TY - JOUR AU - Griffiths, Kathleen M AU - Calear, Alison L AU - Banfield, Michelle PY - 2009 DA - 2009/9/30 TI -网络支持小组(ISGs)与抑郁症的系统综述(1):ISGs是否减轻抑郁症状?JO - J Med Internet Res SP - e40 VL - 11 IS - 3kw -抑郁KW -消费者参与KW -互联网KW -自助小组AB -背景:互联网支持小组(ISGs)使有特定健康问题的个人能够随时在线交流。同伴支持被认为可以通过提供社会支持来改善心理健康，包括抑郁症。鉴于ISGs对抑郁症患者和身体障碍患者的作用越来越大，有必要评估关于ISGs在减轻抑郁症状方面的有效性的证据。目的:系统回顾ISGs对抑郁症状影响的现有证据。方法:检索三个数据库(PubMed, PsycINFO, Cochrane)，使用从相关论文、摘要和同义词词典中提取的150多个搜索词。如果论文(1)采用了在线点对点支持小组，(2)包含了抑郁结果，(3)报告了定量数据，它们就被纳入了研究范围。研究包括独立的isg和在复杂的多组分干预中使用的isg。所有试验都对质量进行了编码。结果:31篇论文(涉及28个试验)从12,692篇摘要的初始池中满足纳入标准。 Sixteen trials used either a single-component intervention, a design in which non-ISG components were controlled, or a cross-sectional analysis, of which 10 (62.5%) reported a positive effect of the ISG on depressive symptoms. However, only two (20%) of these studies employed a control group. Only two studies investigated the efficacy of a depression ISG and neither employed a control group. Studies with lower design quality tended to be associated with more positive outcomes (P = .07). Overall, studies of breast cancer ISGs were more likely to report a reduction in depressive symptoms than studies of other ISG types (Fisher P = .02), but it is possible that this finding was due to confounding design factors rather than the nature of the ISG. Conclusions: There is a paucity of high-quality evidence concerning the efficacy or effectiveness of ISGs for depression. There is an urgent need to conduct high-quality randomized controlled trials of the efficacy of depression ISGs to inform the practice of consumers, practitioners, policy makers, and other relevant users and providers of online support groups. SN - 1438-8871 UR - //www.mybigtv.com/2009/3/e40/ UR - https://doi.org/10.2196/jmir.1270 UR - http://www.ncbi.nlm.nih.gov/pubmed/19793719 DO - 10.2196/jmir.1270 ID - info:doi/10.2196/jmir.1270 ER -