TY - JOUR AU - Vallury, Kari Dee AU - Jones, Martin AU - Oosterbroek, Chloe PY - 2015 DA - 2015/06/05 TI -农村地区焦虑和抑郁的计算机化认知行为治疗:系统综述JO - J医学互联网Res SP - e139 VL - 17 IS - 6kw - eHealth KW - mHealth KW -抑郁KW -焦虑KW -认知疗法KW -农村健康KW -心理健康AB -背景:与城市居民相比，生活在农村和偏远社区的人更难获得精神卫生服务和认知行为疗法(CBT)等循证疗法。计算机化CBT (CCBT)可以有效地治疗抑郁和焦虑，在缺乏训练有素的从业者的农村环境中可能特别有用。目的:系统回顾生活在农村和偏远地区的人对焦虑和/或抑郁的CCBT干预的临床有效性和可接受性的全球证据。方法:我们搜索了7个在线数据库:Medline、Embase Classic和Embase、PsycINFO、CINAHL、Web of Science、Scopus和Cochrane Library。我们还手动搜索参考列表、互联网搜索引擎和试用协议。进行了两个阶段的选择。在第一项研究中，三位作者筛选了引文。如果研究报告了CCBT对抑郁症和/或焦虑症的疗效、有效性或可接受性，并经同行评审，并以英文撰写，则研究被保留。然后，定性数据分析软件NVivo 10用于对“农村”一词、其同义词和词干词进行自动文本搜索。所有确定的研究都被完整阅读，如果它们测量或有意义地讨论了CCBT在农村参与者中的有效性或可接受性，则被纳入研究。 Results: A total of 2594 studies were identified, of which 11 met the selection criteria and were included in the review. The studies that disaggregated efficacy data by location of participant reported that CCBT was equally effective for rural and urban participants. Rural location was found to both positively and negatively predict adherence across studies. CCBT may be more acceptable among rural than urban participants—studies to date showed that rural participants were less likely to want more face-to-face contact with a practitioner and found that computerized delivery addressed confidentiality concerns. Conclusions: CCBT can be effective for addressing depression and anxiety and is acceptable among rural participants. Further work is required to confirm these results across a wider range of countries, and to determine the most feasible model of CCBT delivery, in partnership with people who live and work in rural and remote communities. SN - 1438-8871 UR - //www.mybigtv.com/2015/6/e139/ UR - https://doi.org/10.2196/jmir.4145 UR - http://www.ncbi.nlm.nih.gov/pubmed/26048193 DO - 10.2196/jmir.4145 ID - info:doi/10.2196/jmir.4145 ER -