数字生活方式干预对抑郁,焦虑,压力和福祉的有效性:系统性审查和元分析
Jacinta Brinsley1, Edward J O'Connor2, Ben Singh1
1Alliance for Research in Exercise, Nutrition and Activity, University of South Australia, Adelaide, Australia.
数字生活方式干预措施对成年人的抑郁,焦虑和压力产生了显著的积极影响. 虽然福利结果是不确定的,但这些数字健康解决方案提供了可访问的心理健康支持.
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
- 改变生活方式,改变行为
背景情况:
- 生活方式行为显著影响心理健康结果.
- 数字技术提供了可访问和具有成本效益的干预交付方法.
- 之前对干预有效性的研究一直受到交付方式,人口或行为特异性的限制.
研究的目的:
- 综合评估数字生活方式干预措施在改善成人抑郁,焦虑,压力和福祉方面的有效性.
- 探索与心理健康结果的重大变化相关的特征.
主要方法:
- 在多个数据库 (MEDLINE,CINAHL,Embase,Emcare,PsycINFO,Scopus) 中系统搜索2013年1月至2023年1月期间发表的随机对照试验.
- 包括的研究集中在成人 (≥18岁) 的数字生活方式干预 (身体活动,睡眠,饮食) 上,报告了抑郁,焦虑,压力或幸福感的变化.
- 数据分析涉及反变率随机效应的元分析,以及子组分析以探索影响因素.
主要成果:
- 数字生活方式干预证明了对抑郁症的小到中等影响 (SMD -0.37) 和对焦虑 (SMD -0.29) 和压力 (SMD -0.17) 的小影响.
- 没有观察到对幸福感的显著影响 (SMD 0.14).
- 亚组分析表明,在各种交付方法,特征,干预持续时间和目标行为或人群中,效果一致.
结论:
- 通过各种数字方法进行的数字生活方式干预可以在不同人群中对抑郁,焦虑和压力产生显著的积极影响.
- 对幸福感的影响仍然是不确定的.
- 未来的研究应该专注于有效实施和整合到医疗保健中,优先考虑数字健康公平.
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