Workshop (Knowledge Generation) ID 2001810

IF 2.4 Q1 REHABILITATION
S. Mehta, M. Nugent, K. Prasad, R. Upper, E. Loh, R. Teasell, K. Sequeira, D. Wolfe, N. Titov, B. Dear, H. Hadjistavropoulos
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Abstract

Guided internet-delivered CBT (ICBT) offers an alternative approach for mental health service delivery in the community for those with spinal cord injury (SCI). However, there is a lack of evidence to support its use through large, controlled trials. The primary aim of the current study is to explore the efficacy of ICBT in reducing symptoms of depression and anxiety among persons with SCI compared to an online SCI Rehabilitation Education program. Upon completing this workshop, attendees will: 1) understand the state of mental health among those post SCI; 2) explain the evidence behind guided ICBT among those post SCI; 3) apply cognitive behaviour therapy skills. The presenters of this workshop will engage in lecture to provide current state of evidence for ICBT among those post SCI, conduct small-group discussions to apply CBT skills and examine barriers and facilitators of implementing the program. Participants (n=122) endorsing symptoms of depression and/or anxiety related to SCI were randomized to an 8-week transdiagnostic ICBT program for those with SCI or an online SCI Rehabilitation Education program. Participants completed measures on depression, anxiety, self-efficacy, quality of life, and pain at pre-, post-, 3-months, and 6-months post-intervention. Significantly greater improvements in depression, anxiety, self-efficacy, quality of life, and pain interference were seen in the ICBT group compared to the Education group at post treatment and follow-up. Completion rates (∼90%) and satisfaction (>90%) were high in both groups. The findings provide evidence for the superiority of ICBT over education in improving well-being among those with SCI.
讲习班(知识生成) ID 2001810
互联网指导下的 CBT(ICBT)为在社区为脊髓损伤(SCI)患者提供心理健康服务提供了另一种方法。然而,目前还缺乏通过大型对照试验支持其使用的证据。 本研究的主要目的是探讨 ICBT 与在线 SCI 康复教育计划相比,在减少 SCI 患者抑郁和焦虑症状方面的疗效。 完成本讲座后,与会者将1)了解 SCI 后患者的心理健康状况;2)解释 SCI 后患者在 ICBT 指导下进行治疗的证据;3)应用认知行为疗法技能。 本次研讨会的主讲人将通过讲座介绍 SCI 术后患者 ICBT 的证据现状,开展小组讨论以应用 CBT 技能,并研究实施该计划的障碍和促进因素。 认可与 SCI 相关的抑郁和/或焦虑症状的参与者(人数=122)被随机分配到一项针对 SCI 患者的为期 8 周的跨诊断 ICBT 计划或一项在线 SCI 康复教育计划中。参与者在干预前、干预后、干预后 3 个月和干预后 6 个月分别完成了抑郁、焦虑、自我效能、生活质量和疼痛的测量。 在治疗后和随访中,与教育组相比,综合心理治疗组在抑郁、焦虑、自我效能感、生活质量和疼痛干扰方面都有显著改善。两组的完成率(∼90%)和满意度(>90%)都很高。 研究结果证明,在改善 SCI 患者的福祉方面,综合治疗和康复训练优于教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
3.40%
发文量
33
期刊介绍: Now in our 22nd year as the leading interdisciplinary journal of SCI rehabilitation techniques and care. TSCIR is peer-reviewed, practical, and features one key topic per issue. Published topics include: mobility, sexuality, genitourinary, functional assessment, skin care, psychosocial, high tetraplegia, physical activity, pediatric, FES, sci/tbi, electronic medicine, orthotics, secondary conditions, research, aging, legal issues, women & sci, pain, environmental effects, life care planning
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