Yosep Iyus, Suryani Suryani, Mediani Henny Suzana, Mardhiyah Ai, Maulana Indra
Department of Mental Health, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia.
Department of Pediatric Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia.
J Multidiscip Healthc. 2023 Jun 21;16:1705-1719. doi: 10.2147/JMDH.S416424. eCollection 2023.
The learning method has changed from offline to online since Coronavirus Disease 2019 pandemic cause mental health problems in students such as stress, anxiety, and even depression. Interventions to reduce mental health problems in adolescents need to be carried out digitally to reduce the transmission of Coronavirus Disease 2019. The purpose of this study is to explore methods of digital therapy to reduce symptoms of anxiety and depression among students during the Coronavirus Disease 2019. A scoping review study design was used in this study. Database the study from CINAHL, PubMed, and Scopus databases. This study used PRISMA Extension for Scoping Reviews (PRISMA-ScR) and for quality appraisal used JBI Quality Appraisal. The inclusion criteria for articles in this study are full text, randomized control trial or quasi-experiment research design, English language, students sample, and the publication period during COVID-19 pandemic (2019-2022). There were found 13 articles discussing digital therapy and it was found that the digital therapy model to reduce anxiety and depression includes directions through digital modules, directions via video, and asynchronous discussions via online meeting. The sample range in this study is 37-1986 students. Most of the articles come from developed countries. Delivery services of digital therapy consist of three phases, namely psycho-education, problem-solving, and implementation of problem-solving strategies. The authors found that there are four digital therapy methods, namely Improving psychological abilities, Bias-modification intervention, Self-help intervention, and Mindfulness intervention. The implementation of digital therapy must still pay attention to various aspects that affect students, so that therapists need to pay attention to physical, psychological, spiritual, and cultural aspects. Here we highlight, digital therapy interventions are proven for improving mental health by reducing depression and anxiety levels among students during the COVID-19 pandemic by paying attention to all aspects that affect students.
自2019冠状病毒病疫情引发学生压力、焦虑甚至抑郁等心理健康问题以来，学习方式已从线下转变为线上。为减少2019冠状病毒病的传播，需要以数字化方式开展干预措施来减少青少年的心理健康问题。本研究的目的是探索在2019冠状病毒病疫情期间减少学生焦虑和抑郁症状的数字疗法方法。本研究采用了范围综述研究设计。研究数据来自CINAHL、PubMed和Scopus数据库。本研究使用了范围综述的PRISMA扩展版（PRISMA-ScR），质量评估使用了JBI质量评估。本研究中文章的纳入标准为全文、随机对照试验或准实验研究设计、英语、学生样本以及2019冠状病毒病疫情期间（2019 - 2022年）的发表时间。共发现13篇讨论数字疗法的文章，发现减少焦虑和抑郁的数字疗法模式包括通过数字模块指导、视频指导以及在线会议的异步讨论。本研究中的样本范围为37至1986名学生。大多数文章来自发达国家。数字疗法的提供服务包括三个阶段，即心理教育、问题解决和问题解决策略的实施。作者发现有四种数字疗法方法，即提高心理能力、偏差修正干预、自助干预和正念干预。数字疗法的实施仍必须关注影响学生的各个方面，因此治疗师需要关注身体、心理、精神和文化方面。在此我们强调，通过关注影响学生的所有方面，数字疗法干预已被证明可通过降低2019冠状病毒病疫情期间学生的抑郁和焦虑水平来改善心理健康。
