https://mental.www.mybigtv.com/issue/feed JMIR精神卫生 2022 - 09 - 06 - t10:15:31内 卡塔尔世界杯8强波胆分析 editor@www.mybigtv.com 开放期刊系统 除非另有说明,所有文章都是在创作共用署名许可(http://creativecommons.org/licenses/by/2.0/)的条款下开放获取分发的,该协议允许在任何媒体上无限制地使用、分发和复制,前提是原创作品(“首次发表于《医学互联网研究杂志》……”)使用原始URL和书目引用信息进行正确引用。必须包括完整的书目信息,//www.mybigtv.com/上的原始出版物链接,以及版权和许可信息。 互联网干预、技术和数字创新促进心理健康和行为改变。 https://mental.www.mybigtv.com/2022/10/e40410/ 未来的最佳预测者——元宇宙、心理健康和从当前技术中学到的教训 2022 - 10 - 28 - t10:15:02内 大卫Benrimoh 切达广场D Howard C Margolese 元世界——通过虚拟现实技术访问的虚拟世界——已经被宣布为下一个关键的数字体验。它旨在提供继社交媒体和远程工作之后人类互动的下一个进化。然而,在越来越多的人意识到当前社交媒体技术给心理健康带来的风险的背景下,这种新技术对心理健康的潜在影响存在很大的不确定性。这种不确定性由于缺乏对元宇宙最终将采取什么形式以及其应用将有多广泛的清晰度而加剧。尽管如此,鉴于元宇宙的新生状态,有机会规划研究和监管方法,以了解它,并促进其积极影响,同时保护弱势群体。在这个观点中,我们考察了以下三种当前的技术,它们的功能构成了元宇宙寻求实现的一部分:远程工作、虚拟现实和社交媒体。我们试图理解元宇宙在哪些方面可能与这些技术有相似的好处和缺陷,以及它与这些技术在根本上有什么不同。这些差异暗示了未来工作中需要解决的潜在研究问题。我们发现,当前的技术已经使虚拟现实辅助治疗、化身治疗和远程治疗等工具成为可能,这些工具对心理健康保健产生了积极的影响,而元宇宙可能会为这些工具提供有意义的改进。然而,考虑到它与社交媒体的相似之处,以及它在社交媒体体验上的扩展,元世界引发了我们对社交媒体的一些同样的担忧,比如可能会加剧某些心理健康问题。 These concerns led us to consider questions such as how the users will be protected and what regulatory mechanisms will be put in place to ensure user safety. Although clear answers to these questions are challenging in this early phase of metaverse research, in this viewpoint, we use the context provided by comparator technologies to provide recommendations to maximize the potential benefits and limit the putative harms of the metaverse. We hope that this paper encourages discussions among researchers and policy makers. 2022 - 10 - 28 - t10:15:02内 https://mental.www.mybigtv.com/2022/10/e33871/ 基于应用程序的数字符号替代测试评估成人重度抑郁障碍的认知缺陷:评估研究 2022 - 10 - 27 - t09:45:03内 罗杰·S·麦金太尔 奥利Lipsitz 纳尔逊·B·罗德里格斯 Mehala Subramaniapillai 植物纳斯里 Yena李 本Fehnert 詹姆斯国王 兰布罗时 凯文Kratiuk 谢里夫Uddin 约书亚·D·罗森布拉特 罗德里戈·曼苏尔 玛吉麦丘 背景:认知功能障碍是抑郁症的核心症状之一。在接受抗抑郁药物治疗的成人重度抑郁障碍(MDD)中,残余的认知症状会干扰患者报告的结果。上述认知症状的描述为在护理点筛查和评估认知症状的严重程度提供了基础。然而,临床神经认知评估是耗时和困难的,他们需要专业知识来解释它们。智能手机提供的神经认知测试可能提供一个有效的和可访问的工具,可以很容易地执行到基于测量的护理框架。我们的目的是评估使用基于智能手机的应用程序版本的已建立的认知工具包数字符号替代测试(DSST)神经认知评估,与传统的纸笔版本进行比较。方法:评估两个版本的收敛效度和测试重测信度。患者对该应用程序的满意度也进行了评估。使用基于应用程序的认知Kit DSST进行的评估与标准的纸笔测试版本高度相关,在基线访问时都是如此(r=0.69, df=27;<我> P < / i > & lt;措施)和在研究结束时,访问(r <我> < / i > = 0.82 <我> df < / i > = 27个; P<.001), and they were positively evaluated by 30 patients as being user-friendly, easy to navigate, and preferable over the paper-and-pencil version of the DSST. However, although the app-based Cognition Kit DSST was validated in patients with MDD, it still needs to be evaluated in healthy controls. Conclusions: App-based DSST may facilitate a more personalized, convenient, and cost-effective method of cognitive assessment, helping to guide measurement-based care and psychotherapeutic and pharmacologic treatment options for patients with MDD. Trial Registration: ClinicalTrials.gov NCT03999567; https://tinyurl.com/2p8pnyv7 2022 - 10 - 27 - t09:45:03内 https://mental.www.mybigtv.com/2022/10/e31251/ 影响在COVID-19大流行期间增加使用技术与他人交流的因素:基于web的横断面调查研究 2022 - 10 - 25 - t10:30:03内 艾琳Dawe-Lane Magano Mutepua 丹尼尔·莫里斯 Clarissa M Odoi 艾玛·威尔逊 乔安妮·埃文斯 凡妮莎监禁 直到·怀克 Sagar Jilka 莎拉Simblett 背景:技术沟通被认为是大流行期间保持社会联系和帮助个人应对社交距离措施带来的心理影响的有效方式。然而,关于哪些因素影响了在封锁期间增加使用技术与他人沟通,以及这种情况是否随着时间的推移发生了变化,几乎没有任何信息。本研究的目的是探讨在英国第一次封锁期间,哪些社会心理因素(如心理健康和就业)和大流行相关因素(如屏蔽和时间)影响了通过技术交流的增加。2020年4月至7月期间进行了一项基于网络的横断面调查,调查了与大流行相关的思想、感受和行为,包括更多地使用技术进行沟通(如通过短信、电话或视频)。我们收集了社会人口信息、就业状况、心理健康服务用户状况和抑郁症状。我们使用层次逻辑回归来测试哪些因素与封锁期间使用科技进行更多沟通有关。结果:受试者(N=1464)的平均年龄为41.07岁(SD为14.61岁),其中大部分为女性(N= 1141;77.9%), White (n=1265;86.4%)、在职(n=1030人;70.4%)。 Participants reported a mild level of depression (mean 9.43, SD 7.02), and were communicating more using technology (n=1164; 79.5%). The hierarchical regression indicated that people who were employed and experiencing lower levels of depression were more likely to report increased communication using technology during a lockdown period of the COVID-19 pandemic, and over time, men communicated more using technology. Increased use of technology to communicate was related to greater communication and the inability to see others due to the social distancing measures enacted during the lockdown. It was not related to a general increase in technology use during the lockdown. Conclusions: Although most participants reported increased use of technology to communicate during a lockdown period of the COVID-19 pandemic, this was more apparent in the employed and those experiencing low levels of depression. Moving forward, we should continue to monitor groups who may have been excluded from the benefits of support and communication using technology. 2022 - 10 - 25 - t10:30:03内 https://mental.www.mybigtv.com/2022/10/e40652/ 动作观察过程中的运动共振及其与虚拟临床会诊的相关性:使用经颅磁刺激的观察研究 2022 - 10 - 21 - t10:15:02内 Urvakhsh Meherwan Mehta Rakshathi Basavaraju 阿布拉梅什 来自Kesavan Jagadisha Thirthalli 背景:自COVID-19大流行开始以来,虚拟临床互动大幅增加。虽然它们肯定有自己的优势,但也存在潜在的限制,例如,在建立治疗联盟、讨论复杂的临床场景等方面。这可能是由于人类镜像神经元系统(MNS)的准确激活可能被破坏,而镜像神经元系统是有效社交的生理模板。本研究旨在比较运动共振(MNS活动的推定标志),通过观察健康个体的虚拟(基于视频的)和实际或真实(由人制定的)动作时,通过经颅磁刺激(TMS)估计。我们假设在真实动作观察中,运动共振将比虚拟动作观察中更大。我们比较了在观察虚拟(通过视频呈现)和真实(亲自制定)动作时的运动共振或运动诱发电位(MEP)促进作用,与使用TMS的健康个体静态图像观察相比较。用2个不同强度的单脉冲(神经元膜兴奋性驱动)TMS和2个配对脉冲(皮质-氨基丁酸-中间神经元驱动)TMS获得MEP记录。结果:本研究共有64名参与者。使用重复测量方差分析,我们观察到,当使用4种TMS范式中的3种记录时,MEP促进从静态到虚拟和真实观察状态存在显著的时间效应。与benjami - hochberg错误发现率校正的后组配对比较表明,相对于静态图像观测,在虚拟和真实观测状态下MEP都有显著的促进作用; however, we also observed a significant time effect between the 2 action observation states (real > virtual) with 2 of the 4 TMS paradigms. Conclusions: Our results indicate that visual cues expressed via both virtual (video) or real (in person) modes elicit physiological responses within the putative MNS, but this effect is more pronounced for actions presented in person. This has relevance to the appropriate implementation of digital health solutions, especially those pertaining to mental health. 2022 - 10 - 21 - t10:15:02内 https://mental.www.mybigtv.com/2022/10/e35837/ 精神病和双相情感障碍患者亲属在线论坛的使用:混合方法研究 2022 - 10 - 20 - t10:00:03内 史蒂文•琼斯 Dimitrinka Atanasova 苏珊娜多德 苏珊花 安娜Rosala-Hallas 希瑟·罗宾逊 埃琳娜Semino 菲奥娜Lobban 背景:精神病或双相情感障碍患者的亲属经历高度的痛苦,但通常得不到他们所需的支持。在线同行论坛可能提供了一个解决方案,但关于谁使用它们、如何使用它们以及为什么使用它们的知识有限。本研究报告了亲属教育和应对工具包(REACT)试验期间在线论坛的使用情况。我们的目的是报告谁使用了论坛和为什么;社会人口因素如何与参与相关;使用频率、使用类型和使用结果之间的关系;以及如何使用这个论坛。统计分析了关键社会人口学特征、论坛使用水平和痛苦之间的关系。我们通过主题和语义分析来了解亲属加入论坛的原因和他们发起的关键话题。我们还使用大学计算机语料库研究中心的语言语义分析系统来比较亲属和REACT支持者(版主)如何使用论坛。 Results: A total of 348 participants with full forum use data from REACT were included in this study. The forum was accessed by 59.4% (207/348) of the relatives across the entire age range, with no significant associations between sociodemographic factors and forum participation, or between level or type of use and relatives’ distress levels. Relatives joined the forum primarily to find people in similar circumstances, express concerns, and talk about stressful events. Relatives were most concerned about recent events, negative emotions linked to caring, experiences of conflict or threat, and concerns about suicide. These posts underscored both the challenges the relatives were facing and the fact that they felt safe sharing them in this context. Conclusions: Although only a proportion of REACT participants engaged actively with its forum, they were widely distributed across age and other sociodemographic groupings. Relatives used the forum for information, support, and guidance and to offer detailed information about their experiences. The topics raised highlighted the burden carried by relatives and the potential value of easy-access, moderated, peer-supported forums in helping relatives to manage the challenges they faced. 2022 - 10 - 20 - t10:00:03内 https://mental.www.mybigtv.com/2022/10/e37939/ 远程精神病学技能教学:以COVID-19大流行的教训为基础,加强未来的精神卫生保健 2022 - 10 - 14 - t10:00:21内 凯瑟琳•史密斯 约翰Torous 安德里亚Cipriani 2019冠状病毒病加速了远程卫生和技术在精神卫生保健中的应用,为增加获得护理的机会和提高护理质量创造了新的途径。随着视频访问和同步远程保健变得越来越常规,该领域现在正处于拥抱异步远程保健的边缘,有可能从根本上改变心理健康。然而,保持基本同步远程保健的使用,更不用说采用异步远程保健,需要立即作出新的努力。提高临床医生和患者的数字素养和能力的项目现在至关重要,以确保所有各方都拥有知识、信心和能力,公平地从新兴创新中受益。这篇社论概述了实现一个新的、更个性化的、可扩展的精神卫生系统的潜力的近期潜力以及具体步骤。 2022 - 10 - 14 - t10:00:21内 https://mental.www.mybigtv.com/2022/10/e37184/ 使用日常经济激励的数字干预增加严重精神疾病患者的药物依从性:单臂纵向试点研究 2022 - 10 - 12 - t10:30:02内 丹尼尔·金纳德 迈克尔·索伯列夫 Bhagyashree帕蒂尔 梅根·沃尔什 约翰·M·凯恩 背景:药物不依从性在严重精神疾病中普遍存在,并与多重阴性结果相关。移动技术和财政激励显示出改善药物依从性的希望;然而,在心理健康方面的研究,特别是在口服药物方面的研究,仍然缺乏。目的:本文的目的是评估基于行为经济学原理的手机应用程序提供财务激励以提高严重精神疾病患者的药物依从性的可行性和有效性。方法:进行为期10周的单臂纵向试点研究。在基于应用程序的坚持激励下,患者获得了奖励。奖金被分成每两周支付一次,每次增加15美元,减去每天错过登记的2美元罚款。采用时变效应模型来总结研究过程中患者的反应。结果:本试验共纳入25例患者,其中72% (n=18)为女性,48% (n=12)为白人背景。中位年龄为24岁(Q1-Q3: 20.5-30)。 Participants were more frequently diagnosed with schizophrenia and related disorders (n=9, 36%), followed by major depressive disorder (n=8, 32%). App engagement and medication adherence in the first 2 weeks were higher than in the last 8 weeks of the study. At study endpoint, app engagement remained high (n=24, Z=–3.17; P<.001), but medication adherence was not different from baseline (n=24, Z=–0.59; P=.28). Conclusions: Financial incentives were effectively delivered using an app and led to high engagement throughout the study and a significantly increased medication adherence for 2 weeks. Leveraging behavioral economics and mobile health technology can increase medication adherence in the short term. Clinical Trial: ClinicalTrials.gov NCT04191876; https://clinicaltrials.gov/ct2/show/NCT04191876 2022 - 10 - 12 - t10:30:02内 https://mental.www.mybigtv.com/2022/10/e37968/ 针对津巴布韦成年人应对COVID-19大流行常见心理健康障碍的数字心理健康干预(Inuka):可行性和可接受性试点研究 2022年10月- 07 - t10:30:03内 杰梅因Dambi 克拉拉诺曼 Asmae Doukani Stephan波特 吉恩•特纳 迷迭香Musesengwa 露丝Verhey 迪克森Chibanda 背景:普通精神健康障碍(CMDs)是全球残疾的主要原因。目前的COVID-19大流行进一步加重了疾病的负担。包括封锁在内的COVID-19遏制措施影响了人们获得亲自精神卫生保健的机会。因此,必须探索利用数字精神卫生干预措施来弥合治疗差距。移动保健技术是以较低成本增加获得治疗的有效工具。本研究探索了Inuka的实用性,这是一个基于聊天的应用程序,与友谊长凳解决问题的治疗干预相结合。Inuka应用程序提供双重匿名,客户可以在方便的时候预订或取消会话。Inuka的服务可以通过手机应用程序或网络访问。目的:我们旨在探索未来进行临床试验的可行性。此外,我们评估了Inuka的可行性、可接受性、适当性、可扩展性和初步有效性。 Methods: Data were collected using concurrent mixed methods. We used a pragmatic quasiexperimental design to compare the feasibility, acceptability, and preliminary clinical effectiveness of Inuka (experimental group) and WhatsApp chat-based counseling (control). Participants received 6 problem-solving therapy sessions delivered by lay counselors. A reduction in CMDs was the primary clinical outcome. The secondary outcomes were health-related quality of life (HRQoL), disability and functioning, and social support. Quantitative outcomes were analyzed using descriptive and bivariate statistics. Finally, we used administrative data and semistructured interviews to gather data on acceptability and feasibility; this was analyzed using thematic analysis. Results: Altogether, 258 participants were screened over 6 months, with 202 assessed for eligibility, and 176 participants were included in the study (recruitment ratio of 29 participants/month). The participants’ mean age was 24.4 (SD 5.3) years, and most participants were female and had tertiary education. The mean daily smartphone usage was 8 (SD 3.5) hours. Eighty-three users signed up and completed at least one session. The average completion rate was 3 out of 4 sessions. Inuka was deemed feasible and acceptable in the local context, with connectivity challenges, app instability, expensive mobile data, and power outages cited as potential barriers to scale up. Generally, there was a decline in CMDs (F2,73=2.63; P=.08), depression (F2,73=7.67; P<.001), and anxiety (F2,73=2.95; P=.06) and a corresponding increase in HRQoL (F2,73=7.287; P<.001) in both groups. Conclusions: Study outcomes showed that it is feasible to run a future large-scale randomized clinical trial (RCT) and lend support to the feasibility and acceptability of Inuka, including evidence of preliminary effectiveness. The app’s double anonymity and structured support were the most salient features. There is a great need for iterative app updates before scaling up. Finally, a large-scale hybrid RCT with a longer follow-up to evaluate the clinical implementation and cost-effectiveness of the app is needed. 2022年10月- 07 - t10:30:03内 https://mental.www.mybigtv.com/2022/10/e35313/ 社交媒体网站(支持我们重视的青少年)支持抑郁症或焦虑症青少年的治疗:先导随机对照试验 2022年10月- 07 - t10:15:02内 安娜Radovic 亚明李 Doug Landsittel 凯拉·R·奥登塔尔 布拉德利·D·斯坦 伊丽莎白·米勒 患有抑郁或焦虑的青少年极少接受心理健康治疗。支持我们受重视的青少年(SOVA)是一个同伴支持网站干预,针对在初级保健环境中的青少年及其父母,其目标是通过改变消极的健康观念、增强知识、提供同伴情感支持和增加父母与青少年关于心理健康的交流来提高接受治疗的能力。本先导研究旨在完善招募和保留策略,完善文献干预保真度,并探索研究结果的变化(主要结果为治疗吸收)。我们在一个单独的青少年医学诊所进行了一项2组、单盲、随机对照试验。参与者年龄在12至19岁之间,有临床医生确定的抑郁或焦虑症状,卫生保健提供者建议对其进行治疗。如果有兴趣,患者和家长随机接受SOVA网站和强化常规护理(EUC)与单独EUC相比。通过基于网络的自我报告调查和盲法电子健康记录审查收集基线、6周和3个月的测量结果。评估的主要试点成果是征聘和保留战略的可行性。对实施结果、干预措施的保真度、缺失和安全协议的充分性进行了记录。采用描述性统计方法总结精神卫生服务使用情况和目标措施,采用2样本t检验,比较两组间的差异。 Results: Less than half of the adolescents who were offered patient education material (195/461, 42.2%) were referred by their clinician to the study. Of 146 adolescents meeting the inclusion criteria, 38 completed the baseline survey, qualifying them for randomization, and 25 (66%, 95% CI 51%-81%) completed the 6-week measures. There was limited engagement in the treatment arm, with 45% (5/11) of adolescents who completed 6-week measures reporting accessing SOVA, and most of those who did not access cited forgetting as the reason. Changes were found in target factors at 6 weeks but not in per-protocol analyses. At 12 weeks, 83% (15/18) of adolescents randomized to SOVA received mental health treatment as compared with 50% (10/20) of adolescents randomized to EUC (P=.03). Conclusions: In this pilot trial of a peer support website intervention for adolescents with depression or anxiety, we found lower-than-expected study enrollment after recruitment. Although generalizability may be enhanced by not requiring parental permission for adolescent participation in the trials of mental health interventions, this may limit study recruitment and retention. We found that implementing education introducing the study into provider workflow was feasible and acceptable, resulting in almost 500 study referrals. Finally, although not the primary outcome, we found a signal for greater uptake of mental health treatment in the arm using the SOVA intervention than in the usual care arm. Trial Registration: ClinicalTrials.gov NCT03318666; https://clinicaltrials.gov/ct2/show/NCT03318666 2022年10月- 07 - t10:15:02内 https://mental.www.mybigtv.com/2022/10/e39710/ 青少年社交媒体使用与健康相关的生活质量:横断面研究 2022 - 10 - 04 - t10:00:29内 悦悦你 Junwen Yang-Huang 嗯Raat 艾米·范·格里肯 背景:使用社交媒体是儿童和青少年的一项耗时的活动。卫生部门警告称,过度使用社交媒体会对青少年的社会、身体和心理健康产生负面影响。然而,关于花在社交媒体上的时间与青少年健康相关的生活质量(HRQoL)之间的联系的科学研究结果并不一致。青少年通常使用多种社交媒体平台。使用多种社交媒体平台是否会影响青少年健康还不清楚。本研究的目的是检验社交媒体使用(包括使用社交媒体平台的数量和花在社交媒体上的时间)与青少年HRQoL之间的关系。我们分析了来自荷兰一项基于人群的队列研究——R世代研究(Generation R Study)的3397名儿童(平均年龄13.5,标准差0.4岁)的数据。孩子们分别报告了工作日和周末使用社交媒体平台的数量和花在社交媒体上的时间。儿童HRQoL采用EuroQol 5维问卷-青年版自我报告。社交媒体使用和生活质量的数据收集于2015年至2019年。 Multiple logistic and linear regressions were applied. Results: In this study, 72.6% (2466/3397) of the children used 3 or more social media platforms, and 37.7% (1234/3276) and 58.3% (1911/3277) of the children used social media at least 2 hours per day during weekdays and weekends, respectively. Children using more social media platforms (7 or more platforms) had a higher odds of reporting having some or a lot of problems on “having pain or discomfort” (OR 1.55, 95% CI 1.20 to 1.99) and “feeling worried, sad or unhappy” (OR 1.99, 95% CI 1.52 to 2.60) dimensions and reported lower self-rated health (β –3.81, 95% CI –5.54 to –2.09) compared with children who used 0 to 2 social media platforms. Both on weekdays and weekends, children spent more time on social media were more likely to report having some or a lot of problems on “doing usual activities,” “having pain or discomfort,” “feeling worried, sad or unhappy,” and report lower self-rated health (all P<.001). Conclusions: Our findings indicate that using more social media platforms and spending more time on social media were significantly related to lower HRQoL. We recommend future research to study the pathway between social media use and HRQoL among adolescents. 2022 - 10 - 04 - t10:00:29内
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