TY - JOUR AU - Weisel, Kiona K AU - Zarski, ana - carlotta AU - Berger, Thomas AU - Krieger, Tobias AU - Moser, Christian T AU - Schaub, Michael P AU - Görlich, Dennis AU - Berking, Matthias AU - Ebert, David D PY - 2020 DA - 2020/9/16 TI -基于互联网和移动设备的个性化跨诊断焦虑障碍干预的用户体验和效果:背景:网络干预已被证明在治疗焦虑症方面是有效的。迄今为止，大多数干预措施侧重于单一疾病，而忽视了潜在的合并症。目的:本混合方法研究的目的是调查一种新开发的个性化跨诊断引导网络干预焦虑症的可行性、用户体验和效果。方法:本研究采用非对照、组内、基线、干预后先导试验，采用嵌入的定性、定量过程和效果评价。总共有49名患有焦虑症的成年人(广泛性焦虑症20人，社交恐惧症19人，无惊恐的广场恐怖症12人，惊恐伴广场恐怖症6人，惊恐无广场恐怖症4人，亚临床抑郁症41人)接受了7期干预。我们检查了动机和期望、干预使用、用户体验、影响和修改请求。定性数据采用半结构化访谈进行评估，定性内容分析进行分析。定量结果包括焦虑和抑郁的症状严重程度(汉密尔顿焦虑量表[HAM-A]、抑郁症状临床医师快速量表[QIDS-C])、临床访谈中的诊断状况(迷你国际神经精神病学访谈[Mini])和基于网络的自我报告(广泛性焦虑障碍-7 [GAD-7]、流行病学研究中心抑郁量表[CES-D]、贝克焦虑量表[BAI]、恐慌与广场恐惧症量表[PAS]、社交恐惧症量表(SPS)、患者健康问卷-9 (PHQ-9)的基线和后评估。 Quantitative data was analyzed by comparing within-group means expressed as Cohen d. Results: Anxiety symptom severity (HAM-A d=1.19) and depressive symptoms (QIDS-C d=0.42) improved significantly, and 54% (21/39) no longer were diagnosed as having any anxiety disorder. The main positive effects were the general improvement of disease burden and attentiveness to feelings and risk situations while the main negative effects experienced were lack of change in disease burden and symptom deterioration. The most prevalent reasons for participation were the advantages of online treatment, symptom burden, and openness toward online treatment. Helpful factors included support, psychoeducation and practicing strategies in daily life; the main hindering factors were too little individualization and being overwhelmed by the content and pace. Conclusions: The intervention was found to be feasible and results show preliminary data indicating potential efficacy for improving anxiety and depression. The next step should be the evaluation within a randomized controlled trial. Concerning intervention development, it was found that future interventions should emphasize individualization even more in order to further improve the fit to individual characteristics, preferences, and needs. SN - 1438-8871 UR - //www.mybigtv.com/2020/9/e16450/ UR - https://doi.org/10.2196/16450 UR - http://www.ncbi.nlm.nih.gov/pubmed/32936085 DO - 10.2196/16450 ID - info:doi/10.2196/16450 ER -