低收入和中等收入国家常见精神障碍的数字干预:系统性审查和元分析
Eirini Karyotaki1,2,3, Clara Miguel1,2,3, Olga M Panagiotopoulou1,2
1Department of Clinical, Neuro-, and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Global mental health (Cambridge, England)
|November 29, 2023
概括
数字干预显著减少了低资源环境中的焦虑和抑郁症状. 这些电子心理健康工具改善了生活质量,在需要时提供了可访问的基于证据的护理.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 心理健康研究 心理健康研究
- 全球卫生公平性全球卫生公平性
背景情况:
- 资源较少的环境面临着严重的障碍,无法获得基于证据的心理健康干预措施.
- 电子心理健康提供了一个可扩展的解决方案,以增加常见精神障碍的治疗可用性.
- 系统性审查侧重于低收入和中等收入国家 (LMICs) 的随机试验.
研究的目的:
- 系统地评估LMIC中对焦虑和抑郁症的数字干预措施的有效性.
- 为了比较数字干预 (指导和非指导) 与对照条件.
- 评估对减轻症状,生活质量和长期结果的影响.
主要方法:
- 对随机对照试验进行系统的文献搜索.
- 纳入标准:在LMIC中出现焦虑/抑郁症状的个体.
- 使用随机效应模型进行元分析,以计算Hedges的g;评估的初级结果 (症状减轻) 和二次结果 (生活质量,长期影响).
主要成果:
- 21项研究 (5,296名参与者) 显示,数字干预显著降低了心理健康症状 (g = -0.89).
- 对抑郁症 (g = -0.77) 和焦虑症 (g = -1.02) 症状均观察到显著的减少.
- 数字干预也改善了生活质量 (g = 0.32),尽管长期影响较小,但持续.
结论:
- 带有或没有指导的数字干预措施有效地解决了LMICs中心理健康的治疗差距.
- 这些干预措施显示了增加获得基于证据的心理健康护理的前景.
- 需要进一步的研究,以充分阐明数字干预效应的规模和细微差别.
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