对于物质使用障碍的手机应用程序的治疗内容:一个雨审查
Tyler S Oesterle1, Daniel K Hall-Flavin1, Nicholas L Bormann1
1Department of Psychiatry and Psychology (T.S.O., D.K.H.-F., N.L.B., L.L.L., D.C.F., S.A.B., W.P.G., S.C.d.C., V.M.K.), Mayo Clinic, Rochester, MN; Department of Gastroenterology and Hepatology (T.W.), Mayo Clinic, Rochester, MN; Department of Psychiatry (S.A.), University of Iowa, Iowa City, IA; and Department of Biostatistics (S.A.), University of Iowa, Iowa City, IA.
Mayo Clinic proceedings. Digital health
|July 10, 2024
概括
移动电话应用程序在药物使用障碍治疗中显示出有限的整体有效性. 然而,通过应用程序提供的特定干预措施,如应急管理和认知行为疗法,显示出了希望.
科学领域:
- 数字健康数字健康
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 移动电话应用程序 (MPA) 越来越多地用于物质使用障碍 (SUD) 治疗.
- 之前的系统审查表明MPA在SUD治疗中的有效性证据不足.
- 现有的审查往往评估不同的试验,缺乏元分析.
研究的目的:
- 对MPA在SUD治疗中的疗效进行现有审查的综合审查.
- 进行临床试验的元分析,以量化MPAs的整体效果.
- 排除尼古丁/烟草相关的干预措施,由于先前的审查和不同的方法.
主要方法:
- 对七项相关的系统性审查进行了总体审查.
- 一项元分析包括了17项来自选定的评论的独特研究.
- 审查中排除了尼古丁/烟草使用障碍的手机应用程序.
主要成果:
- 总体审查报告说,缺乏证据来推MPA用于SUD治疗.
- 由MPA提供的恢复支持,认知行为疗法和应急管理显示出有希望的证据.
- 减少物质使用的MPA的整体效果大小是微不足道的 (Hedges g = 0.137).
- 亚组分析显示,应急管理 (g = 1.29) 和认知行为疗法 (g = 0.02) 的显著影响.
结论:
- 由于MPA缺乏足够的证据来支持一般的SUD治疗建议.
- 通过MPAs提供的特殊干预措施,如应急管理和认知行为疗法,显示了潜在的潜力.
- 为临床医生提供了一个适应的框架,以批判性地评估MPA与患者的关系.
相关概念视频
01:24Substance Use Disorders Affecting Sleep
164
Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
Understanding the concepts of physical dependence,...
Understanding the concepts of physical dependence,...
164
01:17Drug Dependence
994
Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
994
01:15Drug Abuse and Addiction: Pharmacological Phenomena
463
Drug dependence, abuse, and addiction are complex phenomena that can precipitate various abnormal states. Physical dependence refers to a state of pharmacological adaptation to a drug. This adaptation often results in tolerance—a reduced response to the drug after repeated administrations. When the drug use is abruptly stopped, withdrawal symptoms occur due to the body's need to readjust from the pharmacologically induced imbalance. However, tolerance and withdrawal symptoms do not...
463
01:28An Overview of Psychoactive Drugs
204
Psychoactive drugs impact brain function, influencing perception, mood, consciousness, cognition, and behavior. These substances are grouped based on their effects and the mechanisms by which they act.
Stimulants such as cocaine, amphetamines, and nicotine enhance brain activity, leading to increased alertness, attention, and energy. These drugs typically raise heart rate, blood pressure, and body temperature. While they can induce feelings of euphoria, their misuse can result in severe health...
Stimulants such as cocaine, amphetamines, and nicotine enhance brain activity, leading to increased alertness, attention, and energy. These drugs typically raise heart rate, blood pressure, and body temperature. While they can induce feelings of euphoria, their misuse can result in severe health...
204
01:28Drug Therapy
41
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
41
01:29Stimulants
184
Stimulants are substances that enhance neural activity and elevate dopamine levels in the brain, leading to their highly addictive nature. These drugs include cocaine, amphetamines, MDMA, caffeine, and nicotine, each with distinct mechanisms of action and varied health implications.
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
184