Remote cognitive behaviour therapy for social anxiety disorder: A meta-analysis

IF 5.4 3区材料科学 Q2 CHEMISTRY, PHYSICAL

ACS Applied Energy Materials Pub Date : 2023-10-16 DOI:10.1016/j.janxdis.2023.102787

Halaina R. Winter , Alice R. Norton , Jade L. Burley , Bethany M. Wootton

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引用次数: 0

Abstract

Remote cognitive behaviour therapy (CBT) for social anxiety disorder (SAD) has the potential to improve access to treatment by reducing economic, geographic, and psychological barriers. The aim of this study was to use a meta-analytic approach to examine the efficacy of the different remote CBT methods for treating SAD. A systematic electronic database search was used to identify 31 studies (n = 2905; mean age range: 24.73–41.65 years; mean female representation = 60.2 %). Pooled within-group analyses indicated large effect sizes from pre-treatment to post-treatment (Hedges’ g = 1.06; 95 % CI: 0.96–1.16) and pre-treatment to follow up (g = 1.18; 95 % CI: 1.03–1.33) for remote CBT. Internet-delivered CBT (g = 1.08; 95 % CI: 0.98–1.19) and application-delivered CBT (g = 1.19; 95 % CI: 0.75–1.64) produced large within-group effect sizes. Bibliotherapy-delivered CBT (g = 0.79; 95 % CI: 0.45–1.13) produced medium within-group effect sizes. Pooled between-group findings indicate that remote CBT treatments were more effective than passive control (g = 0.87; 95 % CI: 0.70–1.03) and non-CBT remote treatments (g = 0.41; 95 % CI: 0.17–0.66), and were at least as effective, or slightly more effective, than face-to-face CBT treatments (g = 0.34; 95 % CI: 0.14–0.54). These findings have important implications for the dissemination of remote and stepped-care treatments for SAD.

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社交焦虑症的远程认知行为治疗：一项荟萃分析。

社交焦虑症（SAD）的远程认知行为疗法（CBT）有可能通过减少经济、地理和心理障碍来改善获得治疗的机会。本研究的目的是使用荟萃分析方法来检验不同远程CBT方法治疗SAD的疗效。使用系统的电子数据库搜索来确定31项研究（n=2905；平均年龄范围：24.73-41.65岁；平均女性代表性=60.2%）。组内汇总分析表明，从治疗前到治疗后（Hedges的g=1.06；95%可信区间：0.96-1.16）和治疗前到随访（g=1.18；95%置信区间：1.03-1.33），远程CBT的疗效大小较大。互联网传递的CBT（g=1.08；95%可信区间：0.98-1.19）和应用传递的CBT（g=1.19；95%置信区间：0.75-1.64）产生了较大的组内效应大小。书目疗法提供的CBT（g=0.79；95%置信区间：0.45-1.13）在组效应大小内产生中等效果。组间汇总结果表明，远程CBT治疗比被动对照（g=0.87；95%CI:0.70-1.03）和非CBT远程治疗（g=0.41；95%CI:0.17-0.66）更有效，与面对面CBT治疗相比（g=0.34；95%CI:0.14-0.54）。这些发现对SAD的远程和分级护理治疗的传播具有重要意义。

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来源期刊

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.