World Journal of Psychiatry,
Год журнала:
2024,
Номер
14(3), С. 350 - 361
Опубликована: Март 19, 2024
Low-
and
middle-income
countries
(LMICs)
bear
the
greater
share
of
global
mental
health
burden
but
are
ill-equipped
to
deal
with
it
because
severe
resource
constraints
leading
a
large
treatment
gap.
The
remote
provision
services
by
digital
means
can
effectively
augment
conventional
in
LMICs
reduce
Digital
psychiatry
has
always
lagged
behind
high-income
countries,
there
have
been
encouraging
developments
last
decade.
There
is
increasing
research
on
efficacy
psychiatric
interventions.
However,
evidence
not
adequate
conclude
that
interventions
invariably
effective
LMICs.
A
striking
development
rise
mobile
smartphone
ownership
LMICs,
which
driven
use
technologies
deliver
services.
An
innovative
optimize
task-shifting,
involves
delivering
healthcare
community
settings
using
non-specialist
professionals.
Emerging
from
shows
possible
tools
train
workers
ensure
psychosocial
they
efficacious.
Despite
these
promising
developments,
many
barriers
such
as
service
costs,
underdeveloped
infrastructure,
lack
trained
professionals,
significant
disparities
access
impede
progress
To
overcome
barriers,
should
address
contextual
factors
influencing
delivery
services,
collaboration
between
different
stakeholders,
focus
reducing
divide.
World Journal of Clinical Cases,
Год журнала:
2023,
Номер
11(7), С. 1442 - 1457
Опубликована: Март 1, 2023
The
worldwide
prevalence
of
anxiety
disorders
among
college
students
is
high,
which
negatively
affects
countries,
schools,
families,
and
individual
to
varying
degrees.
This
paper
reviews
the
relevant
literature
regarding
risk
factors
digital
interventions
for
from
perspectives
different
stakeholders.
Risk
at
national
societal
levels
include
class
differences
coronavirus
disease
2019
pandemic.
College-level
indoor
environment
design
environment,
peer
relationships,
student
satisfaction
with
culture,
school
functional
levels.
Family-level
parenting
style,
family
relationship,
parental
level
education.
Individual-level
biological
factors,
lifestyle,
personality.
Among
intervention
options
students'
disorders,
in
addition
traditional
cognitive
behavioral
therapy,
mindfulness-based
interventions,
psychological
counseling,
group
mental
health
are
increasingly
popular
due
their
low
cost,
positive
effect,
convenient
diagnostics
treatment.
To
better
apply
prevention
treatment
anxiety,
this
suggests
that
stakeholders
form
a
synergy
themselves.
nation
society
should
provide
necessary
policy
guarantees,
financial
support,
moral
ethical
supervision
disorders.
Colleges
actively
participate
screening
Families
increase
awareness
take
initiative
study
understand
various
methods.
College
seek
assistance
accept
projects
services.
We
believe
future,
application
methods
such
as
big
data
artificial
intelligence
improve
individualized
plans
will
become
primary
means
preventing
treating
students.
Abstract
Background
Combining
non-specialists
and
digital
technologies
in
mental
health
interventions
could
decrease
the
healthcare
gap
resource
scarce
countries.
This
systematic
review
examined
different
combinations
of
their
effectiveness
reducing
low-and
middle-income
Methods
Literature
searches
were
conducted
four
databases
(September
2023),
three
trial
registries
(January–February
2022),
using
forward
backward
citation
(May–June
2022).
The
included
primary
studies
on
combining
outcomes
were:
(1)
intervention
receivers
(2)
competencies
to
deliver
interventions.
Data
expressed
as
standardised
effect
sizes
(Cohen’s
d)
narratively
synthesised.
Risk
bias
assessment
was
Cochrane
risk-of-bias
tools
for
individual
cluster
randomised
non-randomised
controlled
trials.
Results
Of
28
(
n
=
32
interventions),
technology
mainly
used
non-specialist
primary-delivery
treatment
models
common
disorders
or
subthreshold
symptoms.
improved
with
training
(d
≤
0.8
4/7
outcomes,
4
studies,
398
participants).
through
non-specialist-delivered
interventions,
which
support
delivery
>
24/40
11,
2469)
supervise
non-specialists’
work
0.2–0.8
10/17
3,
3096).
Additionally,
service
digitally
delivered
services
involvement
12/27
8,
2335).
However,
overall
certainty
evidence
poor.
Conclusion
Incorporating
into
tended
enhance
knowledge
delivery,
had
a
positive
influence
severity
problems,
utilization,
psychosocial
functioning
recipients,
primarily
within
primary-deliverer
care
models.
More
robust
is
needed
compare
magnitude
identify
clinical
relevance
specific
functions.
Future
should
also
explore
long-term
potential
adverse
effects
targeting
men
marginalised
communities.
American Journal of Geriatric Psychiatry,
Год журнала:
2024,
Номер
32(10), С. 1271 - 1291
Опубликована: Апрель 24, 2024
Online
interventions
hold
promise
in
supporting
the
well-being
of
family
caregivers
and
enhancing
quality
care
they
provide
for
individuals
with
long-term
or
chronic
conditions.
However,
dropout
rates
from
support
programs
among
specific
groups
caregivers,
such
as
people
dementia,
pose
a
challenge.
Focused
reviews
are
needed
to
more
accurate
insights
estimates
this
research
area.
Frontiers in Psychiatry,
Год журнала:
2024,
Номер
15
Опубликована: Фев. 5, 2024
Addictive
substances
are
prevalent
world-wide,
and
their
use
presents
a
substantial
persistent
public
health
problem.
A
wide
range
of
digital
interventions
to
decrease
negative
consequences
thereof
have
been
explored,
differing
in
approach,
theoretical
grounding,
specific
technologies,
more.
The
current
study
was
designed
comprehensively
map
the
recent
(2015-2022)
extant
literature
systematic
manner,
identify
neglected
emerging
knowledge
gaps.
Four
major
databases
(Medline,
Web
Science
Core
Collection,
PsychInfo)
were
searched
using
database-specific
search
strategies,
combining
terms
related
clinical
presentation
(alcohol,
tobacco
or
other
drug
use),
technology
aim.
After
deduplication,
remaining
n=13,917
unique
studies
published
manually
screened
two
stages,
leaving
final
n=3,056
studies,
abstracts
which
subjected
tailored
coding
scheme.
Findings
revealed
an
accelerating
rate
publications
this
field,
with
randomized
trials
being
most
common
type.
Several
meta-analyses
on
topic
now
published,
revealing
promising
robust
effects.
Digital
offered
numerous
levels,
from
targeted
prevention
specialized
clinics.
Detailed
at
times
made
difficult
by
inconsistent
terms,
has
important
implications
for
future
meta-analyses.
Moreover,
we
several
gaps
–
few
economic
assessments,
unclear
descriptions
interventions,
weak
meta-analytic
support
some
type
limited
research
many
target
groups,
settings
new
like
video
calls,
chatbots
artificial
intelligence
that
argue
address
research.
International Journal of Health Sciences,
Год журнала:
2023,
Номер
1(4), С. 425 - 438
Опубликована: Окт. 3, 2023
Mental
health
is
a
issue
that
gaining
increasing
global
attention,
especially
in
today's
digital
age.
This
research
aims
to
understand
the
role
of
social
communication
supporting
public
policies
field
mental
health.
Excavate
impact
use
media
on
focuses
Generation
Z,
as
vulnerable
group.
The
study
describes
complexity
relationship
between
and
proposes
balanced
approach
this
methods
used
are
content
analysis
allow
researchers
these
issues
depth
using
qualitative
approach.
Research
results
show
does
not
always
have
negative
impact,
but
can
also
positive
effect.
Digital
literacy
awareness
considered
important
tools
protecting
yourself
from
media.
conclusion
collaboration
government
platforms
an
step
addressing
problems.
Governments
major
play
developing
regulations
protect
their
citizens,
while
potential
provide
valuable
resources
information.
Nature Medicine,
Год журнала:
2024,
Номер
30(4), С. 1127 - 1133
Опубликована: Март 14, 2024
Abstract
Scalable
solutions
to
treat
depression
in
older
adults
low-resourced
settings
are
urgently
needed.
The
PRODIGITAL-D
pragmatic,
single-blind,
two-arm,
individually
randomized
controlled
trial
assessed
the
effectiveness
of
a
mobile
messaging
psychosocial
intervention
improving
depressive
symptomatology
among
socioeconomically
deprived
areas
Guarulhos,
Brazil.
Older
(aged
60+
years)
registered
with
24
primary
care
clinics
and
identified
(9-item
Patient
Health
Questionnaire
(PHQ-9)
scores
≥
10)
received
6-week
Viva
Vida
based
on
psychoeducation
behavioral
activation
(
n
=
298)
or
single
message
305).
No
health
professional
support
was
offered.
outcome
improvement
from
(PHQ-9
<
at
3
months.
Of
603
participants
enrolled
(mean
age
65.1
years;
451
(74.8%)
women),
527
(87.4%)
completed
follow-up
assessment.
In
arm,
109
257
(42.4%)
had
an
improved
symptomatology,
compared
87
270
(32.2%)
control
arm
(adjusted
odds
ratio
1.57;
95%
confidence
interval
1.07–2.29;
P
0.019).
severe
adverse
events
related
participation
were
observed.
These
results
demonstrate
usefulness
digital
short-term
that
can
potentially
be
integrated
into
programs
for
treating
depression.
Brazilian
Registry
Clinical
Trials
registration:
ReBEC
RBR-4c94dtn
).
Clinical Child and Family Psychology Review,
Год журнала:
2024,
Номер
27(2), С. 424 - 475
Опубликована: Март 15, 2024
Youth-specific
digital
mental
health
interventions
(DMHI)
represent
an
emerging
field
of
study,
and
aim
to
increase
access,
improve
socioemotional
outcomes,
and,
where
required,
support
triage
targeted
interventions.
However,
prior
reviews
have
reported
inconsistent
findings
on
the
clinical
effectiveness
such
in
young
adults
(12-25
years).
Further,
shortfalls
remain
for
impact
guided
based
mode
delivery
type
human
personnel
(e.g.,
professional
or
peer)
guiding
intervention.
In
response,
this
systematic
review,
co-designed
with
Australia's
leading
organization,
aims
assess
programs
improving
youth
outcomes.
Included
studies
involve
people
experiencing
ill-health,
receiving
brief
(i.e.,
1-12
sessions),
digitally
delivered
(at
least
partially)
psychological
that
were
partially
guided,
tested
a
experimental
outcome.
Specific
outcomes
examined
depression,
anxiety,
stress,
wellbeing,
mindfulness,
quality
life.
A
search
contemporary
published
grey
literature
identified
22,482
records
32
relevant
between
2018
2023.
narrative
synthesis
integration
findings.
Results
demonstrated
strong
evidence
stress)
yet
these
effects
short-lived.
When
factoring
use
different
control
groups
active
vs.
inactive),
observed
stress.
The
asynchronous,
synchronous,
combined)
did
not
appear
indicate
efficacious
depression
anxiety
include
refresher/follow-up
content,
goal
setting
relapse
prevention
content.
contrast,
poor
efficacy
is
associated
homework
tasks,
self-monitoring,
log-keeping
content.PROSPERO,
ID
CRD42023405812.
