在门诊环境中为患有精神疾病的人提供数字同行支持干预:系统性审查和元分析

Sarah Croke¹, Natasha Tyler², Chloe-Nicole Low³

¹NIHR School for Primary Care Research, Division of Population Health, Health Services Research and Primary Care, The University of Manchester, Manchester, UK.

BMJ mental health

|February 25, 2026

概括

数字同行支持干预措施显示,精神健康患者的抑郁和焦虑症状有所改善. 这些数字工具可以增强临床访问之间的患者支持.

科学领域:

心理健康研究心理健康研究
数字健康干预措施数字健康干预措施
基于证据的实践.

背景情况:

心理健康状况是一个重大的全球健康挑战.
越来越需要可访问,有效和可扩展的治疗解决方案.
数字同行支持干预提供了一个有前途的途径,将精神卫生保健扩展到传统的临床环境之外.

研究的目的:

系统地评估数字同行支持干预措施的有效性.
评估对患有心理健康状况的个人的临床症状,功能结果和治疗参与的影响.
综合来自门诊患者的受控研究的证据.

主要方法:

对受控干预研究进行系统审查和随机效应元分析.
搜索了五个主要的数据库,直到2025年1月,对数字同行支持 (在线平台,应用程序,社区) 的研究进行了搜索.
使用Cochrane风险偏差2.0和ROBINS-I评估偏差风险,以及使用GRADE的证据确定性.

主要成果:

包括29项研究,5825名参与者;数字同行支持在抑郁症 (SMD -0.28) 和焦虑症 (SMD -0.47) 中显示出小到中等的改善.
在社会功能 (SMD 0.18),生活质量 (SMD 0.14),患者激活 (SMD 0.39) 和个人恢复 (SMD 0.23) 中观察到适度的改善.
对于治疗参与度或满意度没有发现任何显著的影响,尽管初步证据表明对抑郁症,焦虑症和社会功能有持续的益处.

结论:

数字同行支持对心理健康状况的症状和功能提供了适度的好处.
这些干预措施可以被视为常规护理的附加措施,增强预约之间的支持.
未来的研究应该集中在最佳干预模式,长期效益和安全融入常规服务上.

关键词:

心理健康心理健康心理健康服务心理健康服务精神病学是一个精神病学.心理学心理学心理学

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