心理健康中的数字赋权:基于互联网的心理健康知识普及干预措施荟萃分析

IF 5.3 1区 心理学 Q1 PSYCHOLOGY, CLINICAL
Qiang Chen , Ziyi Zhao , Jiamin Bao , Jie Lin , Wei Li , Yinyin Zang
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引用次数: 0

摘要

全球人口的心理健康素养(MHL)低下,是造成与精神障碍相关的治疗差距的重要原因。在数字时代,利用基于互联网的 MHL 干预措施具有可扩展性和更广泛的可及性。这项荟萃分析旨在评估基于互联网的干预措施在改善 MHL 和心理健康方面的效果。截至 2024 年 2 月,我们在七个数据库中搜索了基于互联网的 MHL(知识、耻辱感、求助态度和意愿)和精神障碍(一般痛苦、焦虑和抑郁症状)干预措施。对干预后和长期随访评估进行了随机效应荟萃分析。共纳入了 29 项符合条件的研究,涉及 11,582 名参与者。在各个领域都观察到了显著的积极效果:知识增加(即时:= 0.459,95 %CI:0.285 至 0.634;随访:= 0.487,95 %CI:0.348 至 0.626)、即时污名化减少(= -0.332,95 %CI:-0.479 至 -0.186)、即时增强对心理治疗的满意度(= 0.489,95 %CI:-0.479 至 -0.186)、即时增强对心理治疗的满意度(= -0.332,95 %CI:-0.479 至 -0.186)。186),求助态度(= 0.168,95 %CI:0.046 至 0.3291)和求助意向(= 0.135,95 %CI:0.072 至 0.198)立即得到改善,心理健康也立即得到改善(= -0.074,95 %CI:-0.115 至 -0.033)。总之,这些研究结果表明,基于互联网的干预措施在改善多发性硬化症和心理健康方面具有良好的效果,但长期保持这些效果仍具有挑战性,尤其是在减少耻辱感和促进长期求助行为方面。解决方法上的局限性、采用互动性更强的方法以及实施有针对性的干预措施,对于在全球范围内最大限度地提高干预效果和推进心理保健工作至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Digital empowerment in mental health: A meta-analysis of internet-based interventions for enhancing mental health literacy

Background

Poor mental health literacy (MHL) in the global population significantly contributes to the treatment gap associated with mental disorders. In the digital age, leveraging Internet-based MHL interventions offers scalability and broader accessibility. This meta-analysis aimed to evaluate the effects of Internet-based interventions in improving MHL and mental health.

Method

Up to Feb 2024, seven databases were searched for Internet-based interventions on MHL (knowledge, stigma, help-seeking attitudes and intentions) and mental disorders (general distress, anxiety, and depressive symptoms). The random-effects meta-analyses at post-intervention and long-term follow-up assessments were performed.

Results

Twenty-nine eligible studies involving 11,582 participants were included. Significant positive effects were observed across various domains: knowledge increase (immediate: g = 0.459, 95 %CI: 0.285 to 0.634; follow-up: g = 0.487, 95 %CI: 0.348 to 0.626), immediate stigma reduction (g = -0.332, 95 %CI: -0.479 to -0.186), immediate enhancement of help-seeking attitudes (g = 0.168, 95 %CI: 0.046 to 0.3291) and help-seeking intentions (g = 0.135, 95 %CI: 0.072 to 0.198), as well as immediate mental health improvements (g = -0.074, 95 %CI: -0.115 to -0.033).

Conclusion

Overall, these findings underscore the promising effects of internet-based interventions in improving MHL and mental health, while maintaining these effects over time remains challenging, particularly in reducing stigma and promoting long-term help-seeking behaviors. Addressing methodological limitations, adopting a more interactive approach, and implementing targeted interventions are crucial to maximizing the effectiveness and advancing mental health care worldwide.

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来源期刊
CiteScore
10.70
自引率
5.70%
发文量
38
审稿时长
33 days
期刊介绍: The International Journal of Clinical and Health Psychology is dedicated to publishing manuscripts with a strong emphasis on both basic and applied research, encompassing experimental, clinical, and theoretical contributions that advance the fields of Clinical and Health Psychology. With a focus on four core domains—clinical psychology and psychotherapy, psychopathology, health psychology, and clinical neurosciences—the IJCHP seeks to provide a comprehensive platform for scholarly discourse and innovation. The journal accepts Original Articles (empirical studies) and Review Articles. Manuscripts submitted to IJCHP should be original and not previously published or under consideration elsewhere. All signing authors must unanimously agree on the submitted version of the manuscript. By submitting their work, authors agree to transfer their copyrights to the Journal for the duration of the editorial process.
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