TY - JOUR AU - Klein, Britt AU - Meyer, Denny AU - Austin, David William AU - Kyrios, Michael PY - 2011 DA - 2011/11/04 TI -焦虑在线-虚拟诊所:初步结果完成后五个完全自动化的治疗方案对焦虑症症状和乔- J地中海互联网Res SP - e89六世- 13 - 4 KW - eTherapy KW -互联网干预KW - e-mental健康KW -认知行为治疗法KW -广泛性焦虑障碍KW -恐慌症KW -强迫症KW -社交焦虑症KW -创伤后应激障碍千瓦自助KW -全自动KW - Web治疗AB -背景:在过去十年中，治疗或预防精神疾病和增进福祉的电子精神卫生干预措施发展迅速。这一发展有助于公众避免在试图获得传统面对面的精神卫生保健服务时经常遇到的一些障碍。目的:我们的研究目的是调查五种全自动自助认知行为电子治疗方案的治疗后有效性，这些方案针对广泛性焦虑障碍(GAD)、伴有或不伴有广场恐怖症(PD/A)的恐慌症、强迫症(OCD)、创伤后应激障碍(PTSD)和社交焦虑障碍(SAD)，通过焦虑症在线提供给国际公众，这是一个开放获取的全服务的焦虑症虚拟心理诊所。方法:我们采用自然主义的参与者选择，准实验设计来评估五个焦虑在线全自动自助电子治疗程序。参与者被要求至少有一种焦虑障碍的亚临床水平，才能提供相关的障碍特异性全自动自助电子治疗计划。这些课程都是焦虑症在线免费提供的。结果:共有225人从5个电子治疗项目中自我选择了其中一个(GAD, n = 88;SAD, n = 50; PD/A, n = 40; PTSD, n = 30; OCD, n = 17) and completed their 12-week posttreatment assessment. Significant improvements were found on 21/25 measures across the five fully automated self-help programs. At postassessment we observed significant reductions on all five anxiety disorder clinical disorder severity ratings (Cohen d range 0.72–1.22), increased confidence in managing one’s own mental health care (Cohen d range 0.70–1.17), and decreases in the total number of clinical diagnoses (except for the PD/A program, where a positive trend was found) (Cohen d range 0.45–1.08). In addition, we found significant improvements in quality of life for the GAD, OCD, PTSD, and SAD e-therapy programs (Cohen d range 0.11–0.96) and significant reductions relating to general psychological distress levels for the GAD, PD/A, and PTSD e-therapy programs (Cohen d range 0.23–1.16). Overall, treatment satisfaction was good across all five e-therapy programs, and posttreatment assessment completers reported using their e-therapy program an average of 395.60 (SD 272.2) minutes over the 12-week treatment period. Conclusions: Overall, all five fully automated self-help e-therapy programs appear to be delivering promising high-quality outcomes; however, the results require replication. Trial Registration: Australian and New Zealand Clinical Trials Registry ACTRN121611000704998; http://www.anzctr.org.au/trial_view.aspx?ID=336143 (Archived by WebCite at http://www.webcitation.org/618r3wvOG) SN - 1438-8871 UR - //www.mybigtv.com/2011/4/e89/ UR - https://doi.org/10.2196/jmir.1918 UR - http://www.ncbi.nlm.nih.gov/pubmed/22057287 DO - 10.2196/jmir.1918 ID - info:doi/10.2196/jmir.1918 ER -