基于移动应用程序的心理干预,用于初级保健中的抑郁和焦虑:系统性审查和元分析
Alberto González-Robles1, Verónica Romero-Ferreiro2, Pablo Roca3
1Department of Psychology and Sociology, Universidad de Zaragoza, Teruel, Spain.
General hospital psychiatry
|March 14, 2026
概括
移动应用程序的干预显著减少了痛苦和抑郁症状,在初级保健中适度提高了生活质量. 然而,焦虑的影响并不显著,并且观察到更高的学率,表明需要更好的坚持策略.
科学领域:
- 心理健康 心理健康
- 数字健康数字健康
- 主要护理是指初级护理.
背景情况:
- 基于移动应用程序的心理干预越来越多地使用.
- 对于患有抑郁症和焦虑症的成年人,它们在初级保健机构中的有效性需要评估.
研究的目的:
- 系统地审查和元分析基于移动应用程序的心理干预措施的有效性.
- 评估对初级保健成年人的痛苦 (抑郁和焦虑症状) 和生活质量的影响.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 在主要数据库 (PsycINFO,PubMed,Embase,Cochrane Library) 进行搜索,截至2025年4月.
- 通过使用固定和随机效应模型,将标准化平均差异 (SMD) 和相对风险 (RR) 汇集在一起.
主要成果:
- 其中包括11个RCT (N=2915).
- 观察到整体痛苦 (SMD=-0.44) 和抑郁症状 (SMD=-0.53) 的显著减少.
- 对焦虑没有显著的影响 (SMD=-0.25),但对生活质量有适度的改善 (SMD=0.16).
- 与对照组相比,应用程序用户中断率更高 (RR=1.45).
结论:
- 在初级保健中,移动应用程序显示出减少焦虑和抑郁症状的潜力.
- 基于应用程序的干预措施适度改善生活质量,但对焦虑的影响有限.
- 较高的退学率需要改进的坚持策略;长期影响需要进一步调查.
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