健康焦虑及其网络认知行为干预的研究进展  

Advances in Health Anxiety and Its Online Cognitive-behavioral Interventions

作　　者：张心怡 许木子 郑艳[1,2] 赵越 ZHANG Xinyi;XU Muzi;ZHENG Yan;ZHAO Yue(Department of Obstetrics,Peking University First Hospital,Beijing 100034,China;Department of Nursing,Peking University First Hospital,Beijing 100034,China;Department of Pediatrics,Peking University First Hospital,Beijing 100034,China)

机构地区：[1]北京大学第一医院产科,北京市100034 [2]北京大学第一医院护理部,北京市100034 [3]北京大学第一医院儿科,北京市100034

出　　处：《中国全科医学》2023年第23期2936-2942,共7页Chinese General Practice

基　　金：中央高水平医院临床科研业务费资助(北京大学第一医院科研种子基金项目)(2022SF62,2019SF54)。

摘　　要：随着信息传播手段的发展,健康焦虑(HA)患者数量显著增加,给个人和社会带来了不良后果和沉重负担。近年HA相关临床诊断的演变和范围界定存在不一致,但认知行为干预是公认的有效手段。本文总结了HA的临床诊断、筛查工具、相关因素和网络认知行为干预,并指出HA的概念和测量工具有待统一,其目前的难点是干预临界点的界定及制订适合初级或综合医疗机构开展的心理干预措施。此外,线上形式的HA认知行为干预经济便捷且与线下认知行为干预同样有效,值得进一步开发。The development of information dissemination is associated with significantly increased risk of health anxiety(HA),imposing a heavy burden on individuals and society.Although there are inconsistencies between the evolution and revisions in clinical diagnosis of HA,cognitive-behavioral interventions have been recognized as effective treatments for HA.We reviewed the clinical diagnoses,measurement tools,associated factors and online cognitive-behavioral interventions of HA,then proposed that the concepts and measurement tools of HA need to be further standardized.Main difficulties are the determination of the threshold for intervention and the development of psychological interventions suitable for general practices.Online and face-to-face cognitive-behavioral interventions for HA have similar effects,but the former is more inexpensive and convenient,which deserve to be studied further.

关 键 词：焦虑 疑病症 认知行为疗法 健康焦虑 疾病焦虑障碍 认知行为干预 网络认知行为干预 综述 新进展 

分 类 号：R749.72[医药卫生—神经病学与精神病学]