低收入和中等收入国家对抑郁和焦虑的数字卫生干预措施:快速范围审查
Leena W Chau1, Raymond W Lam2, Harry Minas3
1Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
JMIR mental health
|August 22, 2025
概括
数字心理健康干预 (DMHI) 显示出解决低收入和中等收入国家 (LMIC) 心理疾病负担的希望. 需要进行进一步的研究,以提高DMHI的真实性,可用性和文化适应性.
科学领域:
- 数字心理健康干预措施
- 全球心理健康
- 医疗公平
背景情况:
- 低收入和中等收入国家 (LMIC) 面临着由COVID-19加剧的严重心理健康负担.
- 在LMICs中,精神卫生保健系统的现有缺陷因疫情而恶化.
- 数字心理健康干预 (DMHI) 的数量有所增加,
研究的目的:
- 进行快速范围审查对LMIC中抑郁和焦虑的DMHIs的证据.
- 检查DMHI在LMIC环境中的忠实性,可用性和文化适应性.
- 确定在LMIC地区采用DMHI的挑战和促进者.
主要方法:
- 根据PRISMA-ScR指南进行快速范围审查.
- 在PubMed和PsycINFO数据库中搜索了2020年1月至2025年1月的记录.
- 对干预类型,真实性,可用性,文化适应,挑战和促进者的数据进行了绘制.
主要成果:
- 分析了80个记录, 确定了6个DMHI平台:移动应用, 网络, 虚拟现实, 视频会议, 远程医疗和社交媒体.
- 只有不到一半的记录讨论了真实性 (20%),可用性 (36%) 和文化适应性 (39%).
- 主要挑战包括技术问题,参与,结构障碍和隐私问题;促进者包括手机接入和便利性.
结论:
- 医疗保健机构为减少低收入国家/地区的心理健康治疗差距提供了机会.
- 提高DMHI的真实性,可用性和文化适应性至关重要.
- 解决上下文问题,结构障碍和隐私问题对于防止数字沟扩大至关重要.
相关概念视频
Community Based Intervention
94
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...
94
Stress Prevention and Stress Management Techniques VI
64
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...
64
Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
Depression: Overview
332
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
332
Depressive Disorders: MDD and Dysthymia
212
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
212
Depressive Disorders: Etiology
166
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
166


