Massachusetts General Hospital/Harvard Medical School.
Massachusetts General Hospital/Harvard Medical School.
Behav Ther. 2020 Jan;51(1):1-14. doi: 10.1016/j.beth.2019.08.001. Epub 2019 Aug 8.
Our field has come a long way in establishing cognitive-behavioral therapy as the empirically supported treatment of choice for a wide range of mental and behavioral health problems. Nevertheless, most individuals with mental disorders do not receive any care at all, and those who do often have difficulty accessing care that is consistently high in quality. Addressing these issues is complex and costly and thus progress has been slow. We are entering an exciting stage in which emerging technologies might offer novel solutions to the treatment gap. This paper discusses a number of technology-enabled solutions to our field's challenges, including Internet-based and smartphone-based cognitive-behavioral therapy. Nevertheless, we must remain attentive to potential pitfalls of these emerging technologies. The paper incorporates suggestions for how the field may approach these potential pitfalls and provides a vision for how we might develop powerful, scalable, precisely timed, personalized interventions to enhance global mental health.
我们的领域在将认知行为疗法确立为广泛的心理和行为健康问题的循证支持的首选治疗方法方面已经取得了长足的进步。然而,大多数精神障碍患者根本没有得到任何治疗,而那些得到治疗的人往往难以获得始终高质量的治疗。解决这些问题是复杂且昂贵的,因此进展缓慢。我们正进入一个激动人心的阶段,新兴技术可能为治疗差距提供新的解决方案。本文讨论了我们领域面临的挑战的一些技术支持解决方案,包括基于互联网和智能手机的认知行为疗法。然而,我们必须时刻注意这些新兴技术可能存在的陷阱。本文提出了该领域如何应对这些潜在陷阱的建议,并为我们如何开发强大、可扩展、精确计时、个性化的干预措施以增强全球心理健康提供了一个愿景。