范围审查:战争影响儿童和青少年的数字心理健康干预措施
Andrea Danese1, Dmytro Martsenkovskyi2, Barbara Remberk3
1Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom; South London and Maudsley NHS Foundation Trust, London, United Kingdom.
概括
数字心理健康干预措施对冲突地区的年轻人有希望,但目前对受战争影响的儿童的证据非常有限. 本综述为开发新的数字心理健康解决方案提供了一个框架.
科学领域:
- 数字心理健康数字心理健康
- 儿童和青少年精神病学 儿童和青少年精神病学
- 全球心理健康全球心理健康
- 冲突心理学 冲突心理学
背景情况:
- 超过2亿儿童和青少年居住在受冲突影响的国家,面临着严重的心理健康挑战,无法获得传统服务.
- 数字心理健康干预提供了一个潜在的解决方案,以弥合这一弱势群体的可访问性差距.
- 范围审查对于绘制现有干预措施和识别新兴领域的证据差距至关重要.
研究的目的:
- 为受战争影响的儿童和青少年进行数字心理健康干预措施的范围审查.
- 评估这些干预措施的现有证据基础.
- 为受战争影响的年轻人制定未来数字心理健康战略提供信息.
主要方法:
- 在多个数据库 (MEDLINE,Embase,全球健康,APA PsychInfo,谷歌学者) 进行系统搜索,截至2022年9月.
- 确定了6843项研究,重点关注那些与战争和灾害影响的儿童和青少年相关的研究.
- 补充专家咨询,以确定其他相关干预措施.
主要成果:
- 只有1项研究专门评估了受战争影响的儿童的数字心理健康干预措施;5项研究专注于受灾害影响的人口.
- 通过专家咨询,确定了35种潜在的相关干预措施,从普遍预防到指导治疗.
- 大多数干预措施都是自我引导的,针对的是年轻人或照顾者,但有限的文化适应引发了关于实施潜力的问题.
结论:
- 目前,严重缺乏强有力的证据支持使用数字心理健康干预措施对受战争影响的儿童和青少年.
- 确定的干预措施虽然有希望,但在冲突环境中需要进一步适应和严格评估.
- 本综述提供了一个基本框架,以指导为受战争影响的年轻人创建和实施有效的数字心理健康解决方案.
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