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基于互联网和移动的儿童和青少年焦虑和抑郁症干预措施:有效性和负面影响 - - 系统性审查和元分析
Patrick Dülsen1, Harald Baumeister2
1Department of Clinical Psychology and Psychotherapy, Institute of Psychology and Education, Ulm University, Lise-Meitner-Straße 16, 89081, Ulm, Germany. patrick.duelsen@uni-ulm.de.
European child & adolescent psychiatry
|March 2, 2024
概括
互联网和移动干预对儿童焦虑有适度的益处,但对抑郁症没有. 需要对这些数字心理健康工具的潜在负面影响进行更多的研究.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 数字心理健康数字心理健康
- 基于证据的干预措施
背景情况:
- 焦虑和抑郁等心理障碍在儿童和青少年中很常见.
- 基于互联网和移动的干预 (IMI) 提供可扩展的心理健康解决方案.
- 现有关于青少年IMI的证据是不确定的,对不良影响的数据有限.
研究的目的:
- 系统评估IMI对青少年焦虑和抑郁症的疗效.
- 检查随机对照试验 (RCT) 中IMI报告的负面影响.
主要方法:
- 在四个数据库中搜索了针对18岁以下人群焦虑或抑郁症的IMI的RCT.
- 进行了对IMI与主动和被动对照组进行比较的元分析.
- 分析了预先定义的子组和报告的负面影响.
主要成果:
- 与被动对照对焦虑障碍有中度的积极影响 (g = -0.69),但对抑郁症没有.
- 当将IMI与活跃对照组进行比较时,没有发现显著的影响.
- 报告的负面影响主要是放弃和响应率;其他不良事件很少被记录.
结论:
- IMI可能有效治疗儿科焦虑,但不能治疗抑郁症,特别是与没有干预相比.
- 在RCT中报告负面影响是不够的,这阻碍了对潜在危害的充分理解.
- 未来的RCT应全面报告青年数字心理健康干预中不良事件的定量和定性数据.
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