Efficacy of mobile application interventions for the treatment of post-traumatic stress disorder: A systematic review
Efficacy of mobile application interventions for the treatment of post-traumatic stress disorder: A systematic review
复制标题
移动应用干预治疗创伤后应激障碍的疗效：系统评价
DOI：
10.1177/2055207619842986
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发表时间：
2019
期刊：
影响因子：
3.9
通讯作者：
D. Leightley
中科院分区：
文献类型：
--
作者：
A. Wickersham;Petros Minas Petrides;V. Williamson;D. Leightley
背景许多患有创伤后应激障碍(PTSD)的成年人由于后勤、社会和态度障碍而无法获得医疗服务。通过移动应用(App)提供的干预可能有助于克服这些障碍。目的系统评价移动应用治疗创伤后应激障碍疗效的最新研究结果。方法应用计算机检索PubMed、Web of Science、Embase、CogcINFO、Medline等数据库，限定文章语言种类为2018-02。随机对照试验(RCT)如果作为主要目标的一部分，定量评估移动应用程序治疗创伤后应激障碍的疗效，则包括在内。调查结果以叙述性综合的形式呈现。结果在确定的五项随机对照试验中，基于APP的干预措施的使用似乎与创伤后应激障碍症状的减少有关。然而，这种联系的证据强度似乎并不一致，而且几乎没有证据表明，使用这些应用程序的人比使用对照程序的人在PTSD症状上经历了更大的减少。尽管如此，有一些证据表明，基于APP的干预既是可行的，也是可接受的治疗途径选择。纳入的研究结论往往受限于小样本量、短暂干预和随访期，以及创伤后应激障碍的自我报告测量。移动干预治疗创伤后应激障碍疗效的证据尚不确定，但前景看好。在更好地了解使用APP的潜在不利影响并进行更大规模的研究之前，医疗保健专业人员在推荐基于APP的干预措施时应谨慎行事。
Background Many adults with post-traumatic stress disorder (PTSD) are unable to access healthcare services for treatment due to logistical, social, and attitudinal barriers. Interventions delivered via mobile applications (apps) may help overcome these barriers. Objective The aim of this study is to systematically evaluate the most recent evidence from trials investigating the efficacy of mobile apps for treating PTSD. Methods PubMed, Web of Science, Embase, PsycINFO, and Medline were searched in February 2018. Randomised controlled trials (RCTs) were included if they quantitatively evaluated the efficacy of a mobile app for treating PTSD as part of the primary aim. Findings were presented in a narrative synthesis. Results In the five identified RCTs, the use of app-based interventions appeared to be associated with reductions in PTSD symptoms. However, the strength of evidence for this association appeared to be inconsistent, and there was little evidence that those using the apps experienced greater reductions in PTSD symptoms than those in control conditions. Nonetheless, there was some evidence that app-based interventions are both a feasible and acceptable treatment pathway option. Conclusions Included studies were often limited by small sample sizes, brief intervention, and follow-up periods, and self-reported measures of PTSD. Evidence for the efficacy of mobile interventions for treating PTSD was inconclusive, but promising. Healthcare professionals should exercise caution in recommending app-based interventions until the potentially adverse effects of app use are better understood and larger-scale studies have taken place.