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Efficacy of internet-based integrated intervention on depression and anxiety symptoms in patients with COVID-19

基于网络的整合心理干预对新冠肺炎患者抑郁焦 虑症状的改善作用

中文概要

目的

目的探讨基于网络的整合心理干预对新冠肺炎患者抑 郁焦虑症状的有效性。

创新点

创新点针对大规模公共卫生事件的患者, 首次采用基于 网络的整合心理干预技术开展抑郁焦虑症状的 治疗。这不仅能够让隔离患者更便捷地获得心理 干预, 而且减少了心理医生的感染暴露机会。

方法

方法纳入26 例伴有抑郁焦虑症状的新冠肺炎患者, 随机分为干预组和对照组。干预组给予基于网络 的整合心理干预, 患者在医生指导下, 通过智能 手机聆听音频材料, 并接受整合心理干预, 包括 放松训练、正念治疗、“安全地”技术和蝴蝶拥 抱法; 对照组则给予支持性心理治疗。通过 HAMD-17 与HAMA 量表评估患者的抑郁焦虑水 平。我们发现在1 周末及2 周末干预组患者 HAMD-17 与HAMA 减分均明显优于对照组。

结论

结论基于网络的整合心理干预可有效改善伴有抑郁焦 虑症状的新冠肺炎患者的情绪症状, 且对隔离患者 来说更便捷, 也减少了心理医生的感染暴露机会。

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Authors and Affiliations

Authors

Contributions

Ning WEI conducted the intervention and collected the clinical data. Bo-chao HUANG designed the integrated intervention. Shao-jia LU wrote the first draft of the manuscript. Jian-bo HU, Chan-chan HU, Jing-kai CHEN, and Jin-wen HUANG designed and completed the audio records. Xiao-yi ZHOU, Shu-guang LI, Zheng WANG, and Dan-dan WANG performed the statistics and analyses of the data. Yi XU and Shao-hua HU designed the study. All authors have read and approved the final manuscript, and therefore, have full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

Corresponding authors

Correspondence to Yi Xu or Shao-hua Hu.

Ethics declarations

Ning WEI, Bo-chao HUANG, Shao-jia LU, Jian-bo HU, Xiao-yi ZHOU, Chan-chan HU, Jing-kai CHEN, Jin-wen HUANG, Shu-guang LI, Zheng WANG, Dan-dan WANG, Yi XU, and Shao-hua HU declare that they have no conflict of interest.

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008 (5). Informed consent was obtained from all patients for being included in the study.

Additional information

Project supported by the Science and Technology Department of Zhejiang Province (No. 2017C37037), the National Key Research and Development Program of China (Nos. 2016YFC1307100 and 2018YFC1314200), the Zhejiang Provincial Natural Science Foundation of China (Nos. LQ20H090012 and LQ20H090010), and the Zhejiang University Special Scientific Research Fund for COVID-19 Prevention and Control (No. 2020XGZX046), China

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Wei, N., Huang, Bc., Lu, Sj. et al. Efficacy of internet-based integrated intervention on depression and anxiety symptoms in patients with COVID-19. J. Zhejiang Univ. Sci. B 21, 400–404 (2020). https://doi.org/10.1631/jzus.B2010013

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  • DOI: https://doi.org/10.1631/jzus.B2010013

关键词

  • 新冠肺炎
  • 基于网络的整合心理干预
  • 抑郁
  • 焦虑