用于评估和治疗强迫症的可穿戴和移动技术:范围审查
Adam C Frank1, Ruibei Li1, Bradley S Peterson1,2
1Department of Psychiatry and Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.
JMIR mental health
|July 18, 2023
概括
移动和可穿戴技术在监测和治疗强迫症 (OCD) 方面表现有前途. 这些数字工具可以评估症状,预测复发,并提供干预措施,改善患者护理.
科学领域:
- 数字精神病学数字精神病学
- 精神病学技术 精神病学技术
- 计算精神病学是一种计算精神病学.
背景情况:
- 强迫症 (OCD) 是一种具有波动的过程的残疾精神疾病.
- 智能手机和可穿戴生物传感器提供持续的,被动的数据收集,用于行为和生理监测.
- 这些技术有可能监测症状负担,诊断,复发风险,治疗反应和强迫症的数字干预.
研究的目的:
- 在强迫症评估,监测和治疗中使用可穿戴设备和基于智能手机的设备的文献进行范围审查.
- 为这个快速发展的领域提供持续的重新评估.
主要方法:
- 在2022年7月和2023年4月搜索了多个数据库 (PubMed,Embase,APA PsycINFO,Web of Science)
- 利用综合搜索策略,将强迫症相关术语与智能手机,可穿戴设备和数字健康关键词相结合.
- 分析了2748篇文章,对77篇进行了全文审查,并从25项纳入研究中提取了数据.
主要成果:
- 在过去的15年里,关于强迫症的移动和可穿戴技术的文献显著增长.
- 被动动动图测量通常与主观报告保持一致.
- 生态瞬间评估 (EMA) 耐受性良好,捕捉了新症状,并且可能提供比追溯回忆更准确的症状负担数据.
- 对于强迫症的数字/移动干预措施是多样化的,并且通常显示症状负担有所改善.
结论:
- 移动和可穿戴技术越来越多地被用于强迫症管理.
- 被动感应和EMA为症状呈现和负担提供了有价值的见解.
- 数字干预措施在改善强迫症症状方面表现有前途.
- 需要进一步的研究和开发,以确保患者和临床医生安全和可信的采用.
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