采用适应性、对话性和情境感知系统的以压力为中心的数字心理健康干预中的参与支持机制：叙事回顾。

Stress is a widespread public health concern associated with cardiovascular disease, depression, anxiety, and reduced quality of life. Digital mental health interventions (DMHIs), delivered through smartphones, web platforms, and wearables, offer scalable support for stress management but often struggle to sustain user engagement. Evidence describing how adaptive, conversational, and context-aware mechanisms function together within stress-focused DMHIs remains fragmented. This review aims to synthesize evidence on engagement-supportive mechanisms in stress-focused DMHIs, with attention to per