Efficacy of an Electronic Cognitive Behavioral Therapy Program Delivered via the Online Psychotherapy Tool for Depression and Anxiety Related to the COVID-19 Pandemic: Pre-Post Pilot Study.

IF 5.4 3区 材料科学 Q2 CHEMISTRY, PHYSICAL
Elnaz Moghimi, Callum Stephenson, Anika Agarwal, Niloofar Nikjoo, Niloufar Malakouti, Gina Layzell, Anne O'Riordan, Jasleen Jagayat, Amirhossein Shirazi, Gilmar Gutierrez, Ferwa Khan, Charmy Patel, Megan Yang, Mohsen Omrani, Nazanin Alavi
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Abstract

Background: Lockdowns and social distancing resulting from the COVID-19 pandemic have worsened the population's mental health and made it more difficult for individuals to receive care. Electronic cognitive behavioral therapy (e-CBT) is a cost-effective and evidence-based treatment for anxiety and depression and can be accessed remotely.

Objective: The objective of the study was to investigate the efficacy of online psychotherapy tailored to depression and anxiety symptoms during the pandemic.

Methods: The pilot study used a pre-post design to evaluate the efficacy of a 9-week e-CBT program designed for individuals with depression and anxiety affected by the pandemic. Participants were adults (N=59) diagnosed with major depressive disorder and generalized anxiety disorder, whose mental health symptoms initiated or worsened during the COVID-19 pandemic. The online psychotherapy program focused on teaching coping, mindfulness, and problem-solving skills. Symptoms of anxiety and depression, resilience, and quality of life were assessed.

Results: Participants demonstrated significant improvements in symptoms of anxiety (P=.02) and depression (P=.03) after the intervention. Similar trends were observed in the intention-to-treat analysis. No significant differences were observed in resilience and quality-of-life measures. The sample comprised mostly females, making it challenging to discern the benefits of the intervention in males. Although a pre-post design is less rigorous than a controlled trial, this design was selected to observe changes in scores during a critical period.

Conclusions: e-CBT for COVID-19 is an effective and accessible treatment option. Improvements in clinical symptoms of anxiety and depression can be observed in individuals whose mental health is affected by the COVID-19 pandemic.

Trial registration: ClinicalTrials.gov NCT04476667; https://clinicaltrials.gov/study/NCT04476667.

International registered report identifier (irrid): RR2-10.2196/24913.

通过在线心理治疗工具提供的电子认知行为治疗方案对与COVID-19大流行相关的抑郁和焦虑的疗效:试点研究
背景:2019冠状病毒病大流行导致的封锁和社交距离使人们的心理健康状况恶化,使个人更难获得护理。电子认知行为疗法(e-CBT)是一种具有成本效益和基于证据的治疗焦虑和抑郁的方法,可以远程访问。目的:本研究的目的是调查针对大流行期间抑郁和焦虑症状量身定制的在线心理治疗的疗效。方法:该试点研究采用前后设计来评估为受大流行影响的抑郁和焦虑患者设计的为期9周的e-CBT计划的疗效。参与者是被诊断患有重度抑郁症和/或广泛性焦虑症的成年人(n = 59),他们的精神健康症状在COVID-19大流行期间开始或恶化。在线心理治疗项目侧重于教授应对、专注和解决问题的技能。评估焦虑和抑郁症状、恢复力和生活质量。结果:干预后,参与者表现出焦虑(p = 0.023)和抑郁(p = 0.029)症状的显著改善。在意向治疗分析中也观察到类似的趋势。在恢复力和生活质量测量方面没有观察到显著差异。样本主要由女性组成,因此很难辨别干预对男性的好处。虽然前后设计不如对照试验严格,但选择这种设计是为了观察关键时期分数的变化。结论:电子cbt治疗COVID-19是一种有效且可获得的治疗方案。在精神健康受到COVID-19影响的个体中,可以观察到焦虑和抑郁临床症状的改善。临床试验:ClinicalTrials.gov NCT04476667。国际注册报告:RR2-10.2196/24913。
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来源期刊
ACS Applied Energy Materials
ACS Applied Energy Materials Materials Science-Materials Chemistry
CiteScore
10.30
自引率
6.20%
发文量
1368
期刊介绍: ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.
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