对于有抑郁症状的超重或肥胖成年人,目前有哪些基于互联网和移动设备的干预措施?系统综述。

IF 4.2 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM International Journal of Obesity Pub Date : 2024-10-21 DOI:10.1038/s41366-024-01654-9
Katja Schladitz, Alina Seibel, Melanie Luppa, Steffi G Riedel-Heller, Margrit Löbner
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引用次数: 0

摘要

鉴于超重和肥胖症的高发病率以及抑郁症状的高合并率,有必要为超重/肥胖症患者提供低门槛、无障碍的护理方法,以改善他们的心理健康。基于互联网和移动设备的干预(IMI)是一种创新的辅助治疗方法。本综述系统地检索了旨在改善超重/肥胖症患者心理健康的 IMI。我们根据 PRISMA(系统综述和元分析的首选报告项目)标准,在 MEDLINE、Cochrane Library、PsycINFO、Web of Science 和 Google Scholar 等数据库中进行了系统的文献检索。筛选并提取了针对超重/肥胖并伴有抑郁症状的成年人、旨在改善心理健康的 IMI 随机对照试验(RCT)。研究质量采用 RoB 2(修订版 Cochrane Risk of Bias RCTs 工具)进行评估。在排除重复研究后,共有 790 项研究结果被纳入标题和摘要筛选。在对 n = 26 项研究进行全文筛选后,纳入了 n = 3 项 RCT 研究。所有干预措施都旨在减轻体重和抑郁症状。在两项研究中,抑郁症状和体重均有显著减轻。一项研究表明,抑郁症状明显减轻,但体重没有减轻。两项干预持续时间为 6 个月,由医护人员指导;第三项干预持续时间为 3 个月,无需专业指导。有证据表明,对于超重/肥胖并伴有抑郁症状的人来说,综合心理干预能有效改善他们的心理健康。然而,目前旨在减轻抑郁症状的干预措施并不多,而且都是针对讲英语的人。由于治疗抑郁症状的 IMI 可作为附加选项轻松融入肥胖症的躯体治疗中,并且具有很高的公共卫生潜力,因此应开发和实施适合目标群体、低门槛、使用不同语言的干预措施,以改善超重/肥胖症患者的心理健康。Prospero 注册号:CRD42023361771。
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What internet- and mobile-based interventions are currently available for adults with overweight or obesity experiencing symptoms of depression? A systematic review.

Given the high prevalence of overweight and obesity and high comorbidity of depressive symptoms, there is a need for low-threshold, accessible care approaches for people with overweight/obesity aimed at improving mental health. Internet and mobile-based interventions (IMI) represent an innovative complementary treatment option. This review systematically searches for IMI aimed at improving mental health in people with overweight/obesity. We conducted a systematic literature search according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) criteria in the databases MEDLINE, Cochrane Library, PsycINFO, Web of Science and Google Scholar. Randomized controlled trials (RCTs) of IMI for adults with overweight/obesity and comorbid depressive symptoms aiming at improving mental health were screened and extracted. Study quality was assessed with RoB 2 (revised Cochrane Risk of Bias tool in RCTs). After excluding duplicates, n = 790 results were included in title and abstract screening. After full-text-screening of n = 26 studies, n = 3 RCT studies were included. All interventions aimed to reduce both weight and depressive symptoms. In two RCTs, a significant reduction in both depressive symptoms and weight was achieved. One RCT indicated a significant reduction in depressive symptoms, but not in weight. Two intervention had a duration of 6 months and were guided by health carers, the third takes 3 months and can be used without professional guidance. There is evidence that IMI are effective in improving mental health for people with overweight/obesity and comorbid depressive symptoms. However, currently there are few interventions aiming at reducing depressive symptoms, all targeting English-speaking people. As IMI for depressive symptoms can be easily integrated in the somatic therapy of obesity as additional option and has high public health potential, target group-adapted and low-threshold accessible interventions in different languages should be developed and implemented for improving mental health in people with overweight/obesity. Prospero registration number: CRD42023361771.

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来源期刊
International Journal of Obesity
International Journal of Obesity 医学-内分泌学与代谢
CiteScore
10.00
自引率
2.00%
发文量
221
审稿时长
3 months
期刊介绍: The International Journal of Obesity is a multi-disciplinary forum for research describing basic, clinical and applied studies in biochemistry, physiology, genetics and nutrition, molecular, metabolic, psychological and epidemiological aspects of obesity and related disorders. We publish a range of content types including original research articles, technical reports, reviews, correspondence and brief communications that elaborate on significant advances in the field and cover topical issues.
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