精神病学中的移动保健干预措施综合综述:从系统、范围界定、叙事回顾和内容分析中获得的启示。

Singapore medical journal Pub Date : 2024-10-01 Epub Date: 2024-10-04 DOI:10.4103/singaporemedj.SMJ-2024-165
Zaakira Shahul Hameed Mahreen, Noor Azziah Zainuldin, Melvyn Weibin Zhang
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引用次数: 0

摘要

简介移动医疗(mHealth)技术,包括智能手机应用程序和可穿戴设备,通过提供监测、教育和治疗的创新解决方案改善了医疗保健,尤其是在精神健康方面:本综述综合了一系列有关精神科移动医疗干预措施的综述结果。在 PubMed、MEDLINE、PsycINFO、ScienceDirect、Scopus、Web of Science 和 Cochrane Library 中系统检索了相关文献:结果:在 2147 条记录中,共纳入了 111 项从 2014 年到 2024 年关于焦虑症和抑郁症的研究。这些研究强调了移动医疗干预措施在通过认知行为疗法、正念和心理教育减少症状方面的有效性,青少年、围产期妇女和边缘化群体从中受益。此外,移动保健在控制药物使用障碍和严重精神疾病(如精神分裂症、躁郁症和精神病)方面也大有可为:尽管取得了积极成果,但数据隐私、用户参与和医疗保健整合等挑战依然存在。要验证移动医疗技术的功效,还需要进一步开展强有力的试验和循证研究。
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Comprehensive synthesis of mHealth interventions in psychiatry: insights from systematic, scoping, narrative reviews and content analysis.

Introduction: Mobile health (mHealth) technologies, including smartphone apps and wearables, have improved health care by providing innovative solutions for monitoring, education and treatment, particularly in mental health.

Method: This review synthesises findings from a series of reviews on mHealth interventions in psychiatry. Publications were systematically searched in PubMed, MEDLINE, PsycINFO, ScienceDirect, Scopus, Web of Science and Cochrane Library.

Results: Out of 2147 records, 111 studies from 2014 to 2024 focusing on anxiety and depression were included. These studies highlight the effectiveness of mHealth interventions in reducing symptoms through cognitive-behavioural therapy, mindfulness and psychoeducation, benefitting adolescents, perinatal women and marginalised groups. Additionally, mHealth shows promise in managing substance use disorders and severe mental illnesses like schizophrenia, bipolar disorder and psychosis.

Conclusion: Despite positive outcomes, challenges such as data privacy, user engagement and healthcare integration persist. Further robust trials and evidence-based research are needed to validate the efficacy of mHealth technologies.

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