The majority of mental health disorders remain untreated. Many limitations of traditional psychological interventions such as limited availability of evidence-based interventions and clinicians could potentially be overcome by providing Internet- and mobile-based psychological interventions (IMIs). This paper is a report of the Taskforce E-Health of the European Federation of Psychologists’ Association and will provide an introduction to the subject, discusses areas of application, and reviews the current evidence regarding the efficacy of IMIs for the prevention and treatment of mental disorders. Meta-analyses based on randomized trials clearly indicate that therapist-guided stand-alone IMIs can result in meaningful benefits for a range of indications including, for example, depression, anxiety, insomnia, or posttraumatic stress disorders. The clinical significance of results of purely self-guided interventions is for many disorders less clear, especially with regard to effects under routine care conditions. Studies on the prevention of mental health disorders (MHD) are promising. Blended concepts, combining traditional face-to-face approaches with Internet- and mobile-based elements might have the potential of increasing the effects of psychological interventions on the one hand or to reduce costs of mental health treatments on the other hand. We also discuss mechanisms of change and the role of the therapist in such approaches, contraindications, potential limitations, and risk involved with IMIs, briefly review the status of the implementation into routine health care across Europe, and discuss confidentiality as well as ethical aspects that need to be taken into account, when implementing IMIs. Internet- and mobile-based psychological interventions have high potential for improving mental health and should be implemented more widely in routine care.

中文翻译：

---

基于Internet和移动设备的心理干预：应用，功效和改善心理健康的潜力

大部分精神疾病仍未得到治疗。通过提供基于Internet和移动的心理干预（IMI），可以克服传统心理干预的许多局限性，例如基于证据的干预和临床医生的可用性有限。本文是欧洲心理学家协会联合会Taskforce E-Health的报告，将对该主题进行介绍，讨论应用领域，并回顾有关IMI在预防和治疗精神疾病方面的功效的现有证据。失调。基于随机试验的荟萃分析清楚地表明，由治疗师指导的独立IMI可以为一系列适应症带来有意义的益处，例如，抑郁症，焦虑症，失眠症或创伤后应激障碍。对于许多尚不清楚的疾病，尤其是在常规护理条件下的影响方面，纯自我指导干预的结果的临床意义尚不清楚。预防精神健康疾病（MHD）的研究很有前途。混合的概念，将传统的面对面方法与基于Internet和移动的元素相结合，一方面可能会增加心理干预的效果，另一方面可能会降低心理健康治疗的成本。我们还将讨论变化机制以及治疗师在此类方法，禁忌症，潜在局限性和IMI涉及的风险中的作用，简要回顾整个欧洲常规医疗保健的实施状况，并讨论保密性以及道德方面需要考虑在内，在实现IMI时。基于互联网和移动设备的心理干预措施具有改善心理健康的巨大潜力，应在常规护理中更广泛地实施。