针对福祉,焦虑和抑郁症的普遍学校电子健康干预措施:系统性审查和元分析
Edward Miller1, Hiran Thabrew1
1Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand.
Digital health
|December 6, 2024
概括
基于学校的普遍电子心理健康干预 (ueMHI) 显示出希望,但没有显著减少5-18岁学生的焦虑,抑郁或改善福祉. 为了开发有效的干预措施,需要进一步进行高质量的研究.
科学领域:
- 数字心理健康数字心理健康
- 青少年心理学 青少年心理学
- 教育心理学教育心理学
背景情况:
- 数字原生儿童和青少年在学校花费大量时间.
- 全民心理健康干预措施 (UEMHI) 可以支持学生的福祉,并减少常见的心理健康问题.
- 基于学校的eMHI的有效性尚未得到正式评估.
研究的目的:
- 系统地审查和元分析基于学校的eumhi的有效性.
- 评估这些干预措施对学生福祉,焦虑和抑郁症的影响.
- 评估基于学校的eumhi的证据质量.
主要方法:
- 在线数据库 (MEDLINE,ERIC,ACM) 和灰色文献的系统审查和元分析.
- 包括针对5-18岁学生的试验,测量幸福感,焦虑和抑郁.
- 随机效应模型的元分析和Cochrane偏差风险评估.
主要成果:
- 包括15篇论文 (8844名学生);14篇在元分析中.
- 在3个月或3-12个月后,焦虑或抑郁症没有显著减少.
- 在<3个月后,幸福感没有显著改善;在3-12个月后,轻微的负面影响.
- 偏见的高风险和证据的总体质量非常低.
结论:
- 基于学校的eumhi显示出潜力,但目前的证据质量非常低.
- 进一步高质量的研究对于开发有效,可扩展和具有成本效益的eMHIs至关重要.
- 开发新的干预措施应侧重于减少学生的焦虑和抑郁,同时改善健康,而不会造成伤害.
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