Hernández-Gómez Alba, Valdés-Florido María José, Lahera Guillermo, Andrade-González Nelson
Department of Personality, Assessment and Clinical Psychology, Complutense University of Madrid, Madrid, Spain.
Psychiatry Service, University Hospital of Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Spain.
Front Psychiatry. 2022 Aug 12;13:871966. doi: 10.3389/fpsyt.2022.871966. eCollection 2022.
Digital interventions have become an accessible format in clinical practice to provide better support for patients with mental disorders. However, the clinical efficacy in patients with depressive disorders is not well known. We aimed to determine the efficacy of smartphone applications (apps) in patients diagnosed with a depressive disorder.
An electronic database search was performed of PubMed, PsycINFO, and Web of Science, to identify relevant articles up to June 12, 2021. Peer-reviewed articles were screened and selected based on predetermined inclusion and exclusion criteria.
Seven articles met the inclusion criteria and therefore were selected for the systematic review, which included a total of 651 patients. The results were heterogeneous, essentially due to the different methodologies used in the selected studies.
Digital smartphone-delivered interventions do not appear to reduce depressive symptomatology nor improve the quality of life in patients diagnosed with depressive disorders when compared to an active control group. Taking into account the inherent methodological difficulties and the variability among such studies, it is apparent that further research-with more methodologically refined clinical trials, including larger sample sizes-is needed.
数字干预已成为临床实践中一种可获取的形式，旨在为精神障碍患者提供更好的支持。然而，其对抑郁症患者的临床疗效尚不明确。我们旨在确定智能手机应用程序（应用）对被诊断为抑郁症的患者的疗效。
对PubMed、PsycINFO和科学网进行电子数据库检索，以识别截至2021年6月12日的相关文章。根据预先确定的纳入和排除标准对同行评审文章进行筛选和选择。
七篇文章符合纳入标准，因此被选入系统评价，共纳入651例患者。结果存在异质性，主要是由于所选研究中使用的方法不同。
与积极对照组相比，通过智能手机提供的数字干预似乎并不能减轻被诊断为抑郁症患者的抑郁症状，也不能改善其生活质量。考虑到此类研究固有的方法学困难和变异性，显然需要开展更多方法学上更精细的临床试验，包括更大样本量的进一步研究。
