低所得国や中所得国における鬱や不安に対するデジタルヘルスの介入:迅速なスケープレビュー
Leena W Chau1, Raymond W Lam2, Harry Minas3
1Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
JMIR mental health
|August 22, 2025
まとめ
デジタルメンタルヘルス介入 (DMHI) は,低・中所得国 (LMICs) の精神疾患の負担に対処する見込みを示しています. DMHIの信頼性,使いやすさ,文化的適応を向上させるためにさらなる研究が必要である.
科学分野:
- デジタルメンタルヘルスの介入
- 世界精神保健
- 健康に関する公平性
背景:
- 低・中所得国 (LMICs) は,COVID-19によって悪化した重大な精神衛生上の負担に直面しています.
- LMICのメンタルヘルスケアシステムの既存の欠陥は,パンデミックによって悪化しました.
- デジタルメンタルヘルス介入 (DMHI) は増加しており,しばしば人事形式から適応されています.
研究 の 目的:
- LMICにおけるうつ病と不安に対するDMHIsに関する証拠の迅速な範囲調査を実施する.
- LMICの環境におけるDMHIの忠実さ,使いやすさ,文化的適応を検証する.
- 低所得国におけるDMHI導入の課題とファシリテーターを特定する
主な方法:
- PRISMA-ScRのガイドラインに従って迅速なスコーピングのレビュー.
- 2020年1月から2025年1月までの記録をPubMedとPsycINFOのデータベースで検索しました.
- 介入の種類,信頼性,使いやすさ,文化的適応,課題,ファシリテーターに関するデータ
主要な成果:
- 80の記録を分析し 6つのDMHIプラットフォームを特定しました モバイルアプリ,ウェブ,仮想現実,ビデオ会議,遠隔医療,ソーシャルメディアです
- 信頼性 (20%),可用性 (36%) と文化的適応 (39%) は記録の半分未満で議論されました.
- 主な課題は技術的問題,関与,構造的障壁,プライバシーに関する問題でした.ファシリテーターには携帯電話のアクセスと便利性がありました.
結論:
- DMHIはLMICのメンタルヘルス治療のギャップを縮める機会を提供します.
- DMHIのフィデリティ,使いやすさ,文化的適応の改善は不可欠です.
- デジタル格差の拡大を防ぐには 文脈的な問題や 構造的な障壁や プライバシーの懸念に対処することが不可欠です
関連する概念動画
Community Based Intervention
94
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
94
Stress Prevention and Stress Management Techniques VI
64
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
64
Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
Depression: Overview
332
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
332
Depressive Disorders: MDD and Dysthymia
212
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
212
Depressive Disorders: Etiology
166
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
166


