TY -的盟Hussain-Shamsy Neesha AU -沙阿,Amika盟——Vigod西蒙N AU -查希尔,Juveria盟——濑户,艾米丽PY - 2020 DA - 2020/4/13 TI -移动健康围产期抑郁和焦虑:范围审查乔- J地中海互联网Res SP - e17011六世- 22 - 4 KW——心理健康KW -抑郁KW -焦虑千瓦怀孕KW -产后KW -智能手机KW -手机KW -短信KW - mHealth AB -背景:围产期是一个容易发生抑郁和焦虑的时期。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。共检索到477条独特记录，其中81条以全文方式进行了审查。 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. SN - 1438-8871 UR - //www.mybigtv.com/2020/4/e17011/ UR - https://doi.org/10.2196/17011 UR - http://www.ncbi.nlm.nih.gov/pubmed/32281939 DO - 10.2196/17011 ID - info:doi/10.2196/17011 ER -