Mobile Apps for Mental Health Issues: Meta-Review of Meta-Analyses
Mobile Apps for Mental Health Issues: Meta-Review of Meta-Analyses
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DOI：
10.2196/17458
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发表时间：
2020-05-29
影响因子：
5
通讯作者：
Khazaal, Yasser
中科院分区：
文献类型：
--
作者：
Lecomte, Tania;Potvin, Stephane;Khazaal, Yasser
心理健康应用程序具有很大的潜力，可以帮助需要支持的人科普痛苦或特定症状。事实上，互联网上可用的心理健康应用程序数量呈指数级增长，实际研究的不到5%。目的：本研究旨在评估有关心理健康应用程序使用的现有证据的质量，并总结迄今为止获得的结果。方法：检索了系统性综述和荟萃分析，特别是关于心理健康问题或症状的移动的应用程序，并使用建议分级评估进行评级，结果：共对7项荟萃分析进行了仔细的回顾和评价。尽管一些荟萃分析研究了任何心理健康问题，并一起分析了数据，但这些研究质量较差，没有为应用程序提供强有力的实证支持。专门关注焦虑症状或抑郁症状的研究质量中等至高，通常具有小至中等的效应量。同样，应用程序对压力和生活质量的影响往往提供小到中等的影响，并且具有中等到高的质量。研究独立应用程序的效果较小，但比研究有指导的应用程序的经验质量更好。包括随访的研究大多发现了应用程序在11周follow-up.Conclusions的持续影响：这项荟萃审查显示，焦虑和抑郁的应用程序具有明显的临床优势，无论是作为独立的自我管理还是作为预防性治疗，都有很大的希望。需要更多的荟萃分析和更多的高质量研究来推荐针对其他心理健康问题或特定人群的应用程序。
Background: Mental health apps have great potential to help people needing support to cope with distress or specific symptoms. In fact, there is an exponential increase in the number of mental health apps available on the internet, with less than 5% being actually studied.Objective: This study aimed to assess the quality of the available evidence regarding the use of mental health apps and to summarize the results obtained so far.Methods: Systematic reviews and meta-analyses were searched, specifically for mobile apps on mental health issues or symptoms, and rated using the Grading of Recommendations Assessment, Development and Evaluation system.Results: A total of 7 meta-analyses were carefully reviewed and rated. Although some meta-analyses looked at any mental health issue and analyzed the data together, these studies were of poorer quality and did not offer strong empirical support for the apps. Studies focusing specifically on anxiety symptoms or depressive symptoms were of moderate to high quality and generally had small to medium effect sizes. Similarly, the effects of apps on stress and quality of life tended to offer small to medium effects and were of moderate to high quality. Studies looking at stand-alone apps had smaller effect sizes but better empirical quality than studies looking at apps with guidance. The studies that included follow-ups mostly found a sustained impact of the app at an 11-week follow-up.Conclusions: This meta-review revealed that apps for anxiety and depression hold great promise with clear clinical advantages, either as stand-alone self-management or as adjunctive treatments. More meta-analyses and more quality studies are needed to recommend apps for other mental health issues or for specific populations.