University Clinic of Child and Adolescent Psychiatry and Psychotherapy, Protestant Hospital Bethel, Bielefeld University, Medical School East Westphalia, Bielefeld, Germany.
Department of Psychiatry, Psychotherapy and Psychosomatics of Children and Adolescents, University Hospital Rheinisch-Westfälische Technische Hochschule Aachen, Aachen, Germany.
Front Public Health. 2024 Feb 14;12:1345808. doi: 10.3389/fpubh.2024.1345808. eCollection 2024.
To bridge the gap in adolescent psychotherapy created by the increasing need for mental health interventions and the limited possibilities of in-person treatment during the pandemic, many health care providers opted to offer online mental health care programs. As a result, the number of mental health apps available in app stores experienced a sharp increase during the COVID-19 pandemic.
The aim of the current review is to provide an overview of feasibility and effectiveness studies testing mobile applications in adolescent psychotherapy during the peak phase of the COVID-19 pandemic.
We conducted a literature search in Pubmed, PsychInfo, Google Scholar, OpenSIGLE and OpenGREY for papers published from June 2020 to June 2023. Studies were included if they evaluated app-based interventions intended for psychotherapeutic treatment and targeted adolescents between 12 and 27 years of age with symptoms of psychological disorders. The quality of each study was assessed using the Systematic Assessment of Quality in Observational Research (SAQOR). Effectiveness outcomes were analyzed by vote counting and calculating a binomial probability test.
The search yielded 31 relevant studies that examined 27 different apps with a total of 1,578 adolescent participants. Nine articles were primary effectiveness studies and 22 focused on feasibility measures as primary outcome. There was evidence that mental health apps influenced adolescents' psychotherapy, with 83% of the studies with effectiveness outcomes favoring the intervention ( = 0.002). Sixty-one percent of the included studies were rated at low or very low quality.
The pandemic has given apps a firm and important role in healthcare that will probably continue to expand in the future. To ensure that mental health apps are truly effective and beneficial for adolescents' psychotherapy, we need a standardized measurement of quality features of mental health apps and higher quality app evaluation studies.
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=406455, PROSPERO International Prospective Register of Systematic Reviews [CRD42023406455].
为了弥合青少年心理治疗中的空白，因为在大流行期间，对心理健康干预的需求不断增加，而面询治疗的可能性有限，许多医疗保健提供者选择提供在线心理健康护理计划。因此，在 COVID-19 大流行期间，应用商店中提供的心理健康应用程序的数量急剧增加。
本综述的目的是提供一个概述，介绍在 COVID-19 大流行高峰期，测试移动应用程序在青少年心理治疗中的可行性和有效性的研究。
我们在 Pubmed、PsychInfo、Google Scholar、OpenSIGLE 和 OpenGREY 中进行了文献检索，检索时间为 2020 年 6 月至 2023 年 6 月期间发表的论文。如果研究评估了基于应用程序的干预措施，旨在进行心理治疗，并针对 12 至 27 岁有心理障碍症状的青少年，则将其纳入研究。使用系统评估观察性研究质量（SAQOR）评估每个研究的质量。通过投票计数和计算二项式概率检验来分析有效性结果。
搜索结果得到了 31 项相关研究，这些研究共评估了 27 种不同的应用程序，涉及 1578 名青少年参与者。9 篇文章是主要的有效性研究，22 篇文章主要关注可行性措施作为主要结果。有证据表明，心理健康应用程序影响青少年的心理治疗，83%的有效性结果研究倾向于干预（ = 0.002）。61%的纳入研究被评为低质量或极低质量。
大流行使应用程序在医疗保健中扮演了坚定而重要的角色，这种情况可能会在未来继续扩大。为了确保心理健康应用程序对青少年心理治疗真正有效和有益，我们需要对心理健康应用程序的质量特征进行标准化测量，并开展更高质量的应用程序评估研究。
https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=406455，PROSPERO 国际前瞻性系统评价注册[CRD42023406455]。
