智能解决方案?恐慌症和广场恐惧症自我管理智能手机应用程序的功效

IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Justine Spies, Thomas Lang, Sylvia Helbig-Lang
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引用次数: 0

摘要

背景认知行为疗法已被证明能有效治疗惊恐障碍和/或惧旷症(PD/A)。然而,心理疗法往往无法及时提供。因此,我们需要替代性的、易于获得的干预措施。因此,本研究旨在评估一种基于智能手机的恐慌症和/或惧高症自我管理工具。方法 107 名参与者被随机分配到干预组(应用程序 "Mindable")或候补对照组。主要结果是恐慌症和广场恐惧症症状的严重程度,其他结果包括生活质量感知、焦虑控制信念和功能障碍。结果在为期八周的观察期结束后,与对照组相比,干预组参与者的恐慌和惧高症状明显减轻(R2 = 0.20),焦虑相关控制信念的增强(R2 = 0.125)。尽管症状有所减轻,但应用程序组中只有 4.3% 的参与者被认为症状得到缓解,而对照组中没有人被认为症状得到缓解。随着时间的推移,所有参与者的生活质量和功能障碍都有所改善,但没有发现明显的组别 x 时间交互作用。由于无法实现症状缓解,这种方法可能适合作为焦虑症阶梯护理方法的一部分:DRKS00029090, 注册日期:2022 年 6 月 10 日。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A Smart Solution? Efficacy of a Self-Management Smartphone App for Panic Disorder and Agoraphobia

A Smart Solution? Efficacy of a Self-Management Smartphone App for Panic Disorder and Agoraphobia

Background

Cognitive behavioral therapy has proven to be effective in the treatment of panic disorder and/or agoraphobia (PD/A). However, psychotherapy is often not available in a timely manner. Hence, there is a need for alternative and easily accessible interventions. The current study, thus, aimed to evaluate a smartphone-based self-management-tool for panic disorder and/or agoraphobia.

Method

107 participants were randomly assigned to either an intervention group (app “Mindable”) or a waitlist control group. Primary outcome was panic and agoraphobic symptom severity, further outcomes included perceived quality of life, anxiety control beliefs, and functional impairment. Linear mixed models were used to analyze the data in intent-to-treat- and completer-data sets.

Results

After the eight-week observation period, participants in the intervention group reported significantly stronger reductions in panic and agoraphobic symptoms (R2 = 0.20) and a higher increase in anxiety-related control beliefs (R2 = 0.125) than participants in the control condition. Despite this symptom reduction, only 4.3% of participants in the app group and none in the control group were considered as remitted. Quality of life and functional impairment improved in all participants over time, but no significant group x time interactions were found.

Discussion

A smartphone-based self-management tool is an easily accessible intervention to reduce panic and agoraphobic symptoms and enhance anxiety control in people with PD/A. As no symptom remission could be achieved, this approach may be suitable as part of a stepped care approach for anxiety disorders.

Trial Registration

Registration number: DRKS00029090, registered on 10.06.2022.

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来源期刊
Cognitive Therapy and Research
Cognitive Therapy and Research PSYCHOLOGY, CLINICAL-
CiteScore
5.30
自引率
0.00%
发文量
52
期刊介绍: Cognitive Therapy and Research (COTR) focuses on the investigation of cognitive processes in human adaptation and adjustment and cognitive behavioral therapy (CBT). It is an interdisciplinary journal welcoming submissions from diverse areas of psychology, including cognitive, clinical, developmental, experimental, personality, social, learning, affective neuroscience, emotion research, therapy mechanism, and pharmacotherapy.
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