Introduction: Psychological adjustment to chronic health conditions is important, as poor adjustment predicts a range of adverse medical and psychosocial outcomes. Psychological treatments demonstrate efficacy for people with chronic health conditions, but existing research takes a disorder-specific approach and they are predominately delivered in face-to-face contexts. The internet and remotely delivered treatments have the potential to overcome barriers to accessing traditional face-to-face treatment. Objective: The current study examined the efficacy and acceptability of an internet-delivered transdiagnostic psychological intervention to promote adjustment to illness, based on cognitive behaviour therapy principles. Methods: In a two-arm randomised controlled trial, participants (n = 676) were randomly allocated to the 8-week intervention or a waitlist control. Treatment included five core lessons, homework tasks, additional resources, and weekly contact with a psychologist. Primary outcomes included depression, anxiety, and disability, assessed at pre-treatment, post-treatment, 3-month follow-up, and 12-month follow-up. Results: The treatment group reported significantly greater improvements in depression (between-groups d = 0.47), anxiety (d = 0.32), and disability (d = 0.17) at post-treatment (all ps #x3c;0.001). Improvements were sustained over the 3-month and 12-month follow-ups. High treatment completion rates (69%) and levels of satisfaction (86%) were reported by participants in treatment. The intervention required a mean clinician time of 56.70 min per participant. Conclusions: The findings provide preliminary and tentative support for the potential of internet-delivered transdiagnostic interventions to promote adjustment to chronic health conditions. Further research using robust control groups, and exploring the generalisability of findings, is needed before firm conclusions can be drawn.
Psychother Psychosom

中文翻译：

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慢性病课程：针对慢性病患者的互联网提供的跨诊断心理干预的随机对照试验

简介：对慢性健康状况的心理调整很重要，因为调整不佳会预测一系列不利的医疗和社会心理结果。心理治疗对患有慢性疾病的人有效，但现有研究采用针对特定疾病的方法，并且主要在面对面的情况下进行。互联网和远程治疗有可能克服传统面对面治疗的障碍。目的：本研究基于认知行为治疗原则，检验了互联网提供的跨诊断心理干预以促进适应疾病的有效性和可接受性。方法：在一项两组随机对照试验中，参与者 ( n = 676) 被随机分配到 8 周干预组或候补名单对照组。治疗包括五个核心课程、家庭作业、额外资源以及每周与心理学家的联系。主要结局包括抑郁、焦虑和残疾，在治疗前、治疗后、3 个月随访和 12 个月随访时进行评估。结果：治疗组报告在治疗后（所有ps#x3c;0.001)。在 3 个月和 12 个月的随访中持续改善。治疗参与者报告了高治疗完成率（69%）和满意度（86%）。干预需要每位参与者的平均临床医生时间为 56.70 分钟。结论：研究结果为互联网提供的跨诊断干预促进适应慢性健康状况的潜力提供了初步和初步的支持。在得出明确的结论之前，需要使用稳健的对照组进行进一步的研究，并探索研究结果的普遍性。
心理治疗师