基于应用程序的精神障碍辅助干预措施的附加效应 - 随机对照试验的系统审查和元分析
Lukas M Fuhrmann1, Kiona K Weisel1, Mathias Harrer1,2
1Department of Clinical Psychology and Psychotherapy, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Germany.
Internet interventions
|January 16, 2024
概括
基于应用程序的干预措施可能会增强心理健康护理,对抑郁症,焦虑症,躁狂症,吸烟和酒精使用的症状产生微小的附加效应. 需要进一步进行高质量的研究,以优化它们的整合和改善患者的治疗结果.
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
- 基于证据的实践实践.
背景情况:
- 基于应用程序的干预措施在增强现有心理健康护理方面的价值仍然不确定.
- 需要评估这些数字工具的增量效益.
研究的目的:
- 评估基于应用程序的干预措施在与传统心理健康治疗一起使用时的额外影响.
- 综合来自随机对照试验 (RCT) 关于辅助应用程序基础干预措施有效性的证据.
主要方法:
- 在主要数据库 (PubMed,PsycINFO,Scopus,Web of Science,Cochrane Library) 进行了系统的文献搜索,搜索到2023年9月15日之前发表的RCT.
- 对各种精神障碍的症状减轻进行了元分析,用于将应用程序与标准护理相结合的干预措施,而不是单独使用标准护理.
- 评估了研究质量和异质性,以解释研究结果.
主要成果:
- 分析包括46个RCT与4869名参与者.
- 基于应用程序的辅助干预表明了对抑郁症 (g=0.17),焦虑症 (g=0.80),躁狂症 (g=0.2),戒烟 (g=0.43) 和酒精使用 (g=0.23) 的症状的统计学上显著的附加效应.
- 对于双相情绪障碍或饮食障碍中的抑郁症,没有观察到显著的影响. 许多研究都有局限性,包括偏差风险低,统计能力不足等.
结论:
- 基于应用程序的干预措施显示出增强心理健康治疗的潜力,特别是减少与抑郁症,焦虑症,躁狂症,吸烟和酒精使用有关的症状.
- 观察到的效应通常很小,除了焦虑之外,并且受到包括的研究质量的限制.
- 未来的研究应该集中在具有更大的样本规模的高质量试验上,以澄清在心理健康护理中基于应用程序的干预措施的最佳整合策略.
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