、抑郁（g = 0.81, p = 0.024）、生活质量（g = 1.20, p = 0.002）方面均有统计学意义。在焦虑和日常生活障碍方面没有观察到明显的变化。这些结果得到了定性访谈结果的支持。结论w - icbt是减少旷工的有效方法，值得进一步研究。

{"title":"Work-focused therapy in an internet-based CBT format – A mixed methods feasibility study","authors":"Henning Monsen , Jon Vøllestad , Peter Prescott , Audun Røren , Kristin Bruvik , Torkil Berge , Pål W. Wallace , Tine Nordgreen , Nick Titov , Anders Hovland","doi":"10.1016/j.invent.2025.100855","DOIUrl":"10.1016/j.invent.2025.100855","url":null,"abstract":"<div><h3>Background</h3><div>Common mental disorders (CMD) are one of the main causes for work absenteeism. While traditional cognitive behavioural therapy is effective for symptom reduction, its impact on return to work is less pronounced. Work-focused therapy for those with CMD has shown positive results on return to work, but availability of such treatment is scarce.</div></div><div><h3>Objective</h3><div>To investigate a transdiagnostic work-focused Internet Delivered Cognitive Behavioural Therapy (W-ICBT) intervention. Further, to investigate its feasibility in terms of use and adherence, including the participants experience of perceived effects, for outpatients on sick leave with diagnoses of depression and/or anxiety.</div></div><div><h3>Method</h3><div>We conducted a naturalistic feasibility study using a convergent, mixed-methods pre-post design. Outcomes included adherence and use of the treatment, return to work, work related self-efficacy, symptoms of depression and anxiety, quality of life and the experience of participants through qualitative interviews.</div></div><div><h3>Results</h3><div>19 patients were screened, 15 included and 11 completed the 12-week treatment. Degree of sick leave was reduced from 79 % to 32 % for the completer sample (<em>g</em> = 0.95, <em>p</em> = .003), with statistically significant results on self-efficacy (<em>g</em> = 1.05 <em>p</em> = .005), depression (<em>g</em> = 0.81, <em>p</em> = .024), quality of life (<em>g</em> = 1.20, <em>p</em> = .002). No significant changes were observed on measures of anxiety and impairment of daily living. These results were supported by the findings from the qualitative interviews.</div></div><div><h3>Conclusion</h3><div>W-ICBT appears to be a promising approach to reducing work absenteeism and warrants further research.</div></div>","PeriodicalId":48615,"journal":{"name":"Internet Interventions-The Application of Information Technology in Mental and Behavioural Health","volume":"41 ","pages":"Article 100855"},"PeriodicalIF":3.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144548849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of Internet-based cognitive behavioral therapy for reducing perfectionistic strivings in the Republic of Korea: A randomized controlled trial 在韩国，基于网络的认知行为疗法对减少完美主义的疗效：一项随机对照试验

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health

Pub Date : 2025-06-29 DOI: 10.1016/j.invent.2025.100851

Sanghoon Oh , Jeong hee Cha , Jungwon Joo , Ji Hyung Lee , Yunna Lee , Hyung Jun Lee , Dong Uk Yoon , Jeonghwan Lee

Background

Perfectionistic strivings characterized by excessively high standards, fears of mistakes, and critical self-evaluations can lead to avoidance, worry, procrastination, and self-criticism, negatively impacting mental health. Since individuals with perfectionism are less likely to seek face-to-face therapy, internet-based cognitive behavioral therapy (ICBT) may improve accessibility.

Objectives

This study evaluated the effectiveness of an ICBT program specifically designed to reduce perfectionistic strivings.

Methods

A total of 101 participants with significant perfectionism were randomly assigned to a 5-week unguided ICBT program or a waiting list control group. Online assessments were conducted at baseline and post-intervention using the Frost Multidimensional Perfectionism Scale (FMPS), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Perceived Stress Scale (PSS), and Satisfaction with Life Scale (SWLS). Intention-to-treat and completer analyses were performed.

Results

Of 101 participants, 62 (61.4 %) completed both assessments. The ICBT group completed an average of 3.71 out of 5 modules, with 58.8 % completing all. Compared to the control group, the ICBT group showed significant reductions in perfectionistic strivings (FMPS Concern over Mistakes: d = −0.65, 95 % CI [−1.05, −0.25]), anxiety (GAD-7: d = −0.42, 95 % CI [−0.83, −0.01]), and increased life satisfaction (SWLS: d = 0.62, 95 % CI [0.20, 1.03]).

Conclusions

The ICBT program effectively reduced perfectionistic strivings and related symptoms, highlighting its potential as a scalable and accessible intervention. Further studies are warranted to directly compare ICBT with traditional face-to-face CBT and assess the durability of treatment effects.

以过高的标准、对错误的恐惧和批判性的自我评价为特征的完美主义追求会导致逃避、担忧、拖延和自我批评，对心理健康产生负面影响。由于完美主义个体不太可能寻求面对面的治疗，基于互联网的认知行为疗法（ICBT）可能会提高可及性。目的：本研究评估了一个专门设计用于减少完美主义努力的ICBT项目的有效性。方法将101名有明显完美主义倾向的被试随机分为5周无指导ICBT组和等候组。在基线和干预后使用弗罗斯特多维完美主义量表（FMPS）、患者健康问卷-9 （PHQ-9）、广泛性焦虑障碍-7 （GAD-7）、感知压力量表（PSS）和生活满意度量表（SWLS）进行在线评估。进行意向治疗和完整分析。结果101名参与者中，62名（61.4%）完成了两项评估。ICBT组平均完成了5个模块中的3.71个，其中58.8%完成了所有模块。与对照组相比，ICBT组在完美主义努力（FMPS对错误的担忧：d = - 0.65, 95% CI[- 1.05, - 0.25]）、焦虑（GAD-7: d = - 0.42, 95% CI[- 0.83, - 0.01]）和生活满意度（SWLS: d = 0.62, 95% CI[0.20, 1.03]）方面均有显著降低。结论：ICBT项目有效地减少了完美主义的努力和相关症状，突出了其作为一种可扩展和可获得的干预措施的潜力。需要进一步的研究来直接比较ICBT与传统的面对面CBT，并评估治疗效果的持久性。

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引用次数: 0