Efficacy of internet-based psychological interventions for pathological health anxiety: A three-level meta-analysis of randomized controlled trials
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作者:
Shi, Congrong
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机构:
Anhui Normal Univ, Sch Educ Sci, Wuhu, Peoples R China
Anhui Normal Univ, Sch Educ Sci, Beijing Middle Rd, Wuhu 241000, Peoples R ChinaAnhui Normal Univ, Sch Educ Sci, Wuhu, Peoples R China
Shi, Congrong
[1
,6
]
Zhang, Tao
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机构:
Hong Kong Polytech Univ, Dept Appl Social Sci, Hong Kong, Peoples R ChinaAnhui Normal Univ, Sch Educ Sci, Wuhu, Peoples R China
Zhang, Tao
[2
]
Du, Xiayu
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机构:
Cent China Normal Univ, Sch Psychol, Wuhan, Peoples R ChinaAnhui Normal Univ, Sch Educ Sci, Wuhu, Peoples R China
Du, Xiayu
[3
]
Lu, Shan
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机构:
Nanning Fifth Peoples Hosp, Nanning, Peoples R ChinaAnhui Normal Univ, Sch Educ Sci, Wuhu, Peoples R China
Lu, Shan
[4
]
Witthoft, Michael
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机构:
Johannes Gutenberg Univ Mainz, Dept Clin Psychol Psychotherapy & Expt Psychopatho, Mainz, GermanyAnhui Normal Univ, Sch Educ Sci, Wuhu, Peoples R China
Witthoft, Michael
[5
]
机构:
[1] Anhui Normal Univ, Sch Educ Sci, Wuhu, Peoples R China
[2] Hong Kong Polytech Univ, Dept Appl Social Sci, Hong Kong, Peoples R China
[3] Cent China Normal Univ, Sch Psychol, Wuhan, Peoples R China
[4] Nanning Fifth Peoples Hosp, Nanning, Peoples R China
Objective: This study aimed to provide a comprehensive summary and synthesis of available evidence on the efficacy of internet-based psychological interventions for pathological health anxiety, as well as to examine the variables that possibly moderate intervention effects. Method: Four databases were searched for the literature up to October 2023. A three-level random-effects model was used to estimate the pooled effect size, with Hedge's g as the measure. Results: We extracted 28 effect sizes from nine eligible randomized controlled trials with 1079 participants. The results showed that internet-based psychological interventions had a moderate to large between-group effect on health anxiety (g = 0.70) that was significant both at post-intervention (g = 0.74) and follow-up (g = 0.64). Furthermore, these interventions were significantly more effective than passive control conditions including waitlist, usual care, and placebo at post-treatment (g =1.07), but had effects comparable to active control groups at both post-intervention and follow-up. Conclusions: Internet-based psychological interventions are an effective way to alleviate pathological health anxiety. We recommend that these interventions be more widely implemented in routine care settings to ensure easy accessibility for patients with health anxiety.
机构:
Brown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USA
Brown Univ, Ctr Digital Hlth, Sch Publ Hlth, Providence, RI 02903 USABrown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USA
Lewkowitz, Adam K.
Whelan, Anna R.
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机构:
Brown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USABrown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USA
Whelan, Anna R.
Ayala, Nina K.
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h-index: 0
机构:
Brown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USABrown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USA
Ayala, Nina K.
Hardi, Angela
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h-index: 0
机构:
Washington Univ, Becker Med Lib, Sch Med St Louis, St Louis, MO USABrown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USA
Hardi, Angela
Stoll, Carrie
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机构:
Washington Univ, Div Publ Hlth Sci, Dept Surg, Sch Med St Louis, St Louis, MO USABrown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USA
Stoll, Carrie
Battle, Cynthia L.
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机构:
Brown Univ, Dept Psychiat & Human Behav, Warren Alpert Med Sch, Providence, RI USABrown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USA
Battle, Cynthia L.
Tuuli, Methodius G.
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机构:
Brown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USABrown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USA
Tuuli, Methodius G.
Ranney, Megan L.
论文数: 0引用数: 0
h-index: 0
机构:
Brown Univ, Ctr Digital Hlth, Sch Publ Hlth, Providence, RI 02903 USA
Brown Univ, Dept Emergency Med, Warren Alpert Med Sch, Providence, RI USABrown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USA
Ranney, Megan L.
Miller, Emily S.
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机构:
Brown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USABrown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02912 USA
机构:
Capital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R China
Capital Med Univ, Dept Clin Psychol, Beijing, Peoples R ChinaCapital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R China
Zhang, Wenle
Du, Yun
论文数: 0引用数: 0
h-index: 0
机构:
Capital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R China
Capital Med Univ, Dept Clin Psychol, Beijing, Peoples R ChinaCapital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R China
Du, Yun
Yang, Xiangyun
论文数: 0引用数: 0
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机构:
Capital Med Univ, Beijing Anding Hosp, Natl Clin Res Ctr Mental Disorders, Beijing, Peoples R China
Capital Med Univ, Beijing Anding Hosp, Beijing Key Lab Mental Disorders, Beijing, Peoples R China
Capital Med Univ, Adv Innovat Ctr Human Brain Protect, Beijing, Peoples R ChinaCapital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R China
Yang, Xiangyun
Wang, Encong
论文数: 0引用数: 0
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机构:
Capital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R ChinaCapital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R China
Wang, Encong
Fang, Jiexin
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机构:
Capital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R ChinaCapital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R China
Fang, Jiexin
Liu, Ziqi
论文数: 0引用数: 0
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机构:
Shanghai Univ, Sch Foreign Languages, Shanghai, Peoples R ChinaCapital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R China
Liu, Ziqi
Wu, Shanqian
论文数: 0引用数: 0
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机构:
Capital Med Univ, Beijing Anding Hosp, Beijing, Peoples R China
Capital Med Univ, Dept Psychiat, Beijing, Peoples R ChinaCapital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R China
Wu, Shanqian
Liu, Qinqin
论文数: 0引用数: 0
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机构:
Capital Med Univ, Dept Clin Psychol, Beijing, Peoples R China
Capital Med Univ, Beijing Anding Hosp, Beijing, Peoples R ChinaCapital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R China
Liu, Qinqin
Hu, Yongdong
论文数: 0引用数: 0
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机构:
Capital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R ChinaCapital Med Univ, Beijing Chao Yang Hosp, Dept Psychol Med, Beijing, Peoples R China
机构:
Deakin Univ, Sch Psychol, Geelong, Vic, Australia
Deakin Univ, Ctr Social & Early Emot Dev, Burwood, Vic, AustraliaDeakin Univ, Sch Psychol, Geelong, Vic, Australia