[动态监测与数字表型分析在双相情感障碍诊断与治疗中的应用]
[Ambulatory monitoring and digital phenotyping in the diagnostics and treatment of bipolar disorders].
作者信息
Severus E, Ebner-Priemer U, Beier F, Mühlbauer E, Ritter P, Hill H, Bauer M
机构信息
Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.
Institut für Sportwissenschaft, Karlsruher Institut für Technologie, Karlsruhe, Deutschland.
出版信息
Nervenarzt. 2019 Dec;90(12):1215-1220. doi: 10.1007/s00115-019-00816-9.
BACKGROUND
Reliable and valid diagnostics and treatment of bipolar disorders and affective episodes are subject to extensive, especially methodological limitations in the clinical practice.
OBJECTIVE
The use of smartphones and mobile sensor technology for improvement in diagnostics and treatment of bipolar disorders.
METHODS
Critical discussion of current research on the use of ambulatory monitoring and digital phenotyping with bipolar disorders.
RESULTS
In many studies the observation periods were too short and the sensors applied were too inaccurate to enable reliable and valid detection of behavioral changes in the context of affective episodes.
CONCLUSION
The clarification and operationalization of psychopathological constructs to allow for the measurement of objectively observable and ascertainable behavioral changes during depressive and (hypo)manic states are essential for the successful application of modern mobile technologies in the diagnostics and treatment of bipolar disorders.
背景
双相情感障碍及情感发作的可靠且有效的诊断与治疗在临床实践中受到广泛限制，尤其是方法学上的限制。
目的
利用智能手机和移动传感器技术改善双相情感障碍的诊断与治疗。
方法
对当前关于双相情感障碍动态监测和数字表型应用的研究进行批判性讨论。
结果
在许多研究中，观察期过短且所应用的传感器不够精确，无法在情感发作背景下可靠且有效地检测行为变化。
结论
明确和细化精神病理学结构，以便能够测量抑郁和（轻）躁狂状态下客观可观察和可确定的行为变化，对于现代移动技术成功应用于双相情感障碍的诊断和治疗至关重要。
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