摘要目的 分析网络版计算机化的认知行为治疗(computerized cognitive behavioral therapy,CCBT)在我国上线一年的运行情况,探讨CCBT在中国人群中使用的有效性.方法 收集使用者的资料,对脱落率、人口学和疾病特征信息进行统计分析,根据使用者选择的项目不同分为焦虑组(897人),抑郁组(674人),失眠组(313人),强迫组(229人).焦虑组与抑郁组分别采用焦虑自评量表、抑郁自评量表在每次治疗前进行症状评估.结果(1)脱落人数1 889人,脱落率为71％,其中不同病程(x2=11.379,P=0.023),不同年龄段(x2=19.336,P=0.001)的脱落率差异有统计学意义.(2)使用者分布方面,不同的治疗组在不同年龄(x2=37.808,P＜0.01),发病次数(x2=31.018,P＜0.01)的分布差异有统计学意义;不同年龄组在性别分布(x2=21.255,P＜0.01),是否合并其他心理疾病(x2=21.885,P＜0.01),病程分布(x2=56.933,P＜0.01)差异有统计学意义.(3)焦虑组[(50.50±15.06)分,(49.19±12.31)分,(49.88±14.26)分,(43.94± 14.38)分,(43.56±16.77)分,F=3.312,P=0.032]及抑郁组[(58.71±13.55)分,(55.86±14.45)分,(53.29±10.64)分,(49.93± 10.93)分,(47.14±7.18)分,F=7.423,P＜0.01]自评量表评分治疗前后差异存在统计学意义.结论 CCBT在中国人群中的使用具有有效性,使用人群集中在青中年、首次发病、病程较短的患者.

abstractsObjective To analyze the operation of Computerized Cognitive Behavioral Therapy (CCBT) in China for one year,and test the efficacy for Chinese.Methods The data of the users were collected,and the expulsion rate and the characteristics of demographic and disease were analyzed.According to the different items selected by the user,they were divided into the anxiety group (n=897),the depression group (n=674),the insomnia group (n=313),and the forced group (n=229).Anxiety group and depression group were assessed by self-rating anxiety scale (SAS) and self-rating depression scale (SDS) respectively before each treatment.Results (1)The number of shedding people was 1889,and the loss rate was 71％.The differences of exfoliated rates in different age groups (x2=11.379,P=0.023) and different age groups (x2=19.336,P=0.001) were statistically significant.(2)The user distribution of different treatment groups in different ages (x2 =37.808,P＜0.01) and different incidence (x2 =31.018,P＜0.01) had significantly different.The user distribution of different age groups in the gender distribution (x2 =21.255,P＜ 0.01),whether associated with other mental disorders (x2 =21.885,P＜0.01),and duration distribution (x2 =56.933,P＜0.01) had significant differences.(3) The scores of self rating scale had significant differences in the anxiety group(50.50±15.06,49.19±12.31,49.88±14.26,43.94±14.38,43.56± 16.77,F=3.312,P=0.032) and depression group (58.71± 13.55,55.86± 14.45,53.29± 10.64,49.93± 10.93,47.14±7.177,F=7.423,P＜0.01) before and after treatment.Conclusion The use of CCBT is effective in the Chinese population.Users are concentrated in young patients,first episode patients,and patients with shorter course of disease.