Menon Vikas, Rajan Tess Maria, Sarkar Siddharth
Department of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India.
Indian J Psychol Med. 2017 Jan-Feb;39(1):4-11. doi: 10.4103/0253-7176.198956.
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.
利用手机技术提供实时心理干预和支持正引发越来越多的关注。然而，此类方法在精神疾病人群中的临床有效性和可行性仍存在疑问。我们的目的是系统回顾已发表的关于手机应用程序和其他基于手机的技术用于心理健康障碍心理治疗的文献。为实现这一目标，2016年1月对PubMed、ScienceDirect和谷歌学术进行了电子检索。对生成的摘要进行系统筛选，以确定是否符合纳入该综述的条件。研究包括采用任何形式的心理治疗，通过基于手机的技术提供，并报告精神疾病核心心理健康结果的研究。我们还纳入了正在进行的试验，其已发表的方案报告了此类干预措施的至少一些结果指标。从总共1563条搜索结果中，确定并审查了24篇符合条件的文章。这些文章包括焦虑症试验（8篇）、物质使用障碍试验（5篇）、抑郁症试验（4篇）、双相情感障碍试验（3篇）、精神分裂症和精神障碍试验（3篇）以及自杀未遂试验（1篇）。其中，八项研究涉及使用智能手机应用程序，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。试验时长从6周至1年不等。总体保留率良好，表明这些治疗方法可行且基本可接受。尽管样本量较小，但报告了心理健康疾病核心结果的益处，表明此类方法有效。总之，基于手机的心理治疗对精神障碍患者来说是一种可行且可接受的治疗选择。然而，关于其在现实环境中的有效性的数据仍然匮乏，尤其是来自低收入和中等收入国家的数据。
