针对抑郁和焦虑的跨诊断专注的应用程序:一个元分析
Jake Linardon1, Cleo Anderson2, Mariel Messer2
1SEED Lifespan Strategic Research Centre, School of Psychology, Faculty of Health, Deakin University, Geelong, VIC, Australia. Jake.Linardon@deakin.edu.au.
NPJ digital medicine
|July 15, 2025
概括
跨诊断的心理健康应用程序显示了对抑郁和焦虑缓解的小但显著的影响. 这些数字工具提供了可访问的支持,可与特定疾病的应用程序进行比较,突出了它们的公共卫生潜力.
科学领域:
- 数字心理健康数字心理健康
- 心理干预 心理干预
- 基于证据的实践实践.
背景情况:
- 跨诊断的心理健康应用程序正在出现,用于抑郁和焦虑.
- 目前还没有对他们的证据基础进行综合分析.
- 与诊断特定应用程序相比,了解它们的有效性至关重要.
研究的目的:
- 为了评估跨诊断的精神健康应用程序对抑郁和焦虑的疗效.
- 为了比较跨诊断应用程序与诊断特定应用程序的有效性.
- 综合现有的跨诊断精神健康应用的证据基础.
主要方法:
- 19个随机对照试验的元分析 (N=5165).
- 包括对抑郁和焦虑的跨诊断应用程序的研究.
- 对干预后和后续结果的聚合分析.
主要成果:
- 跨诊断应用程序在抑郁,焦虑和痛苦方面产生了小而显著的干预后效应 (g=0.29).
- 影响在敏感性分析和随访时 (g=0.25) 仍然显著.
- 认知行为疗法 (CBT) 应用程序和等候名单对照试验显示出更大的效果;结果与特定疾病的应用程序相似.
结论:
- 跨诊断应用程序显示了可访问的抑郁和焦虑管理的潜力.
- 它们的广泛适用性强调了它们对公共卫生的相关性.
- 结合数字和面对面的跨诊断疗法的混合模型可能会增强护理.
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