智能手机应用程序治疗抑郁症:一项系统文献综述以及对临床实践中使用此类应用的卫生保健专业人员态度的调查。

Smartphone applications for depression: a systematic literature review and a survey of health care professionals' attitudes towards their use in clinical practice.

机构信息

Department of Psychiatry, Medical Faculty, LVR-Klinikum Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany.

WHO Collaborating Center for Quality Assurance and Empowerment in Mental Health, Düsseldorf, Germany.

出版信息

Eur Arch Psychiatry Clin Neurosci. 2020 Mar;270(2):139-152. doi: 10.1007/s00406-018-0974-3. Epub 2019 Jan 3.

Abstract

Smartphone applications ("apps") may contribute to closing the treatment gap for depression by reaching large populations at relatively low costs. The general public seems open towards the use of apps for mental disorders but less is known about the attitudes of health care professionals. Therefore, the aim of this study was to examine the available evidence on the effectiveness of apps for depression and to explore the attitudes of health care professionals towards their use in practice. A systematic literature search was performed aimed at studies utilizing smartphone applications for depression. In addition, a survey was conducted to explore health care professionals' attitudes towards using these treatment apps in clinical practice. Twelve articles were identified in the systematic literature review. All included trials reported a decline in depressive symptoms after the intervention periods. In the survey, 72 health care professionals participated. Significant differences were found between the level of technology experience and how much the health care professional would consider the use of mobile applications in clinical practice. Survey participants reported openness towards therapeutic app use but very little knowledge and experience in the field. Apps appear to be a promising self-management tool for reducing depressive symptoms. Despite some concerns, health care professionals' attitudes towards the use of smartphone applications in clinical practice are quite positive. The provision of information on the potential benefits of e-health interventions as well as the training of professionals in the application of new technologies may increase health care professionals' awareness and knowledge about mobile apps for the treatment of mental disorders.

摘要

智能手机应用程序(“apps”)可能通过以相对较低的成本覆盖大量人群来帮助缩小抑郁治疗差距。公众似乎对将应用程序用于精神障碍持开放态度,但对于医疗保健专业人员的态度了解较少。因此,本研究旨在检查关于用于治疗抑郁的应用程序的有效性的现有证据,并探讨医疗保健专业人员在实践中使用它们的态度。进行了系统的文献检索,旨在研究利用智能手机应用程序治疗抑郁的研究。此外,还进行了一项调查,以探讨医疗保健专业人员在临床实践中使用这些治疗应用程序的态度。在系统文献综述中确定了 12 篇文章。所有纳入的试验均报告干预后抑郁症状有所下降。在调查中,有 72 名医疗保健专业人员参与。在技术经验水平和医疗保健专业人员在临床实践中考虑使用移动应用程序的程度方面,发现存在显著差异。调查参与者对治疗应用程序的使用持开放态度,但在该领域的知识和经验非常有限。应用程序似乎是一种很有前途的自我管理工具,可以减轻抑郁症状。尽管存在一些担忧,但医疗保健专业人员对在临床实践中使用智能手机应用程序的态度相当积极。提供有关电子健康干预措施潜在益处的信息以及对专业人员在新技术应用方面的培训,可能会提高医疗保健专业人员对治疗精神障碍的移动应用程序的认识和了解。

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