Background Tele-cognitive behavioural therapy(t-CBT)is the most studied remote therapy,and evidence supports its efficacy in treating depression and anxiety symptoms.Aims To compare the effectiveness of tele-interpers...Background Tele-cognitive behavioural therapy(t-CBT)is the most studied remote therapy,and evidence supports its efficacy in treating depression and anxiety symptoms.Aims To compare the effectiveness of tele-interpersonal psychotherapy(t-IPT)to that of t-CBT.We hypothesise that t-IPT is as effective as t-CBT.Methods We conducted a randomised clinical trial with two parallel arms and equal randomisation.The allocation was on a 1∶1 ratio based on a computerised randomisation sequence of permuted blocks of 50.Interventions and assessments were done via a website designed specifically for the trial.Participants were community-based adults with symptoms of anxiety,depression or irritability who received four sessions of t-CBT or t-IPT.The main outcome measures were the Patient Health Questionnaire-9 for depressive symptoms,Generalised Anxiety Disorder-7 for anxiety symptoms and Affective Reactivity Index for irritability.Results 149 individuals with a mean(standard deviation)age of 32.51(10.73)years were randomised to receive t-CBT(n=73)or t-IPT(n=76).Seven participants withdrew from the interventions(t-CBT,n=4;t-IPT,n=3),and 20 participants completed the interventions but did not complete the follow-up questionnaires(t-CBT,n=9;t-IPT,n=11).Analysis was conducted by intention-to-treat.There was a significant overall reduction in symptoms of depression,anxiety and irritability(p<0.001)in both treatment arms;neither modality was superior to the other.Effectiveness analysis showed that the two interventions were equivalent.Conclusions In community adults,t-IPT is as effective as t-CBT in treating symptoms of anxiety,depression or irritability.展开更多
基金funding from the Department for Innovation and Technology of the State of Rio Grande do Sul,Brazil,under Public Call Notice No.001/2020('Edital de Chamamento Público número 001/2020,vinculadoàs açöes do Programa INOVA-RS de apoio ao enfrentamento da Covid19)LSL received a master's scholarship('PROSUC Modalidade II')from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior(CAPES),Brazil+1 种基金BMdA received a scholarship from Fundação de AmparoàPesquisa do Estado do Rio Grande do Sul(FAPERGS),BrazilACP receives a doctoral's scholarship from CAPES,Brazil,and a scholarship from Deutscher Akademischer Austauschdienst,Deutschland.FMS received a research grant from Fundação Vale do Taquari de Educação e Desenvolvimento Social(FUVATES),Brazil.
文摘Background Tele-cognitive behavioural therapy(t-CBT)is the most studied remote therapy,and evidence supports its efficacy in treating depression and anxiety symptoms.Aims To compare the effectiveness of tele-interpersonal psychotherapy(t-IPT)to that of t-CBT.We hypothesise that t-IPT is as effective as t-CBT.Methods We conducted a randomised clinical trial with two parallel arms and equal randomisation.The allocation was on a 1∶1 ratio based on a computerised randomisation sequence of permuted blocks of 50.Interventions and assessments were done via a website designed specifically for the trial.Participants were community-based adults with symptoms of anxiety,depression or irritability who received four sessions of t-CBT or t-IPT.The main outcome measures were the Patient Health Questionnaire-9 for depressive symptoms,Generalised Anxiety Disorder-7 for anxiety symptoms and Affective Reactivity Index for irritability.Results 149 individuals with a mean(standard deviation)age of 32.51(10.73)years were randomised to receive t-CBT(n=73)or t-IPT(n=76).Seven participants withdrew from the interventions(t-CBT,n=4;t-IPT,n=3),and 20 participants completed the interventions but did not complete the follow-up questionnaires(t-CBT,n=9;t-IPT,n=11).Analysis was conducted by intention-to-treat.There was a significant overall reduction in symptoms of depression,anxiety and irritability(p<0.001)in both treatment arms;neither modality was superior to the other.Effectiveness analysis showed that the two interventions were equivalent.Conclusions In community adults,t-IPT is as effective as t-CBT in treating symptoms of anxiety,depression or irritability.
