TY -的盟Zuelke安德里亚·E AU - Luppa梅勒妮盟——Lobner Margrit AU -帕布斯特亚历山大盟——Schlapke鳌- Stein Janine盟——Riedel-Heller施特菲·G PY - 2021 DA - 2021/12/8 TI -基于互联网的干预措施的有效性和可行性后悲伤的丧亲之痛:系统回顾和荟萃分析乔- JMIR表示“状态”卫生SP - e29661六世- 8 - 12 KW -悲伤千瓦系统回顾KW -荟萃分析KW -互联网KW -在线治疗AB -背景:尽管悲伤及其症状构成了对失去经历的正常反应，但一些受影响的人在一段时间后仍报告说痛苦程度升高，通常被称为复杂悲伤。面对面治疗的有益治疗效果，如悲伤咨询或认知行为治疗复杂的悲伤，已被报道。目前缺乏针对丧亲者悲伤症状的基于互联网和移动的干预措施的客观质量标准评估。目的:我们旨在对基于互联网和移动的干预措施对丧亲后悲伤症状的有效性和可行性进行系统回顾和荟萃分析。方法:我们在PubMed、PsycINFO、Web of Science Core Collection和Cochrane Library中，按照PRISMA(系统评价和荟萃分析首选报告项目)指南，对2020年1月9日之前发表的随机对照试验或可行性研究进行了系统的文献检索。证据质量采用推荐分级、评估、发展和评价系统进行评估。我们进一步评估了可行性方面，并使用精神卫生保健专家小组(德国精神病学、心理治疗和心身学协会)建议的标准对干预措施的质量进行了评级。进行随机效应元分析以评估组间效应大小。结果:共纳入9项试验(N=1349)。 Of these, 7 studies were analyzed meta-analytically. Significant effects were found for symptoms of grief (g=0.54, 95% CI 0.32-0.77), depression (g=0.44, 95% CI 0.20-0.68), and posttraumatic stress (g=0.82, 95% CI 0.63-1.01). Heterogeneity was moderate for grief and depression (I2=48.75% and 55.19%, respectively) and low for posttraumatic stress symptoms (I2=0%). The overall quality of evidence was graded low (grief and depression) to moderate (posttraumatic stress). User satisfaction with the interventions was high, as was the quality of the interventions assessed using objective quality criteria. Conclusions: Internet- or mobile-based interventions might constitute an effective treatment approach against symptoms of grief in bereaved adults. However, the small sample sizes and limited number of studies included in the review warrant further investigation. Trial Registration: International Prospective Register of Systematic Reviews (PROSPERO) CRD42012002100; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=131428 SN - 2368-7959 UR - https://mental.www.mybigtv.com/2021/12/e29661 UR - https://doi.org/10.2196/29661 UR - http://www.ncbi.nlm.nih.gov/pubmed/34889769 DO - 10.2196/29661 ID - info:doi/10.2196/29661 ER -