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Gepubliceerd in:
01-02-2015 | Wetenschappelijke artikelen
eHealth cognitieve gedragstherapie voor patiënten met chronische somatische aandoeningen
Auteurs: Mw. drs. S. van Beugen, H. van Middendorp, R. van der Vaart, M. Ferwerda, A.W.M. Evers
Gepubliceerd in: TSG - Tijdschrift voor gezondheidswetenschappen | Uitgave 2/2015
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Samenvatting
Veel patiënten met chronische somatische aandoeningen ervaren op zowel lichamelijk als psychologisch gebied beperkingen in het dagelijks leven. Een manier om patiënten hierbij te ondersteunen is het aanbieden van online zorgprogramma’s op basis van cognitieve gedragstherapie (eHealth cognitieve gedragstherapie; eCGt). Hoewel uit eerder onderzoek al is gebleken dat eCGt effectief kan zijn bij het verminderen van bijvoorbeeld depressieve klachten in het algemeen, loopt het onderzoek bij patiënten met chronische somatische aandoeningen daarbij nog wat achter. In de laatste jaren is er echter een toenemend aantal studies verschenen die de effectiviteit van eCGt bij diverse chronische somatische aandoeningen hebben onderzocht. Om de overkoepelende resultaten van deze studies te kunnen evalueren is er een meta-analyse uitgevoerd, waarvan de resultaten in dit artikel worden besproken. Hieruit blijkt dat eCGt ook bij chronische somatische aandoeningen effectief is, met kleine tot middelgrote effecten. Grote effecten werden soms gevonden bij ziektespecifieke klachten zoals symptomen van de aandoening en ziektespecifieke kwaliteit van leven. Ook werd gevonden dat een langere behandelduur enigszins samenhing met een grotere afname van depressieve klachten. In aanvulling op de resultaten van de meta-analyse wordt in dit artikel een overzicht gegeven van de recente literatuur over enkele klinisch relevante eCGt onderwerpen: kosteneffectiviteit, begeleiding versus zelfhulp, de rol van behandelduur, en optimaal ontwerp en implementatie van interventies.
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Metagegevens
- Titel
- eHealth cognitieve gedragstherapie voor patiënten met chronische somatische aandoeningen
- Auteurs
-
Mw. drs. S. van Beugen
H. van Middendorp
R. van der Vaart
M. Ferwerda
A.W.M. Evers
- Publicatiedatum
- 01-02-2015
- Uitgeverij
- Bohn Stafleu van Loghum
- Gepubliceerd in
-
TSG - Tijdschrift voor gezondheidswetenschappen
/ Uitgave 2/2015
Print ISSN: 1388-7491
Elektronisch ISSN: 1876-8776 - DOI
- https://doi.org/10.1007/s12508-015-0030-x
