Van Ameringen Michael, Turna Jasmine, Khalesi Zahra, Pullia Katrina, Patterson Beth
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada.
MacAnxiety Research Centre, McMaster University, Hamilton, ON, Canada.
Depress Anxiety. 2017 Jun;34(6):526-539. doi: 10.1002/da.22657. Epub 2017 Jun 1.
Mental health apps are viewed as a promising modality to extend the reach of mental health care beyond the clinic. They do so by providing a means of assessment, tracking, and treatment through a smartphone. Given that nearly 2/3 of the American population owns a smartphone, mental health apps offer the possibility of overcoming treatment barriers such as geographic location or financial barriers. Unfortunately, the excitement surrounding mental health apps may be premature as the current supporting literature regarding their efficacy is limited. The app marketplace is littered with apps claiming to treat or assess symptoms, but even those created by reputable organizations or those incorporating components of evidence-based treatments have not yet been validated in terms of their efficacy. This review aims to provide a comprehensive review of the current state of the mental health app literature by examining published reports of apps designed for DSM-5 anxiety and mood disorders, OCD, and PTSD. The breadth of apps reviewed includes those oriented around assessment, symptom tracking, and treatment as well as "multipurpose" apps, which incorporate several of these components. This review will also present some of the most popular mental health apps which may have clinical utility and could be prescribed to clients. While we discuss many potential benefits of mental health apps, we focus on a number of issues that the current state of the app literature presents. Overall there is a significant disconnect between app developers, the scientific community and health care, leaving the utility of existing apps questionable.
心理健康应用程序被视为一种很有前景的方式,可将心理健康护理的覆盖范围扩展到诊所之外。它们通过智能手机提供评估、跟踪和治疗手段来实现这一点。鉴于近三分之二的美国人口拥有智能手机,心理健康应用程序提供了克服诸如地理位置或经济障碍等治疗障碍的可能性。不幸的是,围绕心理健康应用程序的兴奋情绪可能为时过早,因为目前关于其疗效的支持性文献有限。应用程序市场充斥着声称能治疗或评估症状的应用程序,但即使是那些由知名组织创建或包含循证治疗成分的应用程序,其疗效也尚未得到验证。本综述旨在通过审查为《精神疾病诊断与统计手册》第五版(DSM-5)中的焦虑和情绪障碍、强迫症及创伤后应激障碍设计的应用程序的已发表报告,对心理健康应用程序文献的现状进行全面综述。所审查的应用程序范围包括围绕评估、症状跟踪和治疗的应用程序,以及包含这些成分中几种的“多功能”应用程序。本综述还将介绍一些可能具有临床效用且可开给患者的最受欢迎的心理健康应用程序。虽然我们讨论了心理健康应用程序的许多潜在益处,但我们关注应用程序文献现状所呈现的一些问题。总体而言,应用程序开发者、科学界和医疗保健之间存在重大脱节,使得现有应用程序的效用存疑。