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基于技术的心理健康干预措施在减少移民、寻求庇护者或难民精神健康症状方面的效果:系统评价。

Efficacy of technology-based mental health interventions in minimizing mental health symptoms among in immigrants, asylum seekers or refugees; systematic review.

机构信息

Tanta University, School of Nursing, Egypt; UCSF, School of Nursing, 2 Koret way Rm 411Y, San Francisco, CA 94143, United States of America.

UCSF, School of Nursing, 2 Koret way Rm 411Y, San Francisco, CA 94143, United States of America.

出版信息

Arch Psychiatr Nurs. 2024 Aug;51:38-47. doi: 10.1016/j.apnu.2024.04.002. Epub 2024 Apr 28.

Abstract

Digital health technologies may offer an alternate approach to augmenting the established mental health care delivery systems for migrants and promoting their mental well-being. This review aims to provide a broad examination of literature, to determine the impact of technology-based interventions on outcomes of immigrants and refugees experiencing mental health symptoms associated with pre-and postmigration stress (depression, anxiety, psychological stress, PTSD). We searched five electronic databases (PubMed, Embase, PsycINFO, Web of Science, and the ACM digital library). We included studies that looked at the effectiveness of any technologybased intervention (internet or phone-based, telepsychiatry, telemedicine, digital technology, videoconferencing, or tele video). We limited our search to articles written in English and published up until January 2202. Two reviewers independently extracted article data and evaluated the quality of studies using the Cochrane risk-of-bias criteria and ROBINS-I risk of bias evaluation tool. We found scant evidence that the use of digital interventions, such as mobile-based therapies, video conferencing, and digital platforms, is associated with a statistically significant reduction in depressive and anxious symptoms among immigrants and refugees. In the included trials, no evidence of a substantial decrease in PTSD symptoms was found following the use of a self-help mobile app. Our systematic review revealed intriguing but limited evidence that digital psychological therapies can reduce depression in immigrants and refugees. Future study with a randomized experimental design is required to examine the effectiveness of digital treatments in lowering the impacts of mental health outcomes among immigrants.

摘要

数字健康技术可能为增强现有的移民心理健康服务系统和促进他们的心理健康提供一种替代方法。本综述旨在广泛研究文献,以确定基于技术的干预措施对经历与移民前后压力相关的心理健康症状(抑郁、焦虑、心理压力、创伤后应激障碍)的移民和难民的结果的影响。我们搜索了五个电子数据库(PubMed、Embase、PsycINFO、Web of Science 和 ACM 数字图书馆)。我们纳入了研究任何基于技术的干预措施(基于互联网或电话、远程精神病学、远程医疗、数字技术、视频会议或远程视频)效果的研究。我们将搜索范围限制为用英语撰写并发表至 2022 年 1 月 22 日的文章。两位审稿人独立提取文章数据,并使用 Cochrane 偏倚风险标准和 ROBINS-I 偏倚风险评估工具评估研究质量。我们发现,几乎没有证据表明使用数字干预措施(如基于移动的疗法、视频会议和数字平台)与移民和难民的抑郁和焦虑症状显著减少相关。在纳入的试验中,使用自助移动应用程序后,没有发现 PTSD 症状实质性减少的证据。我们的系统综述揭示了有趣但有限的证据,表明数字心理疗法可以减轻移民和难民的抑郁。需要进行随机对照试验研究,以检验数字治疗在降低移民心理健康结果影响方面的有效性。

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