评估基于互联网的干预措施对心理健康结果的有效性:一个总体审查
Mi Zhang1,2, Chuan Fan3, Lijun Ma2
1Research Centre for Translational Medicine, the Second Affiliated Hospital, Anhui Medical University, Hefei, Anhui, China.
General psychiatry
|July 23, 2024
概括
基于互联网的干预措施 (IBIs) 对焦虑和创伤后应激障碍具有中等效果,但对抑郁和成的影响较小. 有指导的IBI提高了坚持并降低了学率,提高了心理健康结果.
科学领域:
- 数字健康数字健康
- 心理健康研究 心理健康研究
- 证据综合 证据综合
背景情况:
- 基于互联网的干预 (IBIs) 对心理健康问题越来越受青.
- 关于IBI在各种心理健康障碍中的有效性和可接受性的学术辩论仍在继续.
研究的目的:
- 对元分析 (MAs) 进行总体审查,以综合IBI对心理健康障碍的有效性的证据.
- 评估导向与非导向IBI对治疗结果和治疗坚持的影响.
主要方法:
- 在主要数据库 (PubMed,科学网,Embase,Cochrane,Ovid Medline) 进行系统的文献搜索,截至2023年1月17日.
- 包括87个元分析,包括1683个随机对照试验和295,589名患者.
- 一个综合性审查方法来综合IBI在各种精神健康状况中的有效性.
主要成果:
- 对于焦虑障碍 (SMD=0.53) 和创伤后应激障碍 (PTSD) (SMD=0.63),IBI显示出适度的影响大小.
- 对于抑郁症,成,自杀念头,压力和强迫症,观察到相对较小的影响.
- 在人格障碍方面没有发现显著的影响 (SMD=0.07). 高的退学率影响了整体效率.
- 有指导的IBI比无指导的版本更有效,减少了学和提高了坚持.
结论:
- IBIs与改善心理健康结果有关,特别是在焦虑症和PTSD方面.
- IBIs的疗效受治疗坚持和学率的影响.
- 在数字心理健康干预中,指导IBI提供了一种有希望的方法来提高患者参与度和治疗成功率.
相关概念视频
Community Based Intervention
38
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...
38
Self-Help Support Groups
28
Self-help support groups are voluntary, community-based organizations that provide a platform for individuals with shared concerns to exchange support, insights, and practical strategies for coping with life challenges. Typically led by group members or paraprofessionals, these groups form a cornerstone of mental health care, especially in reaching populations that are underserved by traditional healthcare systems.
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
Accessibility and Cost-Effectiveness
One of the primary strengths of self-help...
28
Stress Prevention and Stress Management Techniques VI
31
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...
31
Elements Crucial for Effective Psychotherapy
37
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
37
Interpersonal Psychotherapy
25
Interpersonal psychotherapy (IPT) is a structured, time-limited therapeutic approach initially developed to treat depression. It integrates key concepts from psychodynamic, humanistic, and cognitive-behavioral therapies, making it a uniquely eclectic framework. The therapy is rooted in the interpersonal theories of Adolph Meyer and Harry Stack Sullivan, as well as John Bowlby's attachment theory, and focuses on the interplay between interpersonal relationships and emotional well-being.
25
The Placebo Effect
6.1K
The placebo effect occurs when people's expectations or beliefs influence or determine their experience in a given situation. In other words, simply expecting something to happen can actually make it happen.
6.1K


