{"title":"对有强迫症症状的成年人进行网络认知行为疗法的可接受性：荟萃分析","authors":"Shifra Waks, Karen Moses, Bethany M. Wootton","doi":"10.1111/bjc.12462","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>Obsessive-compulsive disorder (OCD) is a chronic mental health disorder. Internet-delivered cognitive behaviour therapy (ICBT) is demonstrated to be effective for OCD; however little is known about the acceptability of the treatment. Therefore the aim of this study was to examine the acceptability of ICBT for adults with OCD symptoms using a meta-analytic approach.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>Seventeen studies (<i>N</i> = 1661; <i>M</i><sub>age</sub> range = 28–41 years; 58%–93% female) were included in this analysis.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The random effects pooled estimates indicated that 16.3% (95% CI: 9.8%–25.7%) of participants did not commence the treatment once they were enrolled in the study, 27.6% (95% CI: 19.0%–38.2%) did not complete the treatment, and 27.0% (95% CI: 18.2%–38.0%) did not complete the post-treatment questionnaires of the study. The mean score on the Client Satisfaction Questionnaire ranged from 22.4 to 26.5. Overall, pooled estimates indicated that 81.6% (95% CI: 76.1%–86.0%) of participants were satisfied with the ICBT intervention and 84.7% (95% CI: 72.8%–92.0%) indicated that they would recommend the treatment to a friend. Some of the acceptability moderator analyses indicated that self-guided ICBT interventions had lower levels of acceptability compared with clinician-guided interventions. However, given low power, these results should be considered preliminary.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>This study has important implications in the dissemination of ICBT for OCD.</p>\n </section>\n </div>","PeriodicalId":48211,"journal":{"name":"British Journal of Clinical Psychology","volume":"63 3","pages":"315-329"},"PeriodicalIF":3.8000,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.12462","citationCount":"0","resultStr":"{\"title\":\"Acceptability of internet-delivered cognitive behavioural therapy for adults with symptoms of obsessive-compulsive disorder: A meta-analysis\",\"authors\":\"Shifra Waks, Karen Moses, Bethany M. 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Therefore the aim of this study was to examine the acceptability of ICBT for adults with OCD symptoms using a meta-analytic approach.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Method</h3>\\n \\n <p>Seventeen studies (<i>N</i> = 1661; <i>M</i><sub>age</sub> range = 28–41 years; 58%–93% female) were included in this analysis.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The random effects pooled estimates indicated that 16.3% (95% CI: 9.8%–25.7%) of participants did not commence the treatment once they were enrolled in the study, 27.6% (95% CI: 19.0%–38.2%) did not complete the treatment, and 27.0% (95% CI: 18.2%–38.0%) did not complete the post-treatment questionnaires of the study. The mean score on the Client Satisfaction Questionnaire ranged from 22.4 to 26.5. Overall, pooled estimates indicated that 81.6% (95% CI: 76.1%–86.0%) of participants were satisfied with the ICBT intervention and 84.7% (95% CI: 72.8%–92.0%) indicated that they would recommend the treatment to a friend. Some of the acceptability moderator analyses indicated that self-guided ICBT interventions had lower levels of acceptability compared with clinician-guided interventions. However, given low power, these results should be considered preliminary.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>This study has important implications in the dissemination of ICBT for OCD.</p>\\n </section>\\n </div>\",\"PeriodicalId\":48211,\"journal\":{\"name\":\"British Journal of Clinical Psychology\",\"volume\":\"63 3\",\"pages\":\"315-329\"},\"PeriodicalIF\":3.8000,\"publicationDate\":\"2024-03-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjc.12462\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"British Journal of Clinical Psychology\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/bjc.12462\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Clinical Psychology","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/bjc.12462","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Acceptability of internet-delivered cognitive behavioural therapy for adults with symptoms of obsessive-compulsive disorder: A meta-analysis
Objectives
Obsessive-compulsive disorder (OCD) is a chronic mental health disorder. Internet-delivered cognitive behaviour therapy (ICBT) is demonstrated to be effective for OCD; however little is known about the acceptability of the treatment. Therefore the aim of this study was to examine the acceptability of ICBT for adults with OCD symptoms using a meta-analytic approach.
Method
Seventeen studies (N = 1661; Mage range = 28–41 years; 58%–93% female) were included in this analysis.
Results
The random effects pooled estimates indicated that 16.3% (95% CI: 9.8%–25.7%) of participants did not commence the treatment once they were enrolled in the study, 27.6% (95% CI: 19.0%–38.2%) did not complete the treatment, and 27.0% (95% CI: 18.2%–38.0%) did not complete the post-treatment questionnaires of the study. The mean score on the Client Satisfaction Questionnaire ranged from 22.4 to 26.5. Overall, pooled estimates indicated that 81.6% (95% CI: 76.1%–86.0%) of participants were satisfied with the ICBT intervention and 84.7% (95% CI: 72.8%–92.0%) indicated that they would recommend the treatment to a friend. Some of the acceptability moderator analyses indicated that self-guided ICBT interventions had lower levels of acceptability compared with clinician-guided interventions. However, given low power, these results should be considered preliminary.
Conclusions
This study has important implications in the dissemination of ICBT for OCD.
期刊介绍：
The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups
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