针对年轻人的抑郁症和自我伤害思想和行为的数字单次会议干预措施:系统性审查和元分析
Amaani H Hatoum1, Daelin Coutts-Bain2, Niamh Hunnisett1
1Black Dog Institute, University of New South Wales, Sydney, NSW, Australia.
EClinicalMedicine
|November 17, 2025
概括
数字单次会话干预 (D-SSI) 有效地减少了年轻人的抑郁症状. 虽然减少自我伤害思想和行为 (SITBs) 的证据有限,但D-SSI显示了早期干预和预防的希望.
科学领域:
- 心理健康 心理健康
- 数字健康数字健康
- 青少年心理学 青少年心理学
背景情况:
- 青少年和年轻人容易患有抑郁症和自我伤害的想法和行为 (SITB).
- 数字单会话干预 (D-SSI) 提供了可扩展的解决方案,用于早期干预这个人口.
- 本综述评估了D-SSI在减少青少年SITB和抑郁症方面的有效性.
研究的目的:
- 系统地审查数字单会话干预措施 (D-SSI) 的有效性.
- 评估D-SSI减少自我伤害的想法和行为 (SITBs) 和/或抑郁.
- 检查D-SSI对这些疾病近位风险因素的影响.
主要方法:
- 在PROSPERO注册的系统审查 (CRD42025636566).
- 在PsycINFO,Medline,Embase和Web of Science数据库中搜索到2025年4月14日.
- 包括的研究重点是10-24岁个体的个体级D-SSI,评估有效性,可接受性和可行性.
主要成果:
- 包括22篇文章描述了18个独特的D-SSI,涉及9353名参与者.
- 分析显示,在最长的随访期内,抑郁症状有了小但显著的减少 (Hedge's g = -0.18).
- 有限证据表明D-SSIs可以减少SITB,但一些证据表明它们可以减少绝望感并改善情绪调节.
结论:
- 在年轻人中,D-SSI显示了抑郁症状的显著和持续减少.
- 虽然减少SITB的证据有限,但D-SSI是可以接受和可行的.
- D-SSI具有提高青少年心理健康的预防和早期干预工作的潜力.
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