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[国际开发的在线辅导对精神疾病干预的适应症和证据——一项元综述]

[Indication and Evidence of Internationally Developed Online Coaches as Intervention for Mental Illness - a Meta-Review].

作者信息

Stein Janine, Röhr Susanne, Luck Tobias, Löbner Margrit, Riedel-Heller Steffi G

机构信息

Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Medizinische Fakultät, Universität Leipzig.

LIFE - Leipziger Forschungszentrum für Zivilisationserkrankungen, Universität Leipzig.

出版信息

Psychiatr Prax. 2018 Jan;45(1):7-15. doi: 10.1055/s-0043-117050. Epub 2017 Aug 29.

Abstract

OBJECTIVE

The aim of the study was to investigate the current state of research concerning internationally developed Online Coaches for treatment support and prevention of mental disorders. Evidence and effectiveness of the Online Coaches ought to be explored.

METHODS

A systematic literature search was performed in international databases in order to provide a meta-review of existing Online Coaches for mental disorders. The assessment of the methodological quality and evidence of the studies was based on the established guidelines of the Scottish Intercollegiate Guideline Network.

RESULTS

52 studies (24 meta-analyses, 16 systematic reviews, 2 health-technology assessment reports, and 10 RCT studies) were identified. The efficacy was demonstrated for a variety of Online Coaches for mental disorders, especially for anxiety and depressive disorders, insomnia, and post-traumatic stress disorders, with predominantly acceptable and high quality.

CONCLUSION

The present work provides an overview of internationally developed Online Coaches in the field of mental health care. Online Coaches can serve as a useful supplement to the treatment and prevention of mental disorders.

摘要

目的

本研究旨在调查国际上开发的用于治疗支持和预防精神障碍的在线辅导工具的研究现状。应探索在线辅导工具的证据和有效性。

方法

在国际数据库中进行了系统的文献检索,以便对现有的精神障碍在线辅导工具进行元综述。研究的方法学质量和证据评估基于苏格兰跨学院指南网络既定的指南。

结果

共识别出52项研究(24项元分析、16项系统评价、2份卫生技术评估报告和10项随机对照试验研究)。各种精神障碍在线辅导工具均显示出疗效,尤其是对焦虑症、抑郁症、失眠症和创伤后应激障碍,其质量大多可接受且较高。

结论

本研究概述了国际上在精神卫生保健领域开发的在线辅导工具。在线辅导工具可作为精神障碍治疗和预防的有益补充。

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