%0杂志文章%@ 2368- 7959% I JMIR出版物%V 9%卡塔尔世界杯8强波胆分析 N 8% P e25716% T自助数字干预措施，旨在改善感知或临床诊断幸福感下降的年轻人的心理健康:系统评价Babbage,Camilla M %A Jackson,Georgina M %A Davies,E Bethan M %A Nixon,Elena +国家健康与护理研究所(NIHR) MindTech医疗技术合作，心理健康与临床神经科学，诺丁汉大学心理健康研究所，诺丁汉大学创新园，NG7 2TU，英国，44 1158232438，Camilla.Babbage@nottingham.ac.uk %K数字健康干预%K心理健康%K心理健康%K精神障碍%K心理健康%K儿童和年轻人%K自助%K系统回顾%D 2022年%7 26.8.2022年%9回顾%J JMIR Ment健康%G英语%X背景:幸福水平正在下降，而年轻人的心理健康问题比例仍然很高。世界卫生组织对精神健康的定义不仅是没有精神障碍，而且还包括作为积极精神健康的组成部分的社会和心理健康，强调精神健康适用于患有精神健康问题的年轻人和未被诊断患有精神健康问题的年轻人。在对临床人群的年轻人以及由非临床年轻人组成的人群的研究中，已经发现了心理健康状况的下降。自助数字干预措施可以以低成本大规模提供，不需要经过培训的投入，从而有助于获得对福祉的支持。自助干预对有心理健康问题的年轻人有效，但对此类研究的系统综述仅限于随机对照试验，没有将幸福感降低作为纳入标准，也没有考虑参与因素，如保留率。目的:本研究的目的是系统地回顾所有针对9至25岁年轻人的数字交付、自我管理干预的对照研究，这些年轻人被感知或临床诊断为心理健康下降。参与者保留和干预措施的有效性也进行了探讨。方法:系统检索PsycInfo、EMBASE、Cochrane、Scopus和MEDLINE数据库，从成立到2021年，对相关论文和灰色文献进行参考检索，对感知或临床诊断幸福感下降的年轻人进行数字对照研究，旨在改善心理幸福感。 Data were extracted to identify the effectiveness and retention rates of the interventions and the quality of the studies. Results: Overall, 1.04% (12/1153) of studies met the inclusion criteria: 83% (10/12) of studies were randomized controlled trials and 17% (2/12) were controlled pre-post studies. Most (6/12, 50%) studies aimed to improve symptoms of depression; 3 interventions aimed at both anxiety and depressive symptoms and 2 studies aimed at improving social functioning difficulties. Owing to the high risk of bias across interventions and lack of similar outcome measures, a meta-analysis was not conducted. Retention rates across studies were regarded as good, with moderate to high retention. Overall, the findings indicated that predominantly self-administered self-help interventions improved well-being in the areas targeted by the intervention and identified additional areas of well-being that were positively affected by interventions. Few interventions supported psychological well-being that was different from those used by young people with a clinical diagnosis of mental illness or young people from neurodiverse backgrounds. Conclusions: The findings, along with the advantages of self-help interventions, highlight the need for upscaling self-help interventions to better support vulnerable populations of young people who experience poor psychological well-being. Trial Registration: PROSPERO CRD42019129321; https://tinyurl.com/4fb2t4fz %M 36018675 %R 10.2196/25716 %U https://mental.www.mybigtv.com/2022/8/e25716 %U https://doi.org/10.2196/25716 %U http://www.ncbi.nlm.nih.gov/pubmed/36018675