TY - JOUR AU - Dewa, Lindsay H AU - Lawrance, Emma AU - Roberts, Lily AU - Brooks-Hall, Ellie AU - Ashrafian, Hutan AU - Fontana, Gianluca AU - Aylin, Paul PY - 2021 DA - 201/12/17 TI -高质量社会联系作为青少年抑郁和焦虑数字干预的积极成分:系统范围回顾和元分析JO - J Med Internet Res SP - e26584 VL - 23 IS - 12 KW -心理健康KW -数字干预KW -年轻人KW -高质量社会联系KW -抑郁KW -焦虑KW -系统回顾KW -元分析KW -患者和公众参与KW -手机AB -背景:破坏的社会联系可能对青少年心理健康产生负面影响。相比之下，持续的高质量社会联系(qsc)可以改善心理健康结果。然而，很少有研究研究这些高质量的联系如何影响数字干预中的抑郁和焦虑结果，概念化也很有限。目的:本研究的目的是概念化、评估和综合数字干预(D-QSC)中QSC的证据，以及对14-24岁年轻人抑郁和焦虑结果的影响。方法:使用乔安娜布里格斯研究所的方法框架，并在有生活经验的专家的指导下进行了系统的范围审查和元分析。报告以PRISMA(系统评价和元分析首选报告项目)为指导。2020年6月24日，根据关键概念的综合组合搜索了MEDLINE、Embase、PsycINFO和CINAHL数据库。搜索的概念包括年轻人、数字干预、抑郁、焦虑和社会联系。谷歌也被搜索。 A reviewer independently screened abstracts and titles and full text, and 9.99% (388/3882) of these were screened by a second reviewer. A narrative synthesis was used to structure the findings on indicators of D-QSC and mechanisms that facilitate the connection. Indicators of D-QSC from the included studies were synthesized to produce a conceptual framework. Results: Of the 5715 publications identified, 42 (0.73%) were included. Among the included studies, there were 23,319 participants. Indicators that D-QSC was present varied and included relatedness, having a sense of belonging, and connecting to similar people. However, despite the variation, most of the indicators were associated with improved outcomes for depression and anxiety. Negative interactions, loneliness, and feeling ignored indicated that D-QSC was not present. In 24% (10/42) of the applicable studies, a meta-analysis showed a significant decrease in depression (–25.6%, 95% CI –0.352 to –0.160; P<.001) and anxiety (–15.1%, 95% CI –0.251 to –0.051; P=.003) after a D-QSC. Digital mechanisms that helped create a quality connection included anonymity, confidentiality, and peer support. In contrast, mechanisms that hindered the connection included disconnection from the real world and inability to see body language. Data synthesis also identified a 5-component conceptual framework of D-QSC that included rapport, identity and commonality, valued interpersonal dynamic, engagement, and responded to and accepted. Conclusions: D-QSC is an important and underconsidered component for youth depression and anxiety outcomes. Researchers and developers should consider targeting improved QSC between clinicians and young people within digital interventions for depression. Future research should build on our framework to further examine relationships among individual attributes of QSC, various digital interventions, and different populations. SN - 1438-8871 UR - //www.mybigtv.com/2021/12/e26584 UR - https://doi.org/10.2196/26584 UR - http://www.ncbi.nlm.nih.gov/pubmed/34927592 DO - 10.2196/26584 ID - info:doi/10.2196/26584 ER -