期刊文章JMIR出版物移动健康对围产期抑郁和焦虑的影响卡塔尔世界杯8强波胆分析* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *neesha.hussainshamsy@mail.utoronto.ca %K心理健康%K抑郁%K焦虑%K怀孕%K产后%K智能手机%K手机%K短信%K移动健康%D 2020 %7 13.4.2020 %9回顾%J J医学互联网研究%G英语%X背景:围产期是抑郁和焦虑普遍发生的脆弱时期。如果不及时治疗或治疗不足，可能会产生严重的不良反应;因此，获得快速、有效的治疗至关重要。根据分步护理方法，对轻中度症状的治疗包括心理教育、同伴支持和心理治疗，所有这些都已被证明可以通过数字手段有效地提供。由于系统和个人层面的因素，如成本、可及性和托儿服务的可获得性，妇女在获得护理方面遇到了重大障碍。移动电话的使用在这一人群中很普遍，有人建议通过移动电话提供精神卫生服务，作为减少障碍的一种手段。目的:本研究旨在了解移动健康(mHealth)工具用于预防、筛查和治疗围产期抑郁和焦虑的程度、范围和性质，以确定差距并为未来的工作提供机会。方法:使用范围综述框架，检索4个数据库中与手机、围产期、抑郁或焦虑相关的术语。 A total of 477 unique records were retrieved, 81 of which were reviewed by full text. Peer-reviewed publications were included if they described the population as women pregnant or up to 1 year postpartum and a tool explicitly delivered via a mobile phone for preventing, screening, or treating depression or anxiety. Studies published in 2007 or earlier, not in English, or as case reports were excluded. Results: A total of 26 publications describing 22 unique studies were included (77% published after 2017). mHealth apps were slightly more common than texting-based interventions (12/22, 54% vs 10/22, 45%). Most tools were for either depression (12/22, 54%) or anxiety and depression (9/22, 41%); 1 tool was for anxiety only (1/22, 4%). Interventions starting in pregnancy and continuing into the postpartum period were rare (2/22, 9%). Tools were for prevention (10/22, 45%), screening (6/22, 27%), and treatment (6/22, 27%). Interventions delivered included psychoeducation (16/22, 73%), peer support (4/22, 18%), and psychological therapy (4/22, 18%). Cost was measured in 14% (3/22) studies. Conclusions: Future work in this growing area should incorporate active psychological treatment, address continuity of care across the perinatal period, and consider clinical sustainability to realize the potential of mHealth. %M 32281939 %R 10.2196/17011 %U //www.mybigtv.com/2020/4/e17011/ %U https://doi.org/10.2196/17011 %U http://www.ncbi.nlm.nih.gov/pubmed/32281939