基于网络的干预措施对老年人抑郁和焦虑的有效性:随机对照试验的系统审查和元分析
Lorinda A Coombs1, Myoungsuk Kim2
1School of Nursing, University of North Carolina-Chapel Hill, Lineberger Cancer Institute, Chapel Hill, NC, USA.
Archives of gerontology and geriatrics
|September 17, 2025
概括
基于网络的干预措施有效地减少了老年人的抑郁和焦虑. 这些数字工具对老年人的心理健康产生了显著的积极影响.
科学领域:
- 老年学是一门学科.
- 数字健康数字健康
- 心理健康研究 心理健康研究
背景情况:
- 老年人面临着与抑郁和焦虑有关的重大挑战.
- 基于网络的干预为这一群体提供了一个可扩展的心理健康支持方法.
研究的目的:
- 系统评估基于网络的干预措施在减轻60岁及以上人群抑郁和焦虑的有效性.
- 通过元分析和子组分析来确定影响干预有效性的因素.
主要方法:
- 一个全面的系统审查和随机对照试验 (RCT) 的元分析,发表到2025年3月.
- 纳入标准侧重于涉及60岁以上成年人抑郁和焦虑的网络干预的RCT.
- 使用修订后的Cochrane偏差风险工具评估研究质量;元分析采用随机效应模型.
主要成果:
- 包括19项研究,这些研究表明老年人中抑郁症 (SMD = -0.48) 和焦虑症 (SMD = -0.70) 的显著减少.
- 参与者特征和出版年被确定为异质性的显著调节者.
- 超回归表明,平均年龄缓和了干预对心理健康结果的影响.
结论:
- 基于网络的干预措施是减少老年人群抑郁和焦虑的经过验证和有效策略.
- 这些积极影响在患有或被诊断患有精神疾病的人群中更为明显.
- 在COVID-19后的干预有效性明显下降,需要进一步调查促成因素.
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