Centre for Mental Health Research, Australian National University, Canberra, ACT, Australia.
Med J Aust. 2010 Jun 7;192(S11):S4-11. doi: 10.5694/j.1326-5377.2010.tb03685.x.
To review the outcomes, nature and quality of published randomised controlled trials of preventive and treatment internet interventions for depression and anxiety disorders, and to document the availability of effective interventions.
Previous reviews of internet interventions for mental health and related conditions were updated using an extension of the original methodology. All studies included in the original reviews and more recent eligible trials (published before June 2009) were included, together with any trials identified from a search of the health intervention web portal Beacon and the Journal of Medical Internet Research.
A total of 29 reports describing 26 trials satisfied the inclusion criteria.
All trials employed a cognitive behaviour therapy intervention program. Of the 26 trials, 23 demonstrated some evidence of effectiveness relative to controls. Effect size differences ranged from 0.42 to 0.65 for depression interventions involving participants with clinically significant symptoms of depression, and 0.29 to 1.74 for anxiety interventions involving participants with a diagnosed anxiety disorder. Of the five effective English-language programs, three are available to the public without charge and two can be accessed at a small cost through health practitioner referral.
Internet interventions for depression and anxiety disorders offer promise for use as self-help applications for consumers or as an adjunct to usual care.
回顾已发表的预防和治疗抑郁和焦虑障碍的预防和治疗互联网干预措施的随机对照试验的结果、性质和质量，并记录有效干预措施的可用性。
使用原始方法的扩展，对先前关于心理健康和相关条件的互联网干预措施的审查进行了更新。所有包含在原始审查中的研究和最近的合格试验（在 2009 年 6 月之前发表），以及从健康干预网络门户 Beacon 和《医学互联网研究杂志》中搜索到的任何试验都包括在内。
共有 29 份报告描述了 26 项符合纳入标准的试验。
所有试验均采用认知行为疗法干预方案。在 26 项试验中，有 23 项相对于对照组显示出一定的有效性证据。对于涉及有临床显著抑郁症状的抑郁患者的抑郁干预，效应大小差异范围从 0.42 到 0.65，对于涉及已确诊焦虑障碍的患者的焦虑干预，效应大小差异范围从 0.29 到 1.74。在五个有效的英语语言方案中，有三个方案可供公众免费使用，有两个方案可以通过健康从业者推荐以少量费用获得。
针对抑郁和焦虑障碍的互联网干预措施为消费者作为自助应用程序或作为常规护理的辅助手段提供了希望。
