Parikh Sagar V, Huniewicz Paulina
aUniversity of Toronto bToronto Western Hospital, Toronto, Ontario, Canada.
Curr Opin Psychiatry. 2015 Jan;28(1):13-7. doi: 10.1097/YCO.0000000000000123.
The current article defines and surveys E-health: Internet and technology-guided interventions and tools useful for mood disorders.
E-health encompasses many categories, including computerized self-help strategies, online psychotherapy, websites that provide information, social media approaches including Facebook, Internet forums for health discussions, personal blogs, and videogames. Multiple tools exist to assess and document symptoms, particularly mood charts. Although all of these approaches are popular, only online psychotherapy and videogames have actually been evaluated in studies to evaluate both validity and efficacy. The face validity of social communication strategies including social media and blogs is strong, with clear implications for stigma reduction and peer support. Informational websites continue to be primary sources of psychoeducation on mental disorders. Social media sites have widespread use by the public and a profusion of health discussions and tools, but without published research evaluation of efficacy.
E-health strategies, particularly online psychotherapy and tools to document symptoms, are useful and likely effective. Social communication strategies show enormous popularity, but urgently require research evaluation for impact.
本文对电子健康进行定义并综述，电子健康指互联网及技术引导的干预措施和工具，对情绪障碍有用。
电子健康涵盖多个类别，包括计算机化自助策略、在线心理治疗、提供信息的网站、社交媒体方法（包括脸书）、健康讨论的互联网论坛、个人博客和电子游戏。有多种工具可用于评估和记录症状，尤其是情绪图表。虽然所有这些方法都很流行，但实际上只有在线心理治疗和电子游戏在研究中得到了评估，以评估其有效性和疗效。包括社交媒体和博客在内的社交沟通策略的表面效度很强，对减少耻辱感和同伴支持有明显影响。信息网站仍然是精神障碍心理教育的主要来源。社交媒体网站被公众广泛使用，有大量的健康讨论和工具，但尚未有关于疗效的公开研究评估。
电子健康策略，尤其是在线心理治疗和记录症状的工具，是有用的且可能有效。社交沟通策略非常受欢迎，但迫切需要进行研究评估其影响。
