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Psychotherapeutic Applications of Mobile Phone-based Technologies: A Systematic Review of Current Research and Trends

机译:基于手机技术的心理治疗应用:当前研究和趋势的系统综述

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摘要

There is a growing interest in using mobile phone technology to offer real-time psychological interventions and support. However, questions remain on the clinical effectiveness and feasibility of such approaches in psychiatric populations. Our aim was to systematically review the published literature on mobile phone apps and other mobile phone-based technology for psychotherapy in mental health disorders. To achieve this, electronic searches of PubMed, ScienceDirect, and Google Scholar were carried out in January 2016. Generated abstracts were systematically screened for eligibility to be included in the review. Studies employing psychotherapy in any form, being delivered through mobile-based technology and reporting core mental health outcomes in mental illness were included in the study. We also included trials in progress with published protocols reporting at least some outcome measures of such interventions. From a total of 1563 search results, 24 eligible articles were identified and reviewed. These included trials in anxiety disorders (8), substance use disorders (5), depression (4), bipolar disorders (3), schizophrenia and psychotic disorders (3), and attempted suicide (1). Of these, eight studies involved the use of smartphone apps and others involved personalized text messages, automated programs, or delivered empirically supported treatments. Trial lengths varied from 6 weeks to 1 year. Good overall retention rates indicated that the treatments were feasible and largely acceptable. Benefits were reported on core outcomes in mental health illness indicating efficacy of such approaches though sample sizes were small. To conclude, mobile phone-based psychotherapies are a feasible and acceptable treatment option for patients with mental disorders. However, there remains a paucity of data on their effectiveness in real-world settings, especially from low- and middle-income countries.
机译:使用手机技术提供实时心理干预和支持的兴趣日益浓厚。然而,关于这种方法在精神病人群中的临床有效性和可行性仍存在疑问。我们的目的是系统地审查有关手机应用程序和其他基于手机的心理健康障碍心理治疗技术的已发表文献。为了实现这一目标,于2016年1月对PubMed,ScienceDirect和Google Scholar进行了电子搜索。系统筛选了生成的摘要,以将其纳入评价。该研究包括采用任何形式的心理疗法的研究,这些研究通过基于移动的技术进行,并报告了精神疾病的核心心理健康结局。我们还纳入了已发表的方案进行中的试验,这些方案至少报告了此类干预措施的某些结果指标。在总共1563个搜索结果中,确定并审查了24篇合格文章。这些包括对焦虑症(8),物质使用障碍(5),抑郁症(4),双相情感障碍(3),精神分裂症和精神病性障碍(3)和自杀未遂(1)的试验。其中,八项研究涉及智能手机应用程序的使用,其他研究涉及个性化短信,自动化程序或提供经验支持的治疗。试用期从6周到1年不等。良好的总体保留率表明治疗是可行的,并且在很大程度上可以接受。据报告,尽管样本量很小,但心理健康疾病的核心结局获益,表明这种方法的有效性。总之,基于移动电话的心理疗法对于精神障碍患者是一种可行且可接受的治疗选择。但是,关于它们在现实世界中的有效性的数据仍然很少,尤其是来自中低收入国家的数据。

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