Hofman Joanna, Pollitt Alexandra, Broeks Miriam, Stewart Katherine, van Stolk Christian
Rand Health Q. 2017 Jan 1;6(4):12. eCollection 2017 Jan.
Common mental health problems, such as depression, anxiety, and other disorders, affect many people and incur increasing costs to individuals, employers, and government. Several challenges have been identified in the provision of public services for people with common mental health problems. A previous study by RAND Europe suggested that providing access to online mental health assessment and support and building on computerised cognitive behavioural therapy (cCBT) interventions could help reach out to the general population and, in particular, those less likely to seek help elsewhere. This study explores online platforms and mobile applications that offer cognitive behavioural therapy (CBT) for people with mental health needs. Overall, this review shows that a variety of cCBT products exist which differ both in terms of the conditions products aim to address and the ways in which platforms are designed. The tools offer support through a varying number of modules (or lessons) clustered around specific issues that need to be addressed. The number of modules offered by the tools differs slightly by condition: platforms for anxiety disorders and insomnia are on average lengthier, with a median number of modules of 9 and 8 respectively, compared to those for depression in which the median is 6.5. The majority of tools use a linear structure and offer at least some additional guidance, although the intensity of this extra support is typically low.
常见的心理健康问题，如抑郁症、焦虑症和其他精神障碍，影响着许多人，并给个人、雇主和政府带来越来越高的成本。在为有常见心理健康问题的人提供公共服务方面已发现了若干挑战。兰德欧洲公司此前的一项研究表明，提供在线心理健康评估和支持，并基于计算机化认知行为疗法（cCBT）干预措施，有助于覆盖普通人群，特别是那些不太可能在其他地方寻求帮助的人。本研究探讨了为有心理健康需求的人提供认知行为疗法（CBT）的在线平台和移动应用程序。总体而言，本综述表明存在多种cCBT产品，这些产品在旨在解决的病症以及平台设计方式方面均有所不同。这些工具通过围绕需要解决的特定问题聚集的不同数量的模块（或课程）提供支持。这些工具提供的模块数量因病症而异：焦虑症和失眠症平台平均更长，模块中位数分别为9个和8个，而抑郁症平台的中位数为6.5个。大多数工具采用线性结构，并提供至少一些额外指导，尽管这种额外支持的强度通常较低。
