COVID-19大流行中成年人的数字心理干预:系统综述和荟萃分析

IF 6.6 1区 心理学 Q1 PSYCHOLOGY, CLINICAL
Ying Li, Yinong Liu, Xinyi Liu, Tao Zhang, Zihan Guo, Lizu Lai, Junrong Zhao, Yifei Cheng, Zhihong Ren
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引用次数: 0

摘要

本研究评估了数字心理干预对受大流行影响的成年人的焦虑、抑郁和压力症状的影响。从2020年1月1日到2024年3月6日,对五个数字数据库进行了系统搜索,确定了36项研究,涉及8662名参与者。与所有对照条件相比,随机效应荟萃分析表明,数字心理干预显著降低了焦虑(g = -0.374;95% CI, -0.529 ~ -0.218),抑郁(g = -0.568;95% CI, -0.776 ~ -0.360)和压力(g = -0.452;95% CI, -0.608至-0.295)。与不活动对照组相比,积极对照组观察到较小的效应值。在三个结果中观察到显著的异质性。在抑郁症状中发现了发表偏倚。与不活跃的对照组相比,确定了几个调节因素,包括焦虑的参与者类型(psubgroup = 0.005)和抑郁症状的地区(psubgroup = 0.000)。样本量较大(b = 0.0004;P = 0.028),对抑郁症状有更强的影响。出版年份与压力效应呈正相关(b = 0.1573;p = 0.032)。这项研究支持了数字心理干预在大流行期间缓解成年人焦虑、抑郁和压力症状方面的有效性,为在未来的公共卫生危机中制定有针对性的心理健康战略提供了见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Digital Psychological Interventions for Adults in the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.

This study evaluates the effect of digital psychological interventions on anxiety, depression, and stress symptoms in adults affected by the pandemic. A systematic search across five digital databases, from 1 January 2020 to 6 March 2024, identified 36 studies encompassing 8,662 participants. Compared with all control conditions, random-effects meta-analyses indicated that digital psychological interventions significantly reduced anxiety (g = -0.374; 95% CI, -0.529 to -0.218), depression (g = -0.568; 95% CI, -0.776 to -0.360), and stress (g = -0.452; 95% CI, -0.608 to -0.295). Smaller effect sizes were observed when compared with active controls than with inactive controls. Notable heterogeneity across three outcomes was observed. Publication bias was noted in depression symptoms. Several moderators were identified compared with inactive controls, including participant type for anxiety (psubgroup = 0.005), and region for depression symptoms (psubgroup = 0.000). Larger sample sizes (b = 0.0004; p = 0.028) related to stronger effects on depression symptoms. Publication year positively correlated with effects on stress (b = 0.1573; p = 0.032). This study supports the efficacy of digital psychological interventions in alleviating anxiety, depression, and stress symptoms for adults during the pandemic, offering insights for developing targeted mental health strategies in future public health crises.

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来源期刊
Health Psychology Review
Health Psychology Review PSYCHOLOGY, CLINICAL-
CiteScore
21.30
自引率
0.00%
发文量
28
期刊介绍: The publication of Health Psychology Review (HPR) marks a significant milestone in the field of health psychology, as it is the first review journal dedicated to this important and rapidly growing discipline. Edited by a highly respected team, HPR provides a critical platform for the review, development of theories, and conceptual advancements in health psychology. This prestigious international forum not only contributes to the progress of health psychology but also fosters its connection with the broader field of psychology and other related academic and professional domains. With its vital insights, HPR is a must-read for those involved in the study, teaching, and practice of health psychology, behavioral medicine, and related areas.
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