TY - JOUR AU - Davies, E Bethan AU - Morriss, Richard AU - Glazebrook, Cris PY - 2014 DA - 2014/05/16 TI -计算机传递和基于网络的干预措施改善大学生抑郁、焦虑和心理健康:系统综述和元分析JO - J Med Internet Res SP - e130 VL - 16 IS - 5kw -系统综述KW -元分析KW -干预KW -大学KW -学生KW -心理健康KW -抑郁KW -焦虑KW -健康促进AB -背景:抑郁和焦虑是大学生普遍经历的心理健康困难，可以损害学术和社会功能。学生在向专业人士寻求帮助方面受到限制。由于大学生与数字技术高度相关，基于网络和计算机提供的干预措施可以用来改善学生的心理健康。这些干预类型的有效性需要调查，以确定这些是否是可行的大学生预防策略。目的:本研究的目的是系统地回顾和分析网络和计算机提供的干预措施的试验，以改善大学生的抑郁、焦虑、心理困扰和压力。方法:使用与高等教育学生、心理健康和电子健康干预相关的关键词搜索几个数据库。本综述纳入研究的资格标准为:(1)旨在改善与抑郁、焦虑、心理困扰和压力有关的症状的研究;(2)该研究涉及通过计算机、笔记本电脑或平板电脑访问的计算机传送或基于网络的干预措施;(3)该研究是随机对照试验;(4)该研究在高等教育学生中进行试验。通过对每种结果和每种试验组比较的随机效应荟萃分析，对试验进行回顾和结果数据分析。采用Cochrane协作组偏倚风险工具评估研究质量。 Results: A total of 17 trials were identified, in which seven were the same three interventions on separate samples; 14 reported sufficient information for meta-analysis. The majority (n=13) were website-delivered and nine interventions were based on cognitive behavioral therapy (CBT). A total of 1795 participants were randomized and 1480 analyzed. Risk of bias was considered moderate, as many publications did not sufficiently report their methods and seven explicitly conducted completers’ analyses. In comparison to the inactive control, sensitivity meta-analyses supported intervention in improving anxiety (pooled standardized mean difference [SMD] −0.56; 95% CI −0.77 to −0.35, P<.001), depression (pooled SMD −0.43; 95% CI −0.63 to −0.22, P<.001), and stress (pooled SMD −0.73; 95% CI −1.27 to −0.19, P=.008). In comparison to active controls, sensitivity analyses did not support either condition for anxiety (pooled SMD −0.18; 95% CI −0.98 to 0.62, P=.66) or depression (pooled SMD −0.28; 95% CI −0.75 to −0.20, P=.25). In contrast to a comparison intervention, neither condition was supported in sensitivity analyses for anxiety (pooled SMD −0.10; 95% CI −0.39 to 0.18, P=.48) or depression (pooled SMD −0.33; 95% CI −0.43 to 1.09, P=.40). Conclusions: The findings suggest Web-based and computer-delivered interventions can be effective in improving students’ depression, anxiety, and stress outcomes when compared to inactive controls, but some caution is needed when compared to other trial arms and methodological issues were noticeable. Interventions need to be trialed on more heterogeneous student samples and would benefit from user evaluation. Future trials should address methodological considerations to improve reporting of trial quality and address post-intervention skewed data. SN - 1438-8871 UR - //www.mybigtv.com/2014/5/e130/ UR - https://doi.org/10.2196/jmir.3142 UR - http://www.ncbi.nlm.nih.gov/pubmed/24836465 DO - 10.2196/jmir.3142 ID - info:doi/10.2196/jmir.3142 ER -