TY -的盟Ridout布拉德AU -坎贝尔,安德鲁PY - 2018 DA - 2018/12/18 TI -使用社交网站在年轻人的精神卫生干预:系统回顾乔- J地中海互联网Res SP - e12244六世- 20 - 12 KW -社会媒体KW -社交KW -心理健康KW -社会支持KW -支持团体AB -背景:精神健康问题的发病高峰在青春期和成年早期;然而，年轻人在治疗方面面临障碍，往往不愿寻求专业帮助。相反，许多人通过网络，特别是通过社交网站，寻求有关其心理健康的支持和信息，因此，利用社交网站提供或与以青年为重点的在线心理健康干预措施相结合，是一个很有希望的机会。之前的研究评估了社交媒体对年轻人特定疾病的有效性;然而，没有任何一项审查涵盖了所有心理健康问题上基于青少年心理健康教育的青少年心理健康干预措施的广度。目的:本综述旨在系统地确定关于使用基于社交网络的干预措施支持25岁以下年轻人心理健康的现有证据，评估其有效性、适宜性和安全性，并确定未来研究的差距和机会。方法:对PubMed和psyinfo数据库使用医学主题词和爆炸关键词和短语进行检索。检索到的摘要(n=974)进行了两次筛选，得到235篇文章用于全文级别的筛选。其中，9篇文章符合综述纳入标准。由于研究数量较少，使用的结果测量方法多种多样，因此不可能进行定量荟萃分析。 Results: The 9 articles (quantitative studies, qualitative studies, and descriptions of the iterative design process) covered 5 separate interventions. Of the 5 interventions, 2 interventions used purpose-built platforms based on the moderated online social therapy (MOST) model, 2 used Facebook, and 1 evaluated a purpose-built mobile app. The 2 MOST interventions targeted specific mental health issues (depression and psychosis), whereas the others focused on improving mental health literacy, social support, and general well-being. Only 3 quantitative studies were identified, and all used a pre-post design (without a control group) to establish proof of concept. Of the outcome variables assessed, there were significant improvements in mental health knowledge and number of depressive symptoms but no improvement in anxiety or psychosis symptoms. Acceptability of and engagement with the SNS platforms were generally high, as were perceptions of usefulness and safety. Moderation by clinical experts was identified as a key component of the more successful interventions. When offered a choice, users showed a preference for mobile apps over Web-based interfaces. Conclusions: The evidence reviewed suggests young people find SNS–based interventions highly usable, engaging, and supportive. However, future studies need to address the current lack of high-quality evidence for their efficacy in reducing mental health symptoms. Given young people are already turning to SNSs to engage in knowledge seeking and peer-to-peer support, SNS–based youth mental health interventions provide an opportunity to address some of the barriers young people face in accessing qualified mental health support and information. SN - 1438-8871 UR - //www.mybigtv.com/2018/12/e12244/ UR - https://doi.org/10.2196/12244 UR - http://www.ncbi.nlm.nih.gov/pubmed/30563811 DO - 10.2196/12244 ID - info:doi/10.2196/12244 ER -