数字疗法在情绪障碍患者中的实际应用
Laura Orsolini1, Giulio Longo, Umberto Volpe
1Unit of Clinical Psychiatry, Department of Neurosciences/DIMSC, Polytechnic University of Marche, Ancona, Italy.
Current opinion in psychiatry
|November 16, 2023
概括
数字疗法 (DTx) 对情绪障碍,如严重抑郁症 (MDD) 和双相情感障碍 (BD) 显示出有前途的前景. 虽然初步结果令人鼓舞,但需要更严格的研究来确认有效性和通用性.
科学领域:
- 数字健康数字健康
- 心理健康技术 心理健康技术
- 计算精神病学是一种计算精神病学.
背景情况:
- 数字疗法 (DTx) 是针对医疗条件的基于证据的软件应用程序.
- 很少有DTx被批准用于心理健康状况,情绪障碍的发展有限.
- 大型抑郁症 (MDD) 和双相情感障碍 (BD) 代表了数字干预的重大未满足需求.
研究的目的:
- 对MDD,抑郁症状和BD的DTx发表的研究进行全面审查.
- 总结DTx在情绪障碍中的临床应用现状.
- 确定DTx在心理健康方面的研究缺口和未来方向.
主要方法:
- 在PubMed/MEDLINE和Scopus数据库中的系统文献搜索.
- 选择了15项研究,重点关注MDD,抑郁症状和BD的DTx.
- 对研究特征,干预类型和结果措施的分析.
主要成果:
- 大多数研究都集中在MDD (10项研究) 和BD (4项研究) 上.
- 对于MDD的DTx主要利用认知行为疗法; BD干预侧重于精神教育.
- 所有研究都报告了干预后症状明显改善,但主要评估的是可行性和可接受性而不是疗效.
- 方法上的异质性限制了比较和概括性.
结论:
- 据报道,DTx在治疗情绪障碍方面有初步前景,症状有所改善.
- 目前的文献是有限的,需要更强大的疗效和有效性研究,特别是BD.
- 未来的研究应该涉及更大的,多地点的试验,测量特定的症状效应和现实世界的结果.
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