PDF(Pubmed)
Abstract：
BACKGROUND: Generalized anxiety disorder (GAD) is a prevalent anxiety disorder characterized by uncontrollable worry, trouble sleeping, muscle tension, and irritability. Cognitive behavioural therapy (CBT) is one of the first-line treatments that has demonstrated high efficacy in reducing symptoms of anxiety. Electronically delivered CBT (e-CBT) has been a promising adaptation of in-person treatment, showing comparable efficacy with increased accessibility and scalability. Finding further scalable interventions that can offer benefits to patients requiring less intensive interventions can allow for better resource allocation. Some studies have indicated that weekly check-ins can also lead to improvements in GAD symptoms. However, there is a lack of research exploring the potential benefits of online check-ins for patients with GAD.
OBJECTIVE: This study aims to investigate the effects of weekly online asynchronous check-ins on patients diagnosed with GAD and compare it with a group receiving e-CBT.
METHODS: Participants (n e-CBT = 45; n check-in = 51) with GAD were randomized into either an e-CBT or a mental health check-in program for 12 weeks. Participants in the e-CBT program completed pre-designed modules and homework assignments through a secure online delivery platform where they received personalized feedback from a trained care provider. Participants in the mental health check-in condition had weekly asynchronous messaging communication with a care provider where they were asked structured questions with a different weekly theme to encourage conversation.
RESULTS: Both treatments demonstrated statistically significant reductions in GAD-7-item questionnaire (GAD-7) scores over time, but when comparing the groups there was no significant difference between the treatments. The number of participants who dropped out and baseline scores on all questionnaires were comparable for both groups.
CONCLUSIONS: The findings support the effectiveness of e-CBT and mental health check-ins for the treatment of GAD.
UNASSIGNED: Comparing the Effectiveness of Electronically Delivered Therapy (e-CBT) to Weekly Online Mental Health Check-ins for Generalized Anxiety Disorder-A Randomized Controlled Trial.
Generalized anxiety disorder (GAD) is a prevalent psychiatric condition that leads to symptoms like uncontrollable worry, trouble sleeping, muscle tension, and irritability. Cognitive behavioural therapy (CBT) is a common psychotherapy used for GAD since it has been shown to reduce symptoms. However, traditional CBT that is in person can have barriers such as being inaccessible and costly, and therefore electronically delivered CBT (e-CBT) is a viable alternative since previous studies have shown its efficacy in reducing symptoms and being similar compared to face-to-face CBT. Previous studies have also shown reductions in GAD symptomology through the use of checking in on people and their mental health. Therefore, this study aimed to compare e-CBT to a check-in condition and had a total of 45 individuals in e-CBT and 51 participants in the check-in condition. Participants in the e-CBT condition completed 12 weeks of predesigned e-CBT modules, homework and received personalized feedback from a care provider. In contrast, individuals in the check-in condition completed 12 weeks of unstructured asynchronous messaging with a care provider. Results from the study showed that both the e-CBT and check-in condition demonstrated statistically significant improvements in GAD-7 across time, but when comparing the groups there was no significant difference. The results show the efficacy of e-CBT and checking in on people\'s mental health to reduce GAD and future research should examine the 2 conditions combined.
OBJECTIVE: This study aims to investigate the effects of weekly online asynchronous check-ins on patients diagnosed with GAD and compare it with a group receiving e-CBT.
METHODS: Participants (n e-CBT = 45; n check-in = 51) with GAD were randomized into either an e-CBT or a mental health check-in program for 12 weeks. Participants in the e-CBT program completed pre-designed modules and homework assignments through a secure online delivery platform where they received personalized feedback from a trained care provider. Participants in the mental health check-in condition had weekly asynchronous messaging communication with a care provider where they were asked structured questions with a different weekly theme to encourage conversation.
RESULTS: Both treatments demonstrated statistically significant reductions in GAD-7-item questionnaire (GAD-7) scores over time, but when comparing the groups there was no significant difference between the treatments. The number of participants who dropped out and baseline scores on all questionnaires were comparable for both groups.
CONCLUSIONS: The findings support the effectiveness of e-CBT and mental health check-ins for the treatment of GAD.
UNASSIGNED: Comparing the Effectiveness of Electronically Delivered Therapy (e-CBT) to Weekly Online Mental Health Check-ins for Generalized Anxiety Disorder-A Randomized Controlled Trial.
Generalized anxiety disorder (GAD) is a prevalent psychiatric condition that leads to symptoms like uncontrollable worry, trouble sleeping, muscle tension, and irritability. Cognitive behavioural therapy (CBT) is a common psychotherapy used for GAD since it has been shown to reduce symptoms. However, traditional CBT that is in person can have barriers such as being inaccessible and costly, and therefore electronically delivered CBT (e-CBT) is a viable alternative since previous studies have shown its efficacy in reducing symptoms and being similar compared to face-to-face CBT. Previous studies have also shown reductions in GAD symptomology through the use of checking in on people and their mental health. Therefore, this study aimed to compare e-CBT to a check-in condition and had a total of 45 individuals in e-CBT and 51 participants in the check-in condition. Participants in the e-CBT condition completed 12 weeks of predesigned e-CBT modules, homework and received personalized feedback from a care provider. In contrast, individuals in the check-in condition completed 12 weeks of unstructured asynchronous messaging with a care provider. Results from the study showed that both the e-CBT and check-in condition demonstrated statistically significant improvements in GAD-7 across time, but when comparing the groups there was no significant difference. The results show the efficacy of e-CBT and checking in on people\'s mental health to reduce GAD and future research should examine the 2 conditions combined.
摘要：
背景：广泛性焦虑症（GAD）是一种普遍存在的焦虑障碍，其特征是无法控制的担忧，睡眠困难，肌肉紧张，和烦躁。认知行为疗法（CBT）是一线治疗方法之一，在减轻焦虑症状方面表现出很高的疗效。电子传递CBT（e-CBT）一直是一个有希望的适应人的治疗，显示出相当的功效，增加了可及性和可扩展性。找到可以为需要不太密集干预的患者提供益处的进一步可扩展干预措施可以允许更好的资源分配。一些研究表明，每周检查也可以改善GAD症状。然而,目前缺乏探索在线检查对GAD患者的潜在益处的研究.
目的：本研究旨在调查每周在线异步检查对诊断为GAD的患者的影响，并将其与接受e-CBT的组进行比较。
方法：GAD的参与者（ne-CBT=45；n签到=51）被随机分为e-CBT或心理健康签到计划，为期12周。e-CBT计划的参与者通过安全的在线交付平台完成了预先设计的模块和家庭作业，他们从训练有素的护理提供者那里获得了个性化的反馈。心理健康登记条件的参与者每周与护理提供者进行异步消息传递，在那里他们被问到具有不同每周主题的结构化问题以鼓励对话。
结果：两种治疗方法均显示GAD-7项目问卷（GAD-7）评分随时间的推移有统计学显著降低，但是当比较各组时，治疗之间没有显着差异。所有问卷的退学参与者人数和基线得分对两组均具有可比性。
结论：研究结果支持e-CBT和精神健康检查治疗GAD的有效性。
比较电子疗法（e-CBT）与每周在线心理健康检查对广泛性焦虑症的有效性-随机对照试验普通语言摘要广泛性焦虑症（GAD）是一种普遍的精神疾病，会导致无法控制的担忧等症状，睡眠困难，肌肉紧张，和烦躁。认知行为疗法（CBT）是用于GAD的常见心理治疗，因为它已被证明可以减轻症状。然而,传统的CBT在人身上可能存在障碍，例如难以接近和昂贵，因此，电子递送CBT（e-CBT）是一种可行的替代方案，因为以前的研究表明其在减轻症状方面的功效与面对面CBT相似。先前的研究还表明，通过对人们及其心理健康进行检查，GAD症状学可减少。因此,本研究旨在将e-CBT与入住条件进行比较,共有45名患者参加e-CBT,51名参与者参加了入住条件.在e-CBT条件的参与者完成了12周的预先设计的e-CBT模块，并收到护理提供者的个性化反馈。相比之下,在登记条件下的个人与护理提供者完成了12周的非结构化异步消息传递。研究结果表明，e-CBT和入住条件均显示GAD-7随时间的统计显着改善，但是当比较各组时，没有显着差异。结果表明，e-CBT和检查在人们的心理健康中减少GAD的功效，未来的研究应结合这两种情况进行检查。
目的：本研究旨在调查每周在线异步检查对诊断为GAD的患者的影响，并将其与接受e-CBT的组进行比较。
方法：GAD的参与者（ne-CBT=45；n签到=51）被随机分为e-CBT或心理健康签到计划，为期12周。e-CBT计划的参与者通过安全的在线交付平台完成了预先设计的模块和家庭作业，他们从训练有素的护理提供者那里获得了个性化的反馈。心理健康登记条件的参与者每周与护理提供者进行异步消息传递，在那里他们被问到具有不同每周主题的结构化问题以鼓励对话。
结果：两种治疗方法均显示GAD-7项目问卷（GAD-7）评分随时间的推移有统计学显著降低，但是当比较各组时，治疗之间没有显着差异。所有问卷的退学参与者人数和基线得分对两组均具有可比性。
结论：研究结果支持e-CBT和精神健康检查治疗GAD的有效性。
比较电子疗法（e-CBT）与每周在线心理健康检查对广泛性焦虑症的有效性-随机对照试验普通语言摘要广泛性焦虑症（GAD）是一种普遍的精神疾病，会导致无法控制的担忧等症状，睡眠困难，肌肉紧张，和烦躁。认知行为疗法（CBT）是用于GAD的常见心理治疗，因为它已被证明可以减轻症状。然而,传统的CBT在人身上可能存在障碍，例如难以接近和昂贵，因此，电子递送CBT（e-CBT）是一种可行的替代方案，因为以前的研究表明其在减轻症状方面的功效与面对面CBT相似。先前的研究还表明，通过对人们及其心理健康进行检查，GAD症状学可减少。因此,本研究旨在将e-CBT与入住条件进行比较,共有45名患者参加e-CBT,51名参与者参加了入住条件.在e-CBT条件的参与者完成了12周的预先设计的e-CBT模块，并收到护理提供者的个性化反馈。相比之下,在登记条件下的个人与护理提供者完成了12周的非结构化异步消息传递。研究结果表明，e-CBT和入住条件均显示GAD-7随时间的统计显着改善，但是当比较各组时，没有显着差异。结果表明，e-CBT和检查在人们的心理健康中减少GAD的功效，未来的研究应结合这两种情况进行检查。
