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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

SO139

Cross-cultural and developmental determinants of digital exclusion in psychiatry: a rapid review to inform equitable global mental health practice

TRANSCULTURAL AND DEVELOPMENTAL DETERMINANTS OF DIGITAL EXCLUSION IN PSYCHIATRY: A RAPID REVIEW TO INFORM EQUITABLE GLOBAL MENTAL HEALTH PRACTICE

Digital exclusion is multidimensional and intersectional; cross-cultural, socioeconomic, and developmental barriers coexist and compound one another.

The aim was to identify the developmental, sociodemographic, and cross-cultural determinants of digital exclusion in psychiatric care and to synthesize strategies that support equitable, culturally responsive digital inclusion. Using a rapid narrative review design, PubMed/MEDLINE, PsycINFO, and Scopus were searched for the period from 2020 to August 25, 2026; English-language studies examining digital access, engagement, or exclusion in mental health care were included, and findings were grouped under cross-cultural, developmental, and socioeconomic/structural determinants. Cross-cultural determinants included language barriers, cultural beliefs, stigma and acceptability, trust and privacy concerns, and migration and refugee status; structural and socioeconomic determinants included low income, limited internet connectivity, lack of access to devices, housing instability, and inequalities in education and employment; developmental determinants included older age, cognitive impairment, physical disabilities and sensory impairments, and limited digital literacy. A key finding was that 42.2% of people with severe mental illness lacked basic digital skills, and 46.2% lacked everyday digital skills; barriers coexisted and compounded one another, particularly among older adults, migrants and refugees, and people with severe mental illness. Digital exclusion was modeled as a chain of reduced access, low engagement, poorer clinical outcomes, and widening mental health inequalities. In conclusion, equitable digital psychiatry should prioritize accessible, affordable, and culturally responsive services, while maintaining non-digital options.

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