Assessing the effectiveness of internetbased interventions for mental health outcomes:an umbrella review  

作　　者：Mi Zhang Chuan Fan Lijun Ma Huixue Wang Zhenyue Zu Linxi Yang Fenglan Chen Wenzhuo Wei Xiaoming Li 

机构地区：[1]Research Centre for Translational Medicine,the Second Affiliated Hospital,Anhui Medical University,Hefei,Anhui,China [2]Department of Medical Psychology,School of Mental Health and Psychological Science,Anhui Medical University,Hefei,Anhui,China [3]Department of Psychiatry,the First Affiliated Hospital of Anhui Medical University,Hefei,Anhui,China

出　　处：《General Psychiatry》2024年第4期452-462,共11页综合精神医学（英文）

基　　金：supported by Anhui Province University Scientific Research Projects(2023AH040086);Key Laboratory of Philosophy and Social Science of Anhui Province on Adolescent Mental Health and Crisis Intelligence Intervention(SYS2023B08).

摘　　要：Internet-based interventions(IBIs)for behavioural health have been prevalent for over two decades,and a growing proportion of individuals with mental health concerns prefer these emerging digital alternatives.However,the effectiveness and acceptability of IBIs for various mental health disorders continue to be subject to scholarly debate.We performed an umbrella review of meta-analyses(MAs),conducting literature searches in PubMed,Web of Science,Embase,Cochrane and Ovid Medline from their inception to 17 January 2023.A total of 87MAs,reporting on 1683 randomised controlled trials and 295589 patients,were included.The results indicated that IBIs had a moderate effect on anxiety disorder(standardised mean difference(SMD)=0.53,95%CI 0.44 to 0.62)and post-traumatic stress disorder(PTSD)(SMD=0.63,95%CI 0.38 to 0.89).In contrast,the efficacy on depression(SMD=0.45,95%CI 0.39 to 0.52),addiction(SMD=0.23,95%CI 0.16 to 0.31),suicidal ideation(SMD=0.23,95%CI 0.16 to 0.30),stress(SMD=0.41,95%CI 0.33 to 0.48)and obsessive-compulsive disorder(SMD=0.47,95%CI 0.22 to 0.73)was relatively small.However,no significant effects were observed for personality disorders(SMD=0.07,95%CI-0.13 to 0.26).Our findings suggest a significant association between IBIs and improved mental health outcomes,with particular effectiveness noted in treating anxiety disorders and PTSD.However,it is noteworthy that the effectiveness of IBIs was impacted by high dropout rates during treatment.Furthermore,our results indicated that guided IBIs proved to be more effective than unguided ones,playing a positive role in reducing dropout rates and enhancing patient adherence rates.

关 键 词：INTERNET UMBRELLA CONDUCTING 

分 类 号：B84[哲学宗教—心理学] R749[医药卫生—神经病学与精神病学] TP39[医药卫生—临床医学]