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数字干预措施减轻 COVID-19 大流行对公众心理健康负面影响的证据综合:快速元综述。

Evidence Synthesis of Digital Interventions to Mitigate the Negative Impact of the COVID-19 Pandemic on Public Mental Health: Rapid Meta-review.

机构信息

Department of Public Mental Health, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Department of Psychiatry and Neuropsychology, School of Mental Health and Neuroscience, Maastricht University, Maastricht, Netherlands.

出版信息

J Med Internet Res. 2021 Mar 10;23(3):e23365. doi: 10.2196/23365.


DOI:10.2196/23365
PMID:33606657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7951054/
Abstract

BACKGROUND: Accumulating evidence suggests the COVID-19 pandemic has negative effects on public mental health. Digital interventions that have been developed and evaluated in recent years may be used to mitigate the negative consequences of the pandemic. However, evidence-based recommendations on the use of existing telemedicine and internet-based (eHealth) and app-based mobile health (mHealth) interventions are lacking. OBJECTIVE: The aim of this study was to investigate the theoretical and empirical base, user perspective, safety, effectiveness, and cost-effectiveness of digital interventions related to public mental health provision (ie, mental health promotion, prevention, and treatment of mental disorders) that may help to reduce the consequences of the COVID-19 pandemic. METHODS: A rapid meta-review was conducted. The MEDLINE, PsycINFO, and CENTRAL databases were searched on May 11, 2020. Study inclusion criteria were broad and considered systematic reviews and meta-analyses that investigated digital tools for health promotion, prevention, or treatment of mental health conditions and determinants likely affected by the COVID-19 pandemic. RESULTS: Overall, 815 peer-reviewed systematic reviews and meta-analyses were identified, of which 83 met the inclusion criteria. Our findings suggest that there is good evidence on the usability, safety, acceptance/satisfaction, and effectiveness of eHealth interventions. Evidence on mHealth apps is promising, especially if social components (eg, blended care) and strategies to promote adherence are incorporated. Although most digital interventions focus on the prevention or treatment of mental disorders, there is some evidence on mental health promotion. However, evidence on process quality, cost-effectiveness, and long-term effects is very limited. CONCLUSIONS: There is evidence that digital interventions are particularly suited to mitigating psychosocial consequences at the population level. In times of physical distancing, quarantine, and restrictions on social contacts, decision makers should develop digital strategies for continued mental health care and invest time and efforts in the development and implementation of mental health promotion and prevention programs.

摘要

背景:越来越多的证据表明,COVID-19 大流行对公众心理健康产生负面影响。近年来开发和评估的数字干预措施可用于减轻大流行的负面影响。然而,缺乏关于使用现有的远程医疗和基于互联网(eHealth)和基于应用程序的移动健康(mHealth)干预措施的基于证据的建议。

目的:本研究旨在调查与公共心理健康服务(即心理健康促进、预防和治疗精神障碍)相关的数字干预措施的理论和经验基础、用户视角、安全性、有效性和成本效益,这些干预措施可能有助于减轻 COVID-19 大流行的后果。

方法:进行了快速元综述。于 2020 年 5 月 11 日在 MEDLINE、PsycINFO 和 CENTRAL 数据库中进行了检索。研究纳入标准较为宽泛,考虑了针对健康促进、预防或治疗精神健康状况以及可能受 COVID-19 大流行影响的决定因素的数字工具的系统评价和荟萃分析。

结果:总共确定了 815 篇同行评议的系统评价和荟萃分析,其中 83 篇符合纳入标准。我们的研究结果表明,电子健康干预措施具有良好的可用性、安全性、接受度/满意度和有效性的证据。移动健康应用程序的证据很有希望,特别是如果包含社会组成部分(例如,混合护理)和促进坚持的策略。尽管大多数数字干预措施侧重于精神障碍的预防或治疗,但也有一些关于心理健康促进的证据。然而,关于过程质量、成本效益和长期效果的证据非常有限。

结论:有证据表明,数字干预措施特别适合减轻人群层面的心理社会后果。在身体距离、隔离和社交限制的情况下,决策者应制定数字策略以维持精神卫生保健,并投入时间和精力制定和实施精神卫生促进和预防计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/731b/7951054/331c02663e37/jmir_v23i3e23365_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/731b/7951054/331c02663e37/jmir_v23i3e23365_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/731b/7951054/331c02663e37/jmir_v23i3e23365_fig1.jpg

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本文引用的文献

[1]
Social isolation, mental health, and use of digital interventions in youth during the COVID-19 pandemic: A nationally representative survey.

Eur Psychiatry. 2021-3-9

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Mental health before and during the COVID-19 pandemic in two longitudinal UK population cohorts.

Br J Psychiatry. 2021-6

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The hope and hype of telepsychiatry during the COVID-19 pandemic.

Lancet Psychiatry. 2020-8

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Lancet Psychiatry. 2020-10

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Borderline Personal Disord Emot Dysregul. 2020-6-16

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Are we all in this together? Longitudinal assessment of cumulative adversities by socioeconomic position in the first 3 weeks of lockdown in the UK.

J Epidemiol Community Health. 2020-6-5

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JAMA Psychiatry. 2020-11-1

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Psychiatr Prax. 2020-5

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Longitudinal trends in the quality, effectiveness and attributes of highly rated smartphone health apps.

Evid Based Ment Health. 2020-8

[10]
Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science.

Lancet Psychiatry. 2020-6

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