@Article{信息:doi 10.2196 / / jmir。9795，作者=“Ennis, Naomi and Sijercic, Iris and Monson, Candice M”，标题=“创伤事件暴露个体的网络早期干预:系统回顾”，期刊=“J Med Internet Res”，年=“2018”，月=“11”，日=“14”，卷=“20”，数=“11”，页=“e280”，关键词=“心理创伤;二级预防;创伤和压力源相关疾病;背景:超过75的人都经历过创伤性事件，还有相当一部分人在他们的一生中继续经历可能是慢性和有害的心理健康问题。早期干预有望预防精神病理后的创伤;然而，面对面的干预可能代价高昂，而且获得这种形式的护理存在许多障碍。目的:本研究的目的是系统回顾创伤暴露个体的网络早期干预研究。方法:在PsycINFO和PubMed上检索1991 - 2017年发表的论文。符合以下标准的论文被纳入:(1)描述了基于网络的干预，并应用于暴露于创伤事件的个体; (2) the authors stated that the intervention was intended to be applied early following trauma exposure or as a preventive intervention; and (3) data on mental health symptoms at pre-and postintervention were described (regardless of whether these were primary outcomes). Methodological quality of included studies was assessed using the Downs and Black checklist. Results: The interventions in the 7 studies identified were categorized as selected (ie, delivered to an entire sample after trauma regardless of psychopathology symptoms) or indicated (ie, delivered to those endorsing some level of posttraumatic distress). Selected interventions did not produce significant symptom improvement compared with treatment-as-usual or no intervention control groups. However, indicated interventions yielded significant improvements over other active control conditions on mental health outcomes. Conclusions: Consistent with the notion that many experience natural recovery following trauma, results imply that indicated early internet-delivered interventions hold the most promise in future prevention efforts. More studies that use rigorous methods and clearly defined outcomes are needed to evaluate the efficacy of early internet-delivered interventions. Moreover, basic research on risk and resilience factors following trauma exposure is necessary to inform indicated internet-delivered interventions. ", issn="1438-8871", doi="10.2196/jmir.9795", url="//www.mybigtv.com/2018/11/e280/", url="https://doi.org/10.2196/jmir.9795", url="http://www.ncbi.nlm.nih.gov/pubmed/30429113" }