Shalaby Reham, Adu Medard K, El Gindi Hany M, Agyapong Vincent I O
Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Critical Care Medicine Department, King Abdul-Aziz Hospital, Jeddah, Saudi Arabia.
Front Psychiatry. 2022 Jun 24;13:921982. doi: 10.3389/fpsyt.2022.921982. eCollection 2022.
While mental health problems constitute a worldwide concern contributing to the global rates of morbidity and mortality, conventional mental healthcare services do not meet the current needs. Text messages (TM) represent a live model that incorporates technology into health services, spanning a large number of health conditions and playing different roles that may support the current healthcare system.
To examine the TM services in the field of mental health, regarding their effectiveness, feasibility, acceptability, and economic evaluation in different contexts of mental health diagnoses and during critical times, when provided to individuals with mental health symptoms/disorders.
This rapid review was conducted through an online search in PubMed, Embase, PsycINFO, and Medline databases. The review targeted the review studies which examined online or mobile addiction and mental health services, utilizing TM services. The search was run from the inception up to September 30, 2021.
Sixty review articles met the inclusion criteria and were included in this review. All reviews were published over the last decade. The results showed that people of a young age were fairly represented, and most reviews were run over substance use disorders (SUD), including Alcohol. Most reviews examined the effectiveness outcomes of the texting service, while to a lesser extent the acceptability and feasibility, among others. Texting services were reported as effective in psychotic disorders and SUD. However, the results related to depression and anxiety were mixed. Most reviews reported a considerably high risk of bias among their included studies. High satisfaction and acceptability of the texting services were reported for patients with various mental health conditions, including those with severe mental illness.
This rapid review highlighted the applications, usability, benefits, and satisfaction with the TM in the field of mental health. For a higher quality of evidence, future studies should consider TM interventions in the contexts with mixed results or a dearth of literature, and during critical times, such as the COVID-19 pandemic. Policy- and decision-makers, therefore, need to further support text-based services with guided investments in interventions that were evidenced to be accepted, economic and feasible.
虽然心理健康问题是一个全球关注的问题，导致全球发病率和死亡率上升，但传统的心理保健服务无法满足当前需求。短信（TM）代表了一种将技术融入健康服务的实时模式，涵盖大量健康状况，并发挥不同作用，可能支持当前的医疗保健系统。
研究心理健康领域的短信服务，包括在不同心理健康诊断背景下以及关键时期，为有心理健康症状/障碍的个体提供短信服务时的有效性、可行性、可接受性和经济评估。
通过在PubMed、Embase、PsycINFO和Medline数据库中进行在线搜索进行了这项快速综述。该综述针对的是研究利用短信服务的在线或移动成瘾及心理健康服务的综述性研究。搜索从数据库建立至2021年9月30日。
60篇综述文章符合纳入标准并被纳入本综述。所有综述均在过去十年发表。结果表明，年轻人群体有一定代表性，大多数综述涉及物质使用障碍（SUD），包括酒精使用障碍。大多数综述研究了短信服务的有效性结果，而对可接受性和可行性等方面的研究较少。短信服务在精神障碍和物质使用障碍方面被报告为有效。然而，与抑郁症和焦虑症相关的结果不一。大多数综述报告其纳入的研究中存在相当高的偏倚风险。对于患有各种心理健康状况的患者，包括患有严重精神疾病的患者，短信服务的满意度和可接受性较高。
这项快速综述突出了短信在心理健康领域的应用、可用性、益处和满意度。为了获得更高质量的证据，未来的研究应考虑在结果不一或文献匮乏的背景下以及关键时期，如新冠疫情期间进行短信干预。因此，政策制定者和决策者需要通过对被证明是可接受、经济且可行的干预措施进行有针对性的投资，进一步支持基于短信的服务。
