心理痛苦的简短数字干预:一个人工智能增强的响应适应性随机临床试验
Jill Newby1,2, Sunil Gupta3, Leonard Hoon3
1Black Dog Institute, University of New South Wales Sydney, New South Wales, Sydney, Australia.
JAMA network open
|October 31, 2025
概括
智能手机干预大学生困境显示出有希望. 身体活动和正念应用程序对严重的痛苦是有效的,而身体活动和睡眠卫生应用程序帮助轻度的痛苦.
科学领域:
- 数字心理健康数字心理健康
- 临床心理学 临床心理学
- 行为科学是一种行为科学.
背景情况:
- 大学生经常经历心理困扰.
- 智能手机干预提供了一个可扩展的方法来支持心理健康.
- 基于应用程序的干预措施在各种困境严重程度的有效性需要调查.
研究的目的:
- 为了比较体力活动,正念和睡眠卫生智能手机干预措施的有效性,与减少大学生心理痛苦的积极对照进行比较.
- 评估干预在轻度,中度和严重危险级别的有效性.
主要方法:
- 一个人工智能增强的响应适应性随机临床试验,涉及1282名大学生,他们在凯斯勒心理困扰量表上有20以上的痛苦得分.
- 参与者被分配到为期2周的自我指导应用程序干预 (体力活动,正念,睡眠卫生) 或使用上下文多武器强盗算法进行生态瞬间评估 (EMA) 控制.
- 主要结局是从基线到干预后 (4周) 的21项抑郁焦虑应激量表 (DASS-21) 评分的变化.
主要成果:
- 对于严重的痛苦,身体活动和正念干预措施显著降低了DASS-21得分与EMA对照相比.
- 对于轻度的痛苦,身体活动和睡眠卫生干预措施显著降低了与EMA对照相比的DASS-21得分.
- 在中度痛苦的参与者中没有观察到显著差异.
结论:
- 身体活动和正念应用程序对于大学生严重的心理痛苦是有效的.
- 身体活动和睡眠卫生应用程序对大学生轻微的心理痛苦是有效的.
- 人工智能增强的适应性试验可以有效地评估数字心理健康干预措施,指导个性化护理.
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