Andersson Erik, Holmes Emily A, Kavanagh David
Department of Clinical Neuroscience, Division of Psychology, Karolinska institute, Stockholm, Sweden.
Centre for Children's Health Research, Institute of Health and Biomedical Innovation, and School of Psychology and Counselling, Queensland University of Technology, Brisbane, Australia.
Mhealth. 2018 Oct 19;4:47. doi: 10.21037/mhealth.2018.09.11. eCollection 2018.
A range of digital psychological interventions have demonstrated a positive impact on trauma-related problems in controlled trials, but there is room for further improvements in their form, reach and impact. Most to date have been adaptions of established face-to-face treatments. In this paper, we highlight a complementary emerging route to their development, which draws on advances in cognitive science theory and research and applies them to clinical contexts. Three examples are given regarding laboratory research with potential applications to digital interventions for trauma-related mental health problems: a digital game to reduce intrusive memories of trauma, novel cognitive techniques for worry, and digitally supported mental imagery to enhance motivation for functional behavior change. Much of this research is still at an early stage, meriting a balance of optimism and caution. However, even if only a few digital applications of cognitive science constitute substantial improvements to complement current treatments, their potential for large-scale use at low unit cost may provide significant benefits across populations.
一系列数字心理干预措施在对照试验中已证明对创伤相关问题有积极影响，但其形式、覆盖面和影响力仍有进一步改进的空间。迄今为止，大多数都是对既定面对面治疗方法的改编。在本文中，我们强调了一种与之互补的新兴发展途径，该途径借鉴了认知科学理论与研究的进展，并将其应用于临床环境。文中给出了三个关于实验室研究的例子，这些研究可能应用于创伤相关心理健康问题的数字干预：一款减少创伤侵入性记忆的数字游戏、针对担忧的新型认知技术，以及增强功能性行为改变动机的数字支持心理意象。这项研究的大部分仍处于早期阶段，值得在乐观与谨慎之间取得平衡。然而，即使认知科学的数字应用只有少数能对当前治疗方法起到实质性的补充改进作用，其以低单位成本大规模使用的潜力也可能为各人群带来显著益处。
