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Prevention of Mental Health Disorders using Internet and mobile-based Interventions: a narrative review and recommendations for future research
- Source :
- Frontiers in Psychiatry, Ebert, D D, Cuijpers, P, Muñoz, R F & Baumeister, H 2017, ' Prevention of Mental Health Disorders using Internet and mobile-based Interventions: a narrative review and recommendations for future research. ', Frontiers in Psychiatry, vol. 8, no. 10 August, 116, pp. 1-16 . https://doi.org/10.3389/fpsyt.2017.00116
- Publication Year :
- 2017
-
Abstract
- Although psychological interventions might have a tremendous potential for the prevention of mental health disorders (MHD), their current impact on the reduction of disease burden is questionable. Possible reasons include that it is not practical to deliver those interventions to the community en masse due to limited health care resources and the limited availability of evidence-based interventions and clinicians in routine practice, especially in rural areas. Therefore, new approaches are needed to maximize the impact of psychological preventive interventions. Limitations of traditional prevention programs could potentially be overcome by providing Internet- and mobile-based interventions (IMIs). This relatively new medium for promoting mental health and preventing MHD introduces a fresh array of possibilities, including the provision of evidence-based psychological interventions that are free from the restraints of travel and time and allow reaching participants for whom traditional opportunities are not an option. This article provides an introduction to the subject and narratively reviews the available evidence for the effectiveness of IMIs with regard to the prevention of MHD onsets. The number of randomized controlled trials that have been conducted to date is very limited and so far it is not possible to draw definite conclusions about the potential of IMIs for the prevention of MHD for specific disorders. Only for the indicated prevention of depression there is consistent evidence across four different randomized trial trials. The only trial on the prevention of general anxiety did not result in positive findings in terms of eating disorders (EDs), effects were only found in post hoc subgroup analyses, indicating that it might be possible to prevent ED onset for subpopulations of people at risk of developing EDs. Future studies need to identify those subpopulations likely to profit from preventive. Disorders not examined so far include substance use disorders, bipolar disorders, stress-related disorders, phobic disorders and panic disorder, obsessive-compulsive disorder, impulse-control disorders, somatic symptom disorder, and insomnia. In summary,there is a need for more rigorously conducted large scale randomized controlled trials using standard clinical diagnostic instruments for the selection of participants without MHD at baseline and the assessment of MHD onset. Subsequently, we discuss future directions for the field in order to fully exploit the potential of IMI for the prevention of MHD.
- Subjects :
- Gesundheitstelematik
cognitive-behavioral therapy
m-Health
Internet interventions
anxiety
depression
e-health
mental health
prevention
self-help
subthreshold depression
Review
Anxiety
Self-help
guided self-help
ddc:150
SDG 3 - Good Health and Well-being
Medizinische Fakultät
ddc:610
ddc:158
cost-effectiveness
eating-disorders
Psychiatry
prediction algorithm
Psychische Störung
E-health
major depressive disorder
Mental disorders
Prevention and control
Depression
Prevention
randomized-controlled-trial
Cost-benefit analysis
Telemedizin
Telemedicine
psychological treatments
Medical informatics applications
acceptance facilitating intervention
M-Health
Mental health
Subjects
Details
- Language :
- English
- ISSN :
- 16640640
- Volume :
- 8
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- Frontiers in Psychiatry
- Accession number :
- edsair.pmid.dedup....7cbed82b36475035bbf3d44e2f6a820e
- Full Text :
- https://doi.org/10.3389/fpsyt.2017.00116