对于患有创伤后应激障碍的患者,基于数字健康的暴露疗法:随机对照试验的系统审查
Mayu Yoshikawa1,2, Zui Narita1, Yoshiharu Kim1
1Department of Psychiatry, National Center Hospital, National Center of Neurology and Psychiatry, Tokyo, Japan.
Journal of traumatic stress
|April 19, 2024
概括
数字健康疗法在治疗创伤后应激障碍 (PTSD) 中表现有前途,为传统暴露疗法提供了可访问的替代方案. 然而,高退学率表明需要解决技术障碍和缺乏个人联系的问题.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 数字健康干预措施 数字健康干预措施
- 基于证据的实践.
背景情况:
- 暴露疗法对创伤后应激障碍 (PTSD) 有效,但面临着可访问性挑战.
- 数字健康为克服成本,距离和PTSD治疗时间等障碍提供了潜在的解决方案.
- 没有系统性审查专门评估了基于数字健康的PTSD暴露疗法.
研究的目的:
- 系统地审查基于数字健康的PTSD暴露疗法的随机对照试验 (RCT).
- 评估数字干预在PTSD治疗中的影响和可行性.
- 确定在PTSD护理中数字心理健康的挑战和未来方向.
主要方法:
- 在PubMed,Web of Science和PsycINFO数据库中的系统文献搜索 (2023年12月 - 2024年2月).
- 包括12个RCT,涉及1361名参与者.
- 专注于主要在美国进行的研究,通常使用军事样本.
主要成果:
- 基于数字健康的暴露疗法显示出可信的实用性,与PTSD的面对面治疗相当.
- 很大一部分研究来自美国,经常涉及军事人员.
- 观察到与直觉相反的高退学率,可能与技术困难和缺乏个人联系有关.
结论:
- 数字健康干预措施是提高PTSD治疗可访问性的可行选择.
- 未来的研究应该专注于更大的样本规模和减轻技术挑战.
- 改善个人联系和解决技术问题对于降低数字PTSD治疗中学率至关重要.
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