Systematic review on Internet Support Groups (ISGs) and depression (1): Do ISGs reduce depressive symptoms?
Systematic review on Internet Support Groups (ISGs) and depression (1): Do ISGs reduce depressive symptoms?
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DOI：
10.2196/jmir.1270
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发表时间：
2009-09-30
影响因子：
7.4
通讯作者：
Banfield M
中科院分区：
文献类型：
--
作者：
Griffiths KM;Calear AL;Banfield M
互联网支持小组使有特殊健康问题的个人能够随时进行在线交流。同伴支持被认为可以通过提供社会支持来改善心理健康，包括抑郁症。鉴于isg对抑郁症患者和身体障碍患者的作用越来越大，有必要评估isg在减轻抑郁症状方面功效的证据。目的是系统地审查有关isg对抑郁症状影响的现有证据。三个数据库（PubMed, PsycINFO, Cochrane）使用从相关论文，摘要和同义词词典中提取的150多个搜索词进行了搜索。如果论文(1)采用在线点对点支持小组，(2)纳入抑郁结果，(3)报告定量数据，则纳入论文。研究既包括单独的isg，也包括在复杂的多组分干预中使用的isg。所有试验均按质量进行编码。31篇论文（涉及28项试验）从初始的12692篇摘要中符合纳入标准。16项试验采用单组分干预，即控制非ISG组分的设计，或横断面分析，其中10项（62.5%）报告了ISG对抑郁症状的积极影响。然而，这些研究中只有两项（20%）采用了对照组。只有两项研究调查了抑郁症ISG的疗效，而且都没有采用对照组。设计质量较低的研究往往与更多的积极结果相关（P = .07）。总的来说，与其他类型的ISG相比，对乳腺癌ISG的研究更有可能报告抑郁症状的减少（Fisher P = .02），但这一发现可能是由于混杂设计因素而不是ISG的性质。关于isg治疗抑郁症的疗效或有效性，缺乏高质量的证据。目前迫切需要对抑郁症isg的疗效进行高质量的随机对照试验，以告知消费者、从业者、政策制定者和其他相关用户和在线支持团体的提供者的做法。
Internet support groups (ISGs) enable individuals with specific health problems to readily communicate online. Peer support has been postulated to improve mental health, including depression, through the provision of social support. Given the growing role of ISGs for both users with depression and those with a physical disorder, there is a need to evaluate the evidence concerning the efficacy of ISGs in reducing depressive symptoms. The objective was to systematically review the available evidence concerning the effect of ISGs on depressive symptoms. Three databases (PubMed, PsycINFO, Cochrane) were searched using over 150 search terms extracted from relevant papers, abstracts, and a thesaurus. Papers were included if they (1) employed an online peer-to-peer support group, (2) incorporated a depression outcome, and (3) reported quantitative data. Studies included both stand-alone ISGs and those used in the context of a complex multi-component intervention. All trials were coded for quality. Thirty-one papers (involving 28 trials) satisfied the inclusion criteria from an initial pool of 12,692 abstracts. Sixteen trials used either a single-component intervention, a design in which non-ISG components were controlled, or a cross-sectional analysis, of which 10 (62.5%) reported a positive effect of the ISG on depressive symptoms. However, only two (20%) of these studies employed a control group. Only two studies investigated the efficacy of a depression ISG and neither employed a control group. Studies with lower design quality tended to be associated with more positive outcomes (P = .07). Overall, studies of breast cancer ISGs were more likely to report a reduction in depressive symptoms than studies of other ISG types (Fisher P = .02), but it is possible that this finding was due to confounding design factors rather than the nature of the ISG. There is a paucity of high-quality evidence concerning the efficacy or effectiveness of ISGs for depression. There is an urgent need to conduct high-quality randomized controlled trials of the efficacy of depression ISGs to inform the practice of consumers, practitioners, policy makers, and other relevant users and providers of online support groups.
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DOI：
10.1007/s11612-001-0014-y
发表时间：
2001-06-01
期刊：
GRUPPENDYNAMIK UND ORGANISATIONSBERATUNG
影响因子：
--
作者：
Döring, N
通讯作者：
Döring, N
影响因子：
7.4
作者：
Griffiths KM;Calear AL;Banfield M;Tam A
通讯作者：
Tam A
影响因子：
5.5
作者：
Gustafson, DH;Hawkins, R;Chan, CL
通讯作者：
Chan, CL
影响因子：
16.4
作者：
Davison, KP;Pennebaker, JW;Dickerson, SS
通讯作者：
Dickerson, SS
影响因子：
2.4
作者：
Fortson, Beverly L.;Scotti, Joseph R.;Del Ben, Kevin S.
通讯作者：
Del Ben, Kevin S.