Liu Yanni, Wu Ying Cheng, Fu Hongpeng, Guo Wu Yuan, Wang Xukang
McCormick School of Engineering, Northwestern University, Evanston, IL, United States.
Tandon School of Engineering, New York University, New York, NY, United States.
Front Psychol. 2023 Sep 22;14:1242928. doi: 10.3389/fpsyg.2023.1242928. eCollection 2023.
LGBTQ+ youth experience mental health disparities and higher rates of mental disorders due to barriers to accessing care, including insufficient services and the anticipated stigma of revealing their identities. This systematic review incorporated 15 empirical studies on digital interventions' impact on LGBTQ+ youth mental health, examining their potential to address these inequities. This study innovatively categorized existing digital interventions into four streams: Structured Formal (telehealth, online programs), Structured Informal (serious games), Unstructured Formal (mobile applications), and Unstructured Informal (social media). We found that S&F and U&F effectively reduced symptoms. U&F showed potential but required enhancement, while U&I fostered resilience but posed risks. Further integration of emerging technologies like virtual reality may strengthen these interventions. This review identifies the characteristics of effective digital health interventions and evaluates the overall potential of digital technologies in improving LGBTQ+ youth mental health, uniquely contributing insights on digital solutions advancing LGBTQ+ youth mental healthcare.
LGBTQ+青年由于获得护理存在障碍，包括服务不足以及透露身份可能带来的耻辱感，因此在心理健康方面存在差异，患精神障碍的比例也更高。本系统综述纳入了15项关于数字干预对LGBTQ+青年心理健康影响的实证研究，考察了这些干预解决这些不平等问题的潜力。本研究创新性地将现有的数字干预分为四类：结构化正式干预（远程医疗、在线项目）、结构化非正式干预（严肃游戏）、非结构化正式干预（移动应用程序）和非结构化非正式干预（社交媒体）。我们发现，结构化正式干预和非结构化正式干预有效减轻了症状。非结构化正式干预显示出潜力，但需要改进，而非结构化非正式干预培养了复原力，但也带来了风险。虚拟现实等新兴技术的进一步整合可能会加强这些干预措施。本综述确定了有效的数字健康干预措施的特点，并评估了数字技术在改善LGBTQ+青年心理健康方面的总体潜力，为推进LGBTQ+青年心理保健的数字解决方案提供了独特的见解。
