网络干预治疗抑郁症的前景和风险
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IF 8.3 2区 医学 Q1 Medicine Dialogues in Clinical Neuroscience Pub Date : 2020-06-01 DOI:10.31887/DCNS.2020.22.2/uhegerl
Ulrich Hegerl, Caroline Oehler
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引用次数: 3

摘要

重度抑郁症(MD)是一种非常普遍和严重的疾病,许多患者无法获得有效的治疗,如药物和心理治疗。基于网络的干预有望成为一种提供资源高效和广泛获得心理治疗支持的方法。荟萃分析总结了使用面对面心理治疗作为比较的研究,提供了同等抗抑郁疗效的证据。基于网络的干预似乎特别有效,如果它们伴随着某种形式的专业指导。然而,它们也与各种可能的风险(例如,自杀危机可能被忽视)和不必要的影响(例如,由于自我监控而增加的反刍和躯体化)有关,这些迄今为止尚未得到充分研究。虽然一些自然主义研究产生的效应比随机对照试验(rct)小,但设计良好的干预措施和适当的指导已被证明可以成功地整合到日常护理中。
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Promises and risks of web-based interventions in the treatment of depression
.

Major depression (MD) is a highly prevalent and severe disorder with many patients having no access to efficient treatments such as pharmaco- and psychotherapy. Web-based interventions promise to be a method to provide resource-efficient and widespread access to psychotherapeutic support. Meta-analyses summarizing studies that use face-to-face psychotherapy as a comparator provide evidence for equivalent antidepressant efficacy. Web-based interventions seem to be particularly efficacious when they are accompanied by some form of professional guidance. However, they are also associated with a variety of possible risks (eg, suicidal crises can be overlooked) and unwanted effects (eg, increase in rumination and somatization due to self-monitoring) that are so far under-studied. Although some naturalistic studies yield smaller effect sizes than randomized controlled trials (RCTs), well-designed interventions with adequate guidance have been shown to be successfully integrable into routine care.
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来源期刊
Dialogues in Clinical Neuroscience
Dialogues in Clinical Neuroscience Medicine-Psychiatry and Mental Health
CiteScore
19.30
自引率
1.20%
发文量
1
期刊介绍: Dialogues in Clinical Neuroscience (DCNS) endeavors to bridge the gap between clinical neuropsychiatry and the neurosciences by offering state-of-the-art information and original insights into pertinent clinical, biological, and therapeutic aspects. As an open access journal, DCNS ensures accessibility to its content for all interested parties. Each issue is curated to include expert reviews, original articles, and brief reports, carefully selected to offer a comprehensive understanding of the evolving landscape in clinical neuroscience. Join us in advancing knowledge and fostering dialogue in this dynamic field.
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