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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >Efficacy of online lifestyle interventions targeting lifestyle behaviour change in depressed populations: A systematic review
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Efficacy of online lifestyle interventions targeting lifestyle behaviour change in depressed populations: A systematic review

机译：在线生活方式干预针对生活方式行为的疗效变化抑制群体：系统评价

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Background: It is well established that depression and non-communicable diseases are highly co-morbid and bi-directional in nature. ‘Lifestyle medicine’ has recently gained traction in the field of psychiatry, aimed at improvement of both physical and mental health. Online interventions can be an effective and inexpensive alternative or supplement to therapy that is delivered using more traditional modes, overcoming barriers that may prohibit people from accessing treatment by promoting flexibility and accessibility. Methods: This systematic review evaluates the existing evidence for the efficacy or effectiveness of lifestyle interventions for (1) individuals with depressive symptoms, (2) clinically depressed populations or discussing the outcomes of depression within a subset of a larger cohort that are delivered online or via smart phone. Included studies were randomised controlled trials, with active comparator conditions, in adult populations and with reported lifestyle and depression-related outcomes. The analysis examined attrition, engagement, adherence and behaviour change techniques employed to achieve the target behaviours. Results: Seven studies were included in the review and targeted behaviour change in five domains: alcohol reduction, improved sleep quality/insomnia reduction, increased physical activity, reduced/cessation of substance abuse and smoking cessation. Four of the studies achieved significant improvements in the targeted behaviour; of these three also reported significant improvements in depressive symptoms. No studies reported significant improvements in depressive symptoms without a change in the target lifestyle behaviour. Conclusion: The results of this review highlight the potential of online lifestyle interventions as adjunctive treatments for depression, and the possibility of achieving significant improvements in depressive symptoms when targeting lifestyle behaviour change.
机译：背景：抑郁症和非传染性疾病在本质上是高度共病和双向的，这一点已得到充分证实“生活方式医学”最近在精神病学领域获得了发展，旨在改善身心健康。在线干预可以是一种有效且廉价的替代或补充疗法，使用更传统的方式提供，通过提高灵活性和可及性克服可能阻碍人们获得治疗的障碍。方法：本系统回顾评估了生活方式干预对（1）抑郁症状个体，（2）临床抑郁人群的有效性或有效性的现有证据，或在在线或通过智能手机提供的更大队列的子集内讨论抑郁的结果。纳入的研究是在成年人群中进行的随机对照试验，具有积极的对照条件，并报告了与生活方式和抑郁症相关的结果。该分析考察了为实现目标行为而采用的消耗、参与、坚持和行为改变技术。结果：七项研究被纳入审查，并在五个领域有针对性地改变行为：减少酒精、改善睡眠质量/减少失眠、增加体力活动、减少/停止药物滥用和戒烟。其中四项研究在目标行为方面取得了显著改善；其中三人的抑郁症状也有显著改善。没有研究报告在没有改变目标生活方式行为的情况下抑郁症状有显著改善。结论：本综述的结果强调了在线生活方式干预作为抑郁症辅助治疗的潜力，以及在针对生活方式行为改变的情况下实现抑郁症状显著改善的可能性。

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