Singapore Management University, Singapore.
Singapore Management University, Singapore.
J Affect Disord. 2024 Jul 15;357:23-36. doi: 10.1016/j.jad.2024.04.074. Epub 2024 Apr 26.
The present systematic review aimed to synthesize the results of meta-analyses which examine the effects of digital mental health interventions (DMHIs) on post-traumatic stress disorder (PTSD) symptoms, and investigate whether intervention characteristics (i.e., technique, timeframe, and therapeutic guidance) and methodological characteristics including outcome measures and sample inclusion criteria (age, gender, socioeconomic status, country, comorbidity) moderate the efficacy of digital interventions.
A systematic search of various sources (ECSCOhost PsycInfo, PubMed, Web of Science, Scopus, EBSCOhost ERIC, Google Scholar, ProQuest Dissertations & Theses) including five peer-reviewed journals was conducted to identify relevant meta-analyses up to December 2023, and 11 meta-analyses were included in the final review.
Overall, our review elucidates that DMHIs are appropriate for alleviating PTSD symptoms in adults, with more consistent evidence supporting the efficacy of cognitive behavioral therapy (CBT)-based, compared to non-CBT-based, interventions when compared to control conditions. However, we found inconclusive evidence that the efficacy of DMHIs varied according to intervention timeframe, therapeutic guidance, or sample characteristics.
A relatively limited number of different populations was sampled across meta-analyses. Further, while our review focused on PTSD symptoms to indicate the efficacy of digital interventions, other indices of effectiveness were not examined.
Our findings indicate the clinical utility of DMHIs for managing PTSD symptoms particularly when CBT-based intervention techniques are employed.
本系统评价旨在综合元分析的结果，这些元分析研究了数字心理健康干预（DMHI）对创伤后应激障碍（PTSD）症状的影响，并调查干预特征（即技术、时间框架和治疗指导）和方法学特征（包括结局测量和样本纳入标准，如年龄、性别、社会经济地位、国家、合并症）是否调节数字干预的疗效。
系统检索了多个来源（ECSCOhost PsycInfo、PubMed、Web of Science、Scopus、EBSCOhost ERIC、Google Scholar、ProQuest Dissertations & Theses），包括五本同行评议期刊，以确定截至 2023 年 12 月的相关元分析，最终有 11 项元分析纳入了本综述。
总体而言，我们的综述表明 DMHI 适用于缓解成年人的 PTSD 症状，与对照条件相比，基于认知行为疗法（CBT）的干预措施比非 CBT 干预措施更能一致地证明其疗效。然而，我们发现没有确凿的证据表明 DMHI 的疗效因干预时间框架、治疗指导或样本特征而异。
元分析中采样的不同人群相对较少。此外，虽然我们的综述重点是 PTSD 症状以指示数字干预的疗效，但没有检查其他有效性指标。
我们的研究结果表明，DMHI 具有临床应用价值，可用于管理 PTSD 症状，特别是当采用基于 CBT 的干预技术时。
