Zhu Yikang, Sun Letao, Guan Shiwei, Li Ruimin, Yang Junjie, Cao Yourong, Zhang Lanlan, Li Ting, Zhang Huijuan, Bueber Marlys, Hall Brian J, Phillips Michael R, Li Chunbo
Shanghai Key Laboratory of Psychotic Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Xiangya School of Public Health, Central South University, Hunan, China.
Lancet Reg Health West Pac. 2025 Mar 19;56:101515. doi: 10.1016/j.lanwpc.2025.101515. eCollection 2025 Mar.
The rapid development of China's 5G 'Internet Plus' industry has led to increasing use of the Internet to provide healthcare services. Internet-based services in China are already widely used to prevent, identify, monitor, and manage mental disorders, but few of these services have been formally evaluated. To provide a clear baseline of this rapidly evolving field, we searched articles published before December 31, 2022, about internet-based interventions and surveys for mental health-related conditions in China in five international databases (Web of Science, PubMed, PsycINFO, Embase, and Cochrane Library) and four Chinese databases (CNKI, SinoMed, VIP, and WanFang). The 143 identified studies-54 in Chinese and 89 in English-described internet-based interventions and surveys in individuals with mental disorders, community residents, college students, older adults, pregnant women, and health professionals. The number of identified studies, which were mainly conducted in economically developed regions of the country, quadrupled after the 2019 onset of the COVID-19 pandemic. Available studies suggest-but do not prove-that internet-based interventions can reduce the severity of psychiatric symptoms, decrease healthcare costs, and improve the quality of life for individuals with mental disorders. Innovative smartphone applications could potentially improve the quality and expand the scope of internet-based interventions, making them a key component in ongoing efforts to prevent and monitor mental illness, enhance the self-management of mental disorders, and alleviate psychological distress among adolescents and other at-risk populations. However, achieving this long-term goal will require establishing standardised methods of administering internet-based interventions, training mental health professionals to implement and monitor the interventions, identifying methods of maintaining the confidentiality of collected information, and rigorously assessing the effectiveness of the interventions based on periodic assessment of uniform outcome measures. Clinical and policy research about expanding internet-based mental health interventions should focus on confidentiality, efficacy, and cost-effectiveness.
中国5G“互联网+”产业的快速发展使得利用互联网提供医疗服务的情况日益增多。在中国，基于互联网的服务已广泛用于预防、识别、监测和管理精神障碍，但这些服务中很少有经过正式评估的。为了给这个快速发展的领域提供一个清晰的基线，我们在五个国际数据库（科学网、PubMed、PsycINFO、Embase和Cochrane图书馆）和四个中文数据库（中国知网、中国生物医学文献数据库、维普资讯网和万方数据）中搜索了2022年12月31日前发表的关于中国基于互联网的心理健康相关状况干预措施和调查的文章。确定的143项研究（54项中文研究和89项英文研究）描述了针对精神障碍患者、社区居民、大学生、老年人、孕妇和卫生专业人员的基于互联网的干预措施和调查。确定的研究数量在2019年新冠疫情爆发后增加了两倍，这些研究主要在中国经济发达地区开展。现有研究表明（但未证实），基于互联网的干预措施可以减轻精神症状的严重程度，降低医疗成本，并改善精神障碍患者的生活质量。创新的智能手机应用程序可能会提高基于互联网的干预措施的质量并扩大其范围，使其成为当前预防和监测精神疾病、加强精神障碍自我管理以及缓解青少年和其他高危人群心理困扰努力的关键组成部分。然而，要实现这一长期目标，需要建立基于互联网的干预措施的标准化实施方法，培训心理健康专业人员实施和监测干预措施，确定维护所收集信息保密性的方法，并根据对统一结果指标的定期评估严格评估干预措施的有效性。关于扩大基于互联网的心理健康干预措施的临床和政策研究应关注保密性、疗效和成本效益。
