Rojas Graciela, Martínez Vania, Martínez Pablo, Franco Pamela, Jiménez-Molina Álvaro
Hospital Clínico, Universidad de Chile, Santiago, Chile.
Millennium Nucleus to Improve the Mental Health of Adolescents and Youths (Imhay), Santiago, Chile.
Front Public Health. 2019 Dec 20;7:391. doi: 10.3389/fpubh.2019.00391. eCollection 2019.
The uneven distribution of mental health resources contributes to the burden of mental disorders in vulnerable groups, especially in developing countries. Internet-based interventions and digital technologies can contribute to reducing the gap between high prevalence of mental disorders, demand for treatment, and access to mental health care, thereby reducing inequities in mental health. This mini review summarizes the current state of the field of e-mental health research in Chile, showing its progress, limitations, and challenges. Internet-based interventions are at an early stage of development in Chile. The interventions included are heterogeneous in terms of participants (e.g., secondary students, patients, healthcare professionals) and contexts (e.g., rural, urban, schools, primary health care), aims, and modalities (e.g., website, online games). While these studies confirmed the feasibility of Internet-based interventions, the shortage of studies on effectiveness and cost-effectiveness makes it difficult to disseminate and scale up these Internet-based programs. However, the growing amount of knowledge accumulated in the Chilean context could guide practices in other developing countries for supporting the mental health of underserved populations.
心理健康资源分配不均加重了弱势群体（尤其是发展中国家的弱势群体）的精神障碍负担。基于互联网的干预措施和数字技术有助于缩小精神障碍高患病率、治疗需求与获得精神卫生保健之间的差距，从而减少心理健康方面的不平等现象。本综述总结了智利电子心理健康研究领域的现状，展示了其进展、局限性和挑战。基于互联网的干预措施在智利尚处于发展初期。所纳入的干预措施在参与者（如中学生、患者、医护人员）、背景（如农村、城市、学校、初级卫生保健机构）、目标和形式（如网站、网络游戏）方面存在差异。虽然这些研究证实了基于互联网的干预措施的可行性，但关于有效性和成本效益的研究不足，使得这些基于互联网的项目难以推广和扩大规模。然而，在智利积累的越来越多的知识可以为其他发展中国家支持服务不足人群的心理健康的实践提供指导。
